Onkológia 3/2019
Changes in epidemiology of head and neck carcinoma – our experiences
Background: Head and neck cancer is a serious health and social problem. In the etiopathogenesis, smoking and alcohol, as well as viruses - especially human papillomavirus (HPV), play a role. Material and Methods: Retrospective analysis of patients with head and cancer diagnosed at the Department of Otorhinolaryngology, FD Roosevelt Faculty Hospital, Banska Bystrica, Slovakia in 2011-2018. Incidence, localization, risk factors, stage of disease and changes in distribution (primary tumor, stage) were evaluated. Results: Head and neck cancer was diagnosed in 718 patients. Malignant tumor of upper aerodigestive tract was diagnosed in 567 patients (79%). Orofaryngeal and laryngeal carcinoma was found most often (46%; 34.5%, respectively).| Increase incidence of oropharyngeal carcinoma (22 patients in 2011; 48 in 2018;Background: Head and neck cancer is a serious health and social problem. In the etiopathogenesis, smoking and alcohol, as well as viruses - especially human papillomavirus (HPV), play a role. Material and Methods: Retrospective analysis of patients with head and cancer diagnosed at the Department of Otorhinolaryngology, FD Roosevelt Faculty Hospital, Banska Bystrica, Slovakia in 2011-2018. Incidence, localization, risk factors, stage of disease and changes in distribution (primary tumor, stage) were evaluated. Results: Head and neck cancer was diagnosed in 718 patients. Malignant tumor of upper aerodigestive tract was diagnosed in 567 patients (79%). Orofaryngeal and laryngeal carcinoma was found most often (46%; 34.5%, respectively).| Increase incidence of oropharyngeal carcinoma (22 patients in 2011; 48 in 2018; P=0.027), as well as significant decrease of late stages and increase of early stages of disease in patients with oropharyngeal carcinoma (incidence of early stages 15% in 2017; 48% in 2018; P=0.002) were detected. P=0.027), as well as significant decrease of late stages and increase of early stages of disease in patients with oropharyngeal carcinoma (incidence of early stages 15% in 2017; 48% in 2018; P=0.002) were detected.
Keywords: ead and neck carcinoma, etiopathogenesis, risk factors, human papillomavirus, stage of disease
