Prospective subjective evaluation of swallowing function and dietary pattern in head and neck cancers treated with concomitant chemo-radiation

Aim : Prospective subjective evaluation of swallowing function and dietary pattern in locally advanced head and neck cancer patients treated with concomitant chemo-radiotherapy (CRT). Materials and Methods : Prospective evaluation of swallowing function with performance status scale for head and neck cancer patients (PSSHN) at pre-CRT, CRT completion and at subsequent follow-ups in adult with loco-regionally advanced head and neck squamous cell carcinoma (HNSCC) patients. Results : In 47 patients (40 male, seven females; mean age 53; 72% smoker 53%, oropharyngeal cancer), the mean total PSSHN score at pre-CRT was 258.5 and decreased to 225.2 and 219.2 at two and six months respectively. Understandability of speech, normalcy in diet and eating in public at pre-CRT and six months were 91.5 and 84.4; 80.4 and 63.1; 87.3 and 76.6 respectively. In univariate analysis, pre-CRT PSSHN scores were significantly lesser in patients with severe pre-CRT dysphagia (P = 0.001), hypopharyngeal cancer (P = 0.244) and advanced T-stage (T3/4) disease (P = 0.144). At CRT completion, there was significant reduction of PSSHN scores in patients with severe pre-CRT dysphagia (P = 0.008), post-CRT weight loss (>10%) and disease progression (P = 0.039). At two months and six months, 17 (57%) and 11 (73.5%) patients respectively showed change in dietary habit. Mean increase in meal time was 13% and 21% at two and six-month follow-up. Conclusions : HNSCC patients show deterioration in swallowing function after CRT with normalcy of diet in maximum and eating in public least affected. Pre-CRT severity of dysphagia, weight loss> 10% and disease progression have significant correlation with higher swallowing function deterioration after CRT

Head & neck cancers– A retrospective analysis

AIM: To find the prevelance and Incidence of head and neck cancer cases of other total body malignancies in our Cancer Centre. MATERIALS & METHODS: This is a retrospective analysis which was done in curie Manavata Cancer Centre in northern Maharashtra from 14th May 2007 to 30th November 2014. Total cases operated were 14368 out of which 2017 were head and neck cancers. RESULTS: Incidence of Head & Neck cancer cases in our 7 years study was around 14.03% of other total body malignancies. Males are more affected by Head & Neck cancer for around 82.01% than females contributing which is around 17.9%. Oral cavity malignancies contribute around 76.6% out of all head & neck cancer cases. Tongue cancers are more commonly affected which is around 33.4% followed by Buccal mucosa which is 29.77%. The mortality rate is high in buccal mucosa (32.35%) followed by tongue (27.4%). CONCLUSION: This retrospective study hopes to quantify and analyze the spectrum of Head and neck cancer out of the other total body malignancies. A tremendous effort is needed to identify such high prevelance, generate awareness and establish treatment modalities to meet this challenging statistical analysis

Head & neck cancers– A retrospective analysis

AIM: To find the prevelance and Incidence of head and neck cancer cases of other total body malignancies in our cancer centre. MATERIALS & METHODS: This is a retrospective analysis which was done in curie Manavata cancer centre in northern Maharashtra from 14th May 2007 to 30th November 2014. Total cases operated were 14368 out of which 2017 were head and neck cancers. RESULTS: Incidence of Head & Neck cancer cases in our 7 years study was around 14.03% of other total body malignancies. Males are more affected by Head & Neck cancer for around 82.01% than females contributing which is around 17.9%. Oral cavity malignancies contribute around 76.6% out of all head & neck cancer cases. Tongue cancers are more commonly affected which is around 33.4% followed by Buccal mucosa which is 29.77%. The mortality rate is high in buccal mucosa (32.35%) followed by tongue (27.4%). CONCLUSION: This retrospective study hopes to quantify and analyze the spectrum of Head and neck cancer out of the other total body malignancies. A tremendous effort is needed to identify such high prevelance, generate awareness and establish treatment modalities to meet this challenging statistical analysis

Head & neck cancers– A retrospective analysis

AIM: To find the prevelance and Incidence of head and neck cancer cases of other total body malignancies in our cancer centre. MATERIALS & METHODS: This is a retrospective analysis which was done in curie Manavata Cancer Centre in northern Maharashtra from 14th May 2007 to 30th November 2014. Total cases operated were 14368 out of which 2017 were head and neck cancers. RESULTS: Incidence of Head & Neck cancer cases in our 7 years study was around 14.03% of other total body malignancies. Males are more affected by Head & Neck cancer for around 82.01% than females contributing which is around 17.9%. Oral cavity malignancies contribute around 76.6% out of all head & neck cancer cases. Tongue cancers are more commonly affected which is around 33.4% followed by Buccal mucosa which is 29.77%. The mortality rate is high in buccal mucosa (32.35%) followed by tongue (27.4%). CONCLUSION: This retrospective study hopes to quantify and analyze the spectrum of Head and neck cancer out of the other total body malignancies. A tremendous effort is needed to identify such high prevelance, generate awareness and establish treatment modalities to meet this challenging statistical analysis

