Head and neck cancer
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Head and Neck Cancer in
Al-Qassim
Dr. Shad Salim AkhtarMBBS, MD, FRCP(Edin), MAFUICC
Consultant Medical OncologistPrince Faisal Oncology CenterKing Fahd Specialist Hospital,Buraidah, Al-Qassim
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CollaboratorsDept of ENT
Dr. Fadl A FadlDr. Nooreni MA Oyetungi
Prince Faisal Oncology CenterDr. Imran-ul-Haq (Histopathology)Dr. Yasser (Histopathology)Ms Lolita M Reyes (Histopathology)Dr. Farhat A KhanMrs. Rosily Patsy (Oncology Nurse Specialist)Mrs. Masoodeh Keivan (Cancer Reg Office)Ms. Elaina (CME)
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Head & Neck Cancer-definition
• Specific anatomical sites– Oral cavity– Pharynx– Nasopharynx– Larynx– Nose/sinuses– Salivary glands– Temporal bone & neck
• Squamous cell carcinoma (~60-90%)
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• Period of study 1987-2000• Pathology data 87-1993• NCR data 1994-2000• All H/P confirmed at H&N sites included• Exclusions
– Lymphoma– Unknown primary– Thyroid– Skin
Head & Neck Ca- Al-Qassim
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Head & Neck Ca-Al-Qassim-relative frequency
Other sites
Head & neck 6.7% of
all sites
M:F ratio
92:43
2.2:1
1875
135
All cases=2010
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Head & Neck Ca- frequency
• USA 3.5% (SEER data)
• KSA 7.5% (NCR data (94-96))
KSA published series– KFSH&RC 10.6% (Mehboobi E: ASM 1987)
– Al-Qassim 6.9% (Akhtar SS: ASM 1997)
– Asir 9.6% (Al-Ghamdi S : ASM 1994)
– Al-Baha 9% (Willen R: SMJ 1989)
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Head & Neck Ca-Al-Qassim-age distribution
213
1222
2723
2010
6
<11
11-20
21-30
31-40
41-50
51-60
61-70
71-80
>80
Mean=48.79 (+11.25) Range=7-90
Male=50.55 (+19.3) Females=45 (+18.65)
68% pts
25%
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H & N Ca -NCR 94-96- site vs regions
Ry Naj Eas Mak Nor J ez Ha Mad Bah Tab Asr J ou Qas
Sal gl
Larynx
N/Sin
Pharyn
Hypoph
Nasoph
Oroph
Mouth
Gum
Tong
Lip
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10.412.9
19.1
3.7
8.4
3.6
27.7
5.68.6
40
20
30
10
2.6
12
15.89
30.5
8.4
4.5
14.7
45.9
17.2
21
31
67.5
5.26.7
USA Europe KSA(NCR) KSA RMC
LipTongOralNasophPharyN/SinLarynxSalivOther
Head & Neck Ca-Al-Qassim-epidemiology
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Head & neck ca-Al-Qassim-sites
2
12 9 7 7
67
8 313
7
LipTongueMouthPalateSal glNasophyPharynxNose/SinLarynxOthers
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Head & Neck Ca-Al-Qassim-epidemiology
0
10
20
30
40
50
USA Europe KSA(NCR) KSA RMC AL-Qassim
Lip Tong Oral Nasoph Phary N/Sin Larynx Saliv Other
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Head & neck ca-Al-Qassim- site vs sex
20 8
454
34
34
47
20
2111
2
104
L ip Tong Mouth Palate SalGl Nasoph No/S Larynx Other
Male Female
Highest M:F
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Head & neck ca-Al-Qassim-histology
63
37
14
21
OthersNOSUndiffSq CC
RMC 50.7% USA 88.6% Nigeria 75%Sudan 67%Egypt 85%
AlcoholTobaccoPoor OD hygieneIonising radiation
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Head & nek ca-Al-Qassim-grade
10 39
19
94
Well diff Mod diff Poor diff Undiff Unk
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Head & neck ca-Al-Qassim-extent
2013 13
73
79
Local Region LN Reg+LN Distant Unk
64%
42%
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Nasopharyngeal Ca-Al-Qassim-histology
5 4
24
911
63
0
41
NOS Undiff Sq Lymep Other
MaleFemale
Male:Female::42:20 (2:1)
Mean age 43.7 (+17.8) M=44.8 (+18.25) F=41(16.4)
EBVFam clusteringDietary factorsLess veg/fruitsDomestic smoke
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55
68
12
UnknownSaudisNon Saudi
Head & neck ca-Al-Qassim-nationality
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Head & neck ca-Al-Qassim-no/yr
2
106 7 8
6 79
16
811
19
1214
0
5
10
15
20
87 88 89 90 91 92 93 94 95 96 97 98 99 2000
Pt Number
Year of diagnosis
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• Head neck cancer common • SCC is the commonest histology• Nasopharynx commonest site
– Undifferentiated histology– Other etiological factors?
• The majority present in advances stage• Incidence may be increasing??
Head & neck ca-Al-Qassim-conclusions