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. 2019 Oct;71(Suppl 1):358-362.
doi: 10.1007/s12070-018-1309-4. Epub 2018 Mar 26.

Epidemiological Features and Management of Oral Cancer Patients: Experience from a Single Private Comprehensive Cancer Care Center in the State of Odisha

Sanjoy Panda  1 , Bibhuti Bishnu Nayak  2 , N M L Manjunath  3 , Krupasindhu Panda  4 , Pramod Chandra Pathi  1
Affiliations

Epidemiological Features and Management of Oral Cancer Patients: Experience from a Single Private Comprehensive Cancer Care Center in the State of Odisha

Sanjoy Panda et al. Indian J Otolaryngol Head Neck Surg. 2019 Oct.

Abstract

Oral cancer is the most common cancer in India. Challenges in the management of oral cancer patients in India include, delay in the presentation with high volume of advanced disease to be handled, affordability of patients and lack economical support especially in the non-governmental institutions and lack of awareness among patients and their relatives. Present study, a retrospective analysis of a prospectively maintained data, portrays the epidemiological features and management of patients with oral cancer presented to a private comprehensive cancer care hospital in the state of Odisha, India. A total of 1049 patients were considered for the analyses, managed between January 2014 and December 2016. Among 1049 patients, 20% (n, 215) were females and 80% (n, 834) were males. Mean age among the present cohort of patients was 50 years with age group 40-55 years being most common. All the patients underwent resection with curative intent and a 1 cm gross resection margins with or without bone and skin. Margin negative resection could be achieved in 82% of patients. Nodal involvement was seen in 36% of patients in the final histopathological assessment. Management of oral cancer patients is a major oncological and reconstructive challenge in India due to the advanced nature of disease at presentation. Inspite of socioeconomic constraints, these patients can be managed even in a private cancer centers with optimum outcomes. This is possible through coordinated team efforts.

Keywords: Advanced disease; Epidemiology; Micro vascular; Oral cancer; Tobacco.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Distribution of patients with respect to age categories
Fig. 2
Fig. 2
Distribution of patients with respect to different oral cavity sites
Fig. 3
Fig. 3
Pre and postoperative picture of patient with buccal cancer involving angle. Radial free fore arm flap reconstruction
Fig. 4
Fig. 4
Pre and postoperative picture of a patient with carcinoma tongue. Defect of subtotal glossectomy repaired using
See this image and copyright information in PMC

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