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Squamous cell carcinomas of the head and neck: descriptive analysis of 1293 cases

Published online by Cambridge University Press:  29 June 2007

Sevgi Y. Kurtulmaz ,
Haldun Ş. Erkal ,
Meltem Serin ,
Atilla H. Elhan  and
Ahmet Çakmak
Sevgi Y. Kurtulmaz
Affiliation:
Department of Radiation Oncology, Ankara University Faculty of Medicine, Ankara, Turkey.
Haldun Ş. Erkal*
Affiliation:
Department of Radiation Oncology, Ankara University Faculty of Medicine, Ankara, Turkey.
Meltem Serin
Affiliation:
Department of Radiation Oncology, Ankara University Faculty of Medicine, Ankara, Turkey.
Atilla H. Elhan
Affiliation:
Department of Biostatistics, Ankara University Faculty of Medicine, Ankara, Turkey.
Ahmet Çakmak
Affiliation:
Department of Radiation Oncology, Ankara University Faculty of Medicine, Ankara, Turkey.
*
Address for correspondence: Haldun Şükrü Erkal, M.D., P.K. 40, Aşaǧi Ayranci, TR-06541, Ankara, Turkey. Fax: +90 312 363 45 45
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Abstract

Medical reports of 1293 patients with squamous cell carcinoma (SCC) of the head and neck were retrospectively evaluated. The patients were classified according to their age, sex, primary tumour localization and tumoral stage. There were 1181 males (91.3 per cent) and 112 females (8.7 per cent), with a male to female ratio of 10.5:1. The peak incidences for all primary tumour localizations were observed in the fifth decade. Most common primary tumour localizations were the larynx (71.1 per cent), the nasopharynx (10.1 per cent) and the oral cavity (8.8 per cent). Of all patients in whom staging was complete, 43.1 per cent presented at early and 56.9 per cent at advanced stages. The proportion of patients presenting with metastatic neck nodes was 34.4 per cent and the incidence of metastatic neck nodes increased with increasing T stage. The supraglottic region was the most common primary site among all laryngeal SCC, with a supraglottic to glottic SCC ratio of 1.5:1. Glottic SCC presented at earlier stages compared to supraglottic SCC. The incidence of nodal metastases increased with increasing T stage for SCC of the larynx, the oral cavity and the oropharynx.

Keywords

Head and neck neoplasmsCarcinoma, squamous cellNeoplasm stagingRadiotherapyEpidemiology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 6 , June 1997 , pp. 531 - 535
Copyright
Copyright © JLO (1984) Limited 1997

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