Izvorni znanstveni članak
Comparison of Three Postoperative Follow-up Methods in Patients with Oral Cancer
Ante Lučev
; University of Rijeka, Rijeka University Hospital Center, Department of Oral and Maxillofacial Surgery, Rijeka, Croatia
Mate Rogić
; University of Rijeka, Rijeka University Hospital Center, Department of Oral and Maxillofacial Surgery, Rijeka, Croatia
Vanja Licul
; University of Rijeka, Rijeka University Hospital Center, Department of Internal Medicine, Rijeka, Croatia
Irena Seili Bekafigo
; University of Rijeka, Rijeka University Hospital Center, Department of Internal Medicine, Rijeka, Croatia
Ita Hadžisejdić
; University of Rijeka, Rijeka University Hospital Center, Department of Pathology, Rijeka, Croatia
Sažetak
The goal of this research was to determine the existence of the significant time differences in the identification of the recurrences and neck metastases in the patients surgically treated for the oral cavity cancer by comparing three postoperative follow up methods. The study included 286 patients surgically treated for oral and pharyngeal cancer in period from 1991 to 2007 at three different institutions, divided into three groups based on the different postoperative follow up protocol. In this study we were able to show that the period of identification of recurrences and neck metastases was significantly shorter in the group of patients whose follow up included neck ultrasound, along with methods of inspection and palpation of the oral cavity and the neck. In conclusion, implementation of more contemporary methods such as the neck ultrasound is needed along with usual follow up methods, such as inspection and palpation of the oral cavity and the neck. Also, follow up of the patients surgically treated for the oral cavity cancer should be conducted systematically. Ultrasound examination of the neck should be recommended due to its low cost, harmlessness, possible frequent usage,high quality visual imaging and possibility of combination with the fine needle aspiration cytology (FNAC) of the suspicious lymph nodes.
Ključne riječi
oral cancer; pharyngeal cancer; follow up; ultrasound
Hrčak ID:
89400
URI
Datum izdavanja:
5.10.2012.
Posjeta: 1.312 *