Head & neck cancers– A retrospective analysis

AIM: To find the prevelance and Incidence of head and neck cancer cases of other total body malignancies in our cancer centre. MATERIALS & METHODS: This is a retrospective analysis which was done in curie Manavata cancer centre in northern Maharashtra from 14th May 2007 to 30th November 2014. Total cases operated were 14368 out of which 2017 were head and neck cancers. RESULTS: Incidence of Head & Neck cancer cases in our 7 years study was around 14.03% of other total body malignancies. Males are more affected by Head & Neck cancer for around 82.01% than females contributing which is around 17.9%. Oral cavity malignancies contribute around 76.6% out of all head & neck cancer cases. Tongue cancers are more commonly affected which is around 33.4% followed by Buccal mucosa which is 29.77%. The mortality rate is high in buccal mucosa (32.35%) followed by tongue (27.4%). CONCLUSION: This retrospective study hopes to quantify and analyze the spectrum of Head and neck cancer out of the other total body malignancies. A tremendous effort is needed to identify such high prevelance, generate awareness and establish treatment modalities to meet this challenging statistical analysis

Head & neck cancers– a retrospective analysis

AIM: To find the prevelance and Incidence of head and neck cancer cases of other total body malignancies in our Cancer Centre. MATERIALS & METHODS: This is a retrospective analysis which was done in curie Manavata Cancer Centre in northern Maharashtra from 14th May 2007 to 30th November 2014. Total cases operated were 14368 out of which 2017 were head and neck cancers. RESULTS: Incidence of Head & Neck cancer cases in our 7 years study was around 14.03% of other total body malignancies. Males are more affected by Head & Neck cancer for around 82.01% than females contributing which is around 17.9%. Oral cavity malignancies contribute around 76.6% out of all head & neck cancer cases. Tongue cancers are more commonly affected which is around 33.4% followed by Buccal mucosa which is 29.77%. The mortality rate is high in buccal mucosa (32.35%) followed by tongue (27.4%). CONCLUSION: This retrospective study hopes to quantify and analyze the spectrum of Head and neck cancer out of the other total body malignancies. A tremendous effort is needed to identify such high prevelance, generate awareness and establish treatment modalities to meet this challenging statistical analysis

Prospective subjective evaluation of swallowing function and dietary pattern in head and neck cancers treated with concomitant chemo-radiation

Aim : Prospective subjective evaluation of swallowing function and dietary pattern in locally advanced head and neck cancer patients treated with concomitant chemo-radiotherapy (CRT). Materials and Methods : Prospective evaluation of swallowing function with performance status scale for head and neck cancer patients (PSSHN) at pre-CRT, CRT completion and at subsequent follow-ups in adult with loco-regionally advanced head and neck squamous cell carcinoma (HNSCC) patients. Results : In 47 patients (40 male, seven females; mean age 53; 72% smoker 53%, oropharyngeal cancer), the mean total PSSHN score at pre-CRT was 258.5 and decreased to 225.2 and 219.2 at two and six months respectively. Understandability of speech, normalcy in diet and eating in public at pre-CRT and six months were 91.5 and 84.4; 80.4 and 63.1; 87.3 and 76.6 respectively. In univariate analysis, pre-CRT PSSHN scores were significantly lesser in patients with severe pre-CRT dysphagia (P = 0.001), hypopharyngeal cancer (P = 0.244) and advanced T-stage (T3/4) disease (P = 0.144). At CRT completion, there was significant reduction of PSSHN scores in patients with severe pre-CRT dysphagia (P = 0.008), post-CRT weight loss (>10%) and disease progression (P = 0.039). At two months and six months, 17 (57%) and 11 (73.5%) patients respectively showed change in dietary habit. Mean increase in meal time was 13% and 21% at two and six-month follow-up. Conclusions : HNSCC patients show deterioration in swallowing function after CRT with normalcy of diet in maximum and eating in public least affected. Pre-CRT severity of dysphagia, weight loss> 10% and disease progression have significant correlation with higher swallowing function deterioration after CRT

Prospective subjective evaluation of swallowing function and dietary pattern in head and neck cancers treated with concomitant chemo-radiation

Aim : Prospective subjective evaluation of swallowing function and dietary pattern in locally advanced head and neck cancer patients treated with concomitant chemo-radiotherapy (CRT). Materials and Methods : Prospective evaluation of swallowing function with performance status scale for head and neck cancer patients (PSSHN) at pre-CRT, CRT completion and at subsequent follow-ups in adult with loco-regionally advanced head and neck squamous cell carcinoma (HNSCC) patients. Results : In 47 patients (40 male, seven females; mean age 53; 72% smoker 53%, oropharyngeal cancer), the mean total PSSHN score at pre-CRT was 258.5 and decreased to 225.2 and 219.2 at two and six months respectively. Understandability of speech, normalcy in diet and eating in public at pre-CRT and six months were 91.5 and 84.4; 80.4 and 63.1; 87.3 and 76.6 respectively. In univariate analysis, pre-CRT PSSHN scores were significantly lesser in patients with severe pre-CRT dysphagia (P = 0.001), hypopharyngeal cancer (P = 0.244) and advanced T-stage (T3/4) disease (P = 0.144). At CRT completion, there was significant reduction of PSSHN scores in patients with severe pre-CRT dysphagia (P = 0.008), post-CRT weight loss (>10%) and disease progression (P = 0.039). At two months and six months, 17 (57%) and 11 (73.5%) patients respectively showed change in dietary habit. Mean increase in meal time was 13% and 21% at two and six-month follow-up. Conclusions : HNSCC patients show deterioration in swallowing function after CRT with normalcy of diet in maximum and eating in public least affected. Pre-CRT severity of dysphagia, weight loss> 10% and disease progression have significant correlation with higher swallowing function deterioration after CRT