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Impact of delay in the diagnosis and treatment of head and neck cancer Please cite this article as: Felippu AWD, Freire EC, de Arruda Silva R, Guimarães AV, Dedivitis RA. Impact of delay in the diagnosis and treatment of head and neck cancer. Braz J Otorhinolaryngol. 2016;82: 140-3. ☆☆ ☆☆ Institution: Discipline of Otorhinolaryngology and Head and Neck Surgery, Universidade Metropolitana de Santos (UNIMES), Santos, SP, Brazil.

ABSTRACT

INTRODUCTION:

Head and neck tumors can be easily recognized through clinical evaluation. However, they are often diagnosed at advanced stages.

OBJECTIVE:

To evaluate the delay from the patient's initial symptoms to the definitive treatment.

METHODS:

Retrospective study of patients enrolled in 2011 and 2012. A questionnaire was filled in about socioeconomic aspects, patient history, tumor data, professionals who evaluated the patients, and the respective time delays.

RESULTS:

The following time delay medians were observed: ten months between symptom onset and the first consultation; four weeks between the latter and the first consultation with a specialist; four weeks between the specialist consultation and diagnosis attainment; and 12 weeks between diagnosis and the start of treatment.

CONCLUSIONS:

Most head and neck tumors are diagnosed at advanced stages, due to patient and health care factors.

Keywords:
Delayed diagnosis; Head and neck neoplasms; Squamous cell carcinoma; Time factors; Primary health care; Prognosis

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