Head and Neck: Key Points

Incidence :            Approximate Total:            7000 cases p.a. in England & Wales

    Mouth, lip, pharynx:3600 cases p.a.
    Larynx:2,000 cases p.a.
    Thyroid:1,000 cases p.a.
    Salivary:700 cases p.a.

Risk Factors for Head + Neck Cancer (excluding thyroid)

    Smoking (90%)
    Tobacco chewing habits (including Betel, Gutkha, Pan)
    Alcohol
    Poor Diet
    Socially Deprived
    Older Age - but not thyroid

Common Symptoms

Larynx:Hoarseness80-90%
Pain on swallowing30-40%
Dysphagia30%
 
Nasopharynx:Lump in the neck80-90%
Nasal obstruction60%
Deafness50%
Post Nasal Discharge40-50%
 
Oral Cavity:Ulceration/Visible Lesion80%
Pain60%
Lump in the neck20-40%
 
Oropharynx:Persistent sore throat90%
Lump in the neck80%
Otalgia80%
 
Hypopharynx:Dysphagia80%
Otalgia60-70%
Hoarseness50%
 
Nasal Cavity:Obstruction/congestion80-90%
Bleeding70-80%
 
Thyroid:Thyroid lump60%
Discomfort in lower neck80%
 
Salivary:Lump in parotid or
submandibular gland
90%
Pain10-20%
Lump in Neck10-20%

 

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