PMID: 2501417Apr 1, 1989Paper

The role of yearly chest radiography in the early detection of lung cancer following oral cancer

International Journal of Oral and Maxillofacial Surgery
L J StalpersW A van Daal

Abstract

In a study of 213 patients with oral cancer, we investigated the incidence and prognosis of lung malignancies in patients offered a yearly chest radiography in the follow-up. Three conclusions can be drawn. (1) Metastatic or primary lung cancer was diagnosed in 22 (10.3%) patients. The 2-year actuarial incidence rate of lung cancer following cancer of the oral cavity is 13%. No new lung cancers were detected after 2 years follow-up. This suggests that after this period, yearly chest radiography may be superfluous for the early detection of lung cancer. (2) The survival rate of patients with a lung malignancy following cancer of the oral cavity is poor (1-year = 25%). The survival rate of patients detected by the yearly chest radiography without symptoms is higher than for patients detected after symptoms (p = 0.006). It is not clear to what extent this different survival rate is biased by lead-time and selection of patients with a favourable prognosis. A randomized study would be required to assess whether patients with oral cancer do benefit from the yearly chest radiography compared with no regular chest radiography. (3) Of 22 patients with lung cancer, 13 (59%) were detected by chest radiography without symptoms. In the firs...Continue Reading

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Citations

Sep 4, 2012·Oral and Maxillofacial Surgery·Guicai LiuBryce E Potter
Feb 14, 2002·Critical Reviews in Oncology/hematology·Lisa LicitraJean-Louis Lefebvre
Jul 11, 2003·Critical Reviews in Oncology/hematology·Lisa LicitraJean-Louis Lefebvre
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Feb 5, 2015·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·J MadanaMichael P Hier
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Nov 2, 2011·Annals of the Royal College of Surgeons of England·Kapila ManikantanRehan Kazi

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