A half-yearly chest radiograph for early detection of lung cancer following oral cancer.

Abstract:

: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.

authors

Merkx MA,Boustahji AH,Kaanders JH,Joosten F,Marres HA,Bruaset I,de Wilde PC

doi

10.1054/ijom.2002.0289

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

378-82

issue

4

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(02)90289-4

journal_volume

31

pub_type

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