Epidemiological and clinical presentation of head and neck neoplasia: a review

Authors

  • Manish Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Shubham Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Vanshika Saggar Department of Dental Surgery Bhai Jaswant Singh Dental College Ludhiana, Punjab, India
  • Hardeep Kaur Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Vineeta Arora Guru Teg Bahadur Hospital, Ludhiana, Punjab, India
  • Lovleen Sandhu Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Tegbir Singh Binepal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Iti Bharadwaj Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Anurima Arora Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Devambika Mehta Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Anjana Pillai Department of Dental Surgery Bhai Jaswant Singh Dental College Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20233136

Keywords:

Head neck neoplasia, Epidemiology, Clinical presentation

Abstract

Head and neck squamous cell carcinoma (HNSCC) stand at the sixth position most, amongst all the malignancies worldwide. Neoplasms arising in the oral cavity, larynx, pharynx, salivary gland and nasal cavity are all included in the head and neck malignancies. More than 90% of malignancies of the oral cavity are squamous cell carcinomas (SCC). Among the four head neck cancer sub-sites combined, the mean age at the time of diagnosis has risen, in the last four decades. Studies have documented a male predilection.  A small percentage of SCC cases are inherited or are familial. Cigarette smoking, alcohol consumption, betel quid chewing, poor nutrition, poor oral hygiene, HPV, Epstein-Barr virus and Candida albicans infections are the etiological agents who have the ability to cause HNSCC. Non healing ulcer, difficulty in swallowing, change in voice, swelling, sore throat- that doesn’t get better- are the symptoms of head and neck cancers. Moreover, there may be unusual bleeding, facial swelling or difficulty in breathing.

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References

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Guardiola E, Chaigneau L, Villanueva C, Pivot X. Is there still a role for triple endoscopy as part of staging for head and neck cancer? Cur Opin Otolaryngol Head Neck Surg. 2006;14(2):85-8.

Schuller DE, Fritsch MH. An assessment of the value of triple endoscopy in the evaluation of head and neck cancer patients. J Surg Oncol. 1986;32(3):156-8.

Kumai Y, Shono T, Waki K, Murakami D, Miyamaru S et al. Detection of hypopharyngeal cancer (Tis, T1 and T2) by ENT physicians vs gastrointestinal endoscopists. Aur is Nasus Larynx. 2020;47(1)135-40.

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Burden of Disease 1990-2017 J Dent Res. 2020 Feb;99(2):143-51.

Alam MS, Siddiqui SA, Perween R. Epidemiological profile of head and neck cancer patients in Western Uttar Pradesh and analysis of distributions of risk factors in relation to site of tumor. J Cancer Res Ther. 2017 Sep; 13(3):430-5.

Nichols AC, Dhalival SS, Palma DA, Basmaji J, Chapeskie C, et al. Does HPV type affect outcome in oropharyngeal cancer? J Otolaryngol Head Neck Surg. 2013 Feb 1; 42(1):9.

Montero PH, Patel SG. Cancer of the oral cavity. Sure Once Clin N Am. 2015 Jul; 24(3):491-508

Liu S-A, Wang C-C, Jiang R-S, Lee F-Y, Lin W-J, et al. Pathological features and their prognostic impacts on oral cavity cancer patients among different subsites - A singe institute's experience in Taiwan. Sci Rep. 2017 Dec; 7(1):7451.

Stovanov GS, Kitanova M, Dzhenkov DL, Ghenev P, Sapundzhiev N. Demographics of head and neck cancer patients: a single institution experience. Cureus. 2017 Jul 2; 9(7): e1418.

Baipai S, Zhang N, Lott DG. Tracking changes in age distribution of head and neck cancer in the United States from 1975 to 2016. Clinical Otolaryngol.2021; 46(6):1205-12.

Fasunla AJ, Ogundoyin OA, Onakoya PA, Nwaorgu OG. Malignant tumors of the larynx: Clinicopathologic profile and implication for late disease presentation. Niger Med J. 2016; 57(5):280-5.

Gilyoma JM, Rambau PF, Masalu N, Kayange NM, Chalya PL. Head and neck cancers: a clinico-pathological profile and management challenges in a resource- limited setting. BMC Res Notes. 2015 Dec 12; 8:772.

Riaz N, Morris LG, Lee W, Chan TA. Unraveling the molecular genetics of head and neck cancer through genome-wide approaches. Genes & Diseases. 2014 Sep 1; 1(1): 75-86.

