Skip to main content
CMAJ : Canadian Medical Association Journal logoLink to CMAJ : Canadian Medical Association Journal
. 1985 Oct 1;133(7):651–656.

Factors influencing early diagnosis of cancer of the oral cavity

J Mark Elwood, Richard P Gallagher
PMCID: PMC1346265  PMID: 4042035

Abstract

Factors associated with stage at time of diagnosis and with interval between recognition of the first symptom and histologic diagnosis were assessed in a consecutive series of patients with primary epithelial tumours of the oral cavity. Of the 160 patients 55% had stage I or II disease. The proportion was significantly higher among patients with a high socioeconomic status, those with low levels of alcohol consumption and those who regularly received dental care. The interval between recognition of the first symptom and diagnosis was not significantly related to these factors, but it was shorter for the men. These relations were specific to the patients with cancer of the oral cavity, not being seen in those with other head and neck tumours. Dental practitioners are an important source of early diagnosis of oral cavity cancers. The impact of the disease might thus be lessened by more regular dental care.

Full text

PDF
654

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams R. J., Pullon P. A., Lee F. Expanding the role of the dentist in the detection of oral and laryngeal cancer. J Am Dent Assoc. 1974 Sep;89(3):607–610. doi: 10.14219/jada.archive.1974.0436. [DOI] [PubMed] [Google Scholar]
  2. Amsel Z., Strawitz J. G., Engstrom P. F. The dentist as a referral source of first episode head and neck cancer patients. J Am Dent Assoc. 1983 Feb;106(2):195–197. doi: 10.14219/jada.archive.1983.0391. [DOI] [PubMed] [Google Scholar]
  3. Elwood J. M., Moorehead W. P. Delay in diagnosis and long-term survival in breast cancer. Br Med J. 1980 May 31;280(6227):1291–1294. doi: 10.1136/bmj.280.6227.1291. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Elwood J. M., Pearson J. C., Skippen D. H., Jackson S. M. Alcohol, smoking, social and occupational factors in the aetiology of cancer of the oral cavity, pharynx and larynx. Int J Cancer. 1984 Nov 15;34(5):603–612. doi: 10.1002/ijc.2910340504. [DOI] [PubMed] [Google Scholar]
  5. Kaufman S., Grabau J. C., Loré J. M., Jr Symptomatology in head and neck cancer: a quantitative review of 385 cases. Am J Public Health. 1980 May;70(5):520–522. doi: 10.2105/ajph.70.5.520. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Pogrel M. A. The dentist and oral cancer in the North East of Scotland. Br Dent J. 1974 Jul 2;137(1):15–20. doi: 10.1038/sj.bdj.4803229. [DOI] [PubMed] [Google Scholar]
  7. Robertson M. S., Hornibrook J. The presenting symptoms of head and neck cancer. N Z Med J. 1982 May 26;95(708):337–341. [PubMed] [Google Scholar]
  8. Southwick H. W. Head and neck cancer: early detection. Cancer. 1981 Mar 1;47(5 Suppl):1188–1192. doi: 10.1002/1097-0142(19810301)47:5+<1188::aid-cncr2820471323>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]

Articles from CMAJ: Canadian Medical Association Journal are provided here courtesy of Canadian Medical Association

RESOURCES