A half-yearly chest radiograph for early detection of lung cancer following oral cancer.
until further notice
SourceInternational Journal of Oral and Maxillofacial Surgery, 31, 4, (2002), pp. 378-382
Article / Letter to editor
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Oral and Maxillofacial Surgery
International Journal of Oral and Maxillofacial Surgery
SubjectSurgical Oncology; Experimental radiotherapy and neuro-oncology.; Hearing and Communication Disorders; Growth and development of the orofacial region; Tumor pathology; Chirurgische Oncologie; Experimentele radiotherapie en neuro-oncologie.; Gehoor en communicatie; Groei en ontwikkeling van het orofaciale gebied; Tumor pathologie
In a retrospective analysis of 339 patients, treated with a curative intention for a squamous cell carcinoma of the oral cavity between 1988-1996, the value of a half-yearly routine chest radiograph during the first 2 years of follow-up, was evaluated. Metastatic or primary lung malignancies developed in 18 (5.3%) of the 339 patients in the first 2 years of the follow-up. In 11 (3.2%) patients these malignancies were detected on routine chest radiographs while in 7 (2.0%) patients these were detected on chest radiographs taken because of pulmonary complaints. The mean survival after detection of the pulmonary malignancy was 8 months. All patients died within 21 months, independent of pathology or therapy. No correlation was found between stage, location or differentiation of the primary tumour. As a result of this study it can be concluded that there is no benefit for the patient for a 6-month thoracic radiograph in routine follow-up for patients with oral squamous cell carcinoma. It gives false certainty and burdens the health care system.
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