Alsahafi E, Begg K, Amelio I, Raulf N, Lucarelli P et al. Clinical update on head and neck cancer: molecular biology and ongoing challenges. Cell Death Dis. 2019 Jul 15; 10(8):540.

Sun Z, Sun X, Chen Z, Du J, Wu Y. Head and Neck Squamous Cell Carcinoma: Risk Factors, Molecular Alterations, Immunology and Peptide Vaccines. Int J Pept Res Ther. 2022; 28(1): 19.

Canning M, Guo G, Yu M, Myint C, Groves MW et al. Heterogeneity of the Head and Neck Squamous Cell Carcinoma Immune Landscape and Its Impact on Immunotherapy. Front Cell Dev Biol. 2019 Apr 9; 7:52.

McQueen N, Partington J, Harrington KF, Rosenthal EL, Carroll WR et al. Smoking Cessation and Electronic Cigarette Use among Head and Neck Cancer Patients. Otolaryngol Head Neck Surg. 2016 Jan; 154(1):73-9.

Munshi T, Heckman CJ, Darlow S. Association between tobacco waterpipe smoking and head and neck conditions: A systematic review. JAm Dent Assoc. 2015 Oct; 146(10):760-6.

Mizukawa N, Swe Swe Win, Zaw Moe Thein, Moe Thida Htwe, Yoshioka Y et al. The Incidence of Oral and Oropharyngeal Cancers in Betel Quid-Chewing Populations in South Myanmar Rural Areas. Acta Med Okayama. 2017 Dec; 71(6):519-524.

Mendenhall WM, Mancuso AA, Amdur RJ, Stringer SP, Villaret DB et al. Squamous cell carcinoma metastatic to the neck from an unknown head and neck primary site. Am J Otolaryngol. 2001 Jul-Aug; 22(4):261-7.

Sheahan P. Management of advanced laryngeal cancer. Rambam Maimonides Med J. 2014 Apr 28; 5(2): e0015.

Markopoulos AK. Current aspects on oral squamous cell carcinoma Open Dent J. 2012; 6:126-30.

Bagan J, Sarrion G, Jimenez Y. Oral cancer: clinical features. Oral Oncol. 2010 Jun; 46(6):414-7.

Carpén T, Sjöblom A, Lundberg M, Haglund C, Markkola a et al Presenting symptoms and clinical findings in HPV-positive and HPV- negative oropharyngeal cancer patients. Acta Otolaryngol. 2018 May; 138(5):513-518.

Mcllwain WR, Sood AJ, Nguyen SA, Day TA. Initial symptoms in patients with HPV-positive and HPV-negative oropharyngeal cancer. JAMA Otolaryngol Head Neck Surg. 2014 May; 140(5):441-7.

Bradley PJ. Frequency and Histopalihology by Site, Major Pathologies, Symptoms and Signs of Salivary Gland Neoplasms. Adv Otorhinolaryngol.2016; 78:9-16.

Crozier E, Sumer BD. Head and neck cancer. Med Clin North Am. 201g Sep; 94(5):1031-46.

Guardiola E, Chaigneau L, Villanueva C, Pivot X. Is there still a role for triple endoscopy as part of staging for head and neck cancer? Cur Opin Otolaryngol Head Neck Surg. 2006 Apr; 14(2): 85-8.

Schuller DE, Fritsch MH. An assessment of the value of triple endoscopy in the evaluation of head and neck cancer patients. J Surg Oncol. 1986 Jul; 32(3):156-8.

Kumai Y, Shono T, Waki K, Murakami D, Miyamaru S et al. Detection of hypopharyngeal cancer (Tis, T1 and T2) by ENT physicians vs gastrointestinal endoscopists . Aur is Nasus Larynx. 2020 Feb; 47(1)135-40.

Noor A, Stepan L, Kao SS-T, Dharmawardana N, Ooi EH et al. Reviewing indications for panendoscopy in the investigation of head and neck squamous cell carcinoma. J Laryngol 0101 2018 Oo4:132(10), 801- 905.

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Published

2023-09-30

How to Cite

Munjal, M., Munjal, S., Saggar, V., Kaur, H., Arora, V., Sandhu, L., Binepal, T. S., Bharadwaj, I., Arora, A., Mehta, D., & Pillai, A. (2023). Epidemiological and clinical presentation of head and neck neoplasia: a review. International Journal Of Community Medicine And Public Health, 10(10), 3941–3946. https://doi.org/10.18203/2394-6040.ijcmph20233136

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Review Articles