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. 2013;17(3):286-90.
doi: 10.5114/wo.2013.35279. Epub 2013 Jun 28.

Variable course of progression of oral cavity and oropharyngeal carcinoma in young adults

Maciej Szczepan Pabiszczak  1 , Elżbieta Waśniewska  1 , Daniela Mielcarek-Kuchta  1 , Dorota Miętkiewska-Leszniewska  1 , Małgorzata Wierzbicka  1 , Witold Szyfter  1
Affiliations

Variable course of progression of oral cavity and oropharyngeal carcinoma in young adults

Maciej Szczepan Pabiszczak et al. Contemp Oncol (Pozn). 2013.

Abstract

Aim of the study: The main aim of this article is the epidemiological analysis of patients treated due to oral and oropharyngeal cancer, with a special interest in the group under the age of 40, evaluation of the differences in the clinical course of the disease as well as assessment of the treatment results, regarding the age of the affected individuals.

Material and methods: 523 individuals affected by oral and oropharyngeal cancer who were treated in the Otolaryngology and Laryngeal Oncology Department between 2000 and 2008. Precise analysis was performed on 360 out of 523 affected individuals, in whom full clinical status was determined; 13 patients were young adults. The retrospective analysis was created based on case histories, surgical protocols and emergency records.

Results: In young adults there is a markedly increased risk of organ involvement according to the Mann-Whitney U-test analysis (p = 0.044907). The probability of recurrence in the group of young adults is also much higher. Analysis of Kaplan-Meier test results indicated that the chance for the lack of recurrence within a 6-month period was 85.7%; however, the risk of recurrence increased, and after 12 months was equal to the arithmetic data (50%).

Conclusions: Among young adults there is an increased risk of local recurrence following 12 months after surgical intervention. According to our observations, despite rapid progression and early recurrence in young adults (4/7) the prognosis for both groups is not statistically different.

Keywords: oral cavity; oropharyngeal cancer; young adult.

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Figures

Fig. 1
Fig. 1
Degree of organ involvement T, in young adults and adults over 40 years of age according to the U-Mann-Whitney analysis
Fig. 2
Fig. 2
Probability of absence of local recurrence according to the Kaplan-Meier method for adults and a group of patients over 40 years of age
See this image and copyright information in PMC

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