부산대학교 도서관

Background: Head and neck cancers are major public health problems, which can be detected much earlier by various screening methods. Head and neck cancers in India accounted for 30% of all cancers in males except Dibrugarh in Assam (49.6%). Since, no much study have been done on Head and Neck Cancers (HNCs) from this part of the country, this study was conducted to analyse the characteristics and trends of the different HNCs in a Tertiary Care Centre of Arunachal Pradesh, India. Materials and Methods: This is a retrospective observational study conducted in Tomo Riba Institute of Health and Medical Sciences, Naharlagun after obtaining institutional IEC & SRC clearance. Total 536 patients (370 males and 166 female) of head and neck (HNC) were reported in the Population based Cancer Registry (PBCR). The database collected from the PBCR (consists of 8 districts of Arunachal Pradesh) web portal included demographic and clinicopathological information, including age, sex, year of diagnosis, site and types of cancer, histopathological appearance and survival time. Patients were classified on the basis of primary histology morphology (PHM) into squamous cell carcinoma, and others. From mortality reports we calculated the median survival of the patients. Results: Our study showed that the male: female ratio was 2.2:1. Out of the 8 districts of Arunachal Pradesh, Papumpare district reported the highest incidence (44%) and mortality (50%) due to HNC. The median days of survival were 283days or 9.43 months. The commonest age group showing the highest incidence of HNC was the elderly from 61 years and above with a total of 121 cases (22.5%) followed by the age group from 56-60 years (17.7%). Esophageal cancer was the commonest cancer among these two age groups. Squamous cell carcinoma also showed the highest mortality contributing 47% of all the deaths registered. Conclusion: Esophageal cancer was the commonest cancer among these two age groups in our study. The burden of HNC is high, especially among the male population. Further research and policies on improving the uptake of available cancer screening are required for better cancer control and prevention. [ABSTRACT FROM AUTHOR]