Oral cancer detection. The importance of routine screening for prolongation of survival.
Oral cancer detection. The importance of routine screening for prolongation of survival.
复制标题
口腔癌检测。
DOI：
--
复制
发表时间：
1986
影响因子：
4.2
通讯作者：
David I. Rosenstein
中科院分区：
文献类型：
--
作者：
Gary T. Chiodo;Toni L. Eigner;David I. Rosenstein
在过去的十年里，口腔癌的发病率有所增加。早期诊断和治疗对长期生存至关重要；然而，高危患者很少去看牙医。舌根或口底的微红、天鹅绒或红斑病变在任何患者中都高度可疑，需要进一步评估。出现可疑病变较少的高危患者必须在密切回忆时重新评估。如果及早发现和治疗病变，预后会有很大改善。一项研究表明，口腔癌患者在区域淋巴受累之前被诊断为口腔癌，其五年存活率为%，而病变在区域淋巴受累后被诊断为口腔癌的患者，其五年存活率为15%。通过将口腔癌检查纳入患者的常规体检，医生和公共卫生护士可以增加口腔癌早期发现的可能性。
The incidence of oral cancer has increased in the past ten years. Early diagnosis and treatment are essential to long-term survival; however, patients at highest risk visit the dentist infrequently. The reddish, velvety or erythroplakial lesion at the base of the tongue or floor of the mouth is highly suspicious in any patient and requires further evaluation. High-risk patients with less suspicious appearing lesions must be reevaluated on close recall. Prognosis improves vastly when the lesion is detected and treated early. One study demonstrated a 64% five-year survival rate for patients with oral cancer that was diagnosed before regional lymph node involvement versus a 15% five-year survival for patients whose lesions were diagnosed after regional lymph node involvement. By including an oral cancer examination in routine physical examination of patients, the physician and public health nurse can increase the likelihood of early detection of oral cancer.