
戒除菸、酒及檳榔!提高警覺、早期診斷與治療
一般而言,頭頸癌好發於中壯年男性,這個階段的男人多屬家中主要、甚至是唯一的經濟來源,一旦罹癌後家中經濟來源可能斷炊,加上後續的醫療所費不貲,整個家庭可能頓失應付的能力,造成家庭及社會重大的衝擊。
儘管醫療技術的不斷進步,使頭頸癌有機會能夠早期診斷及治療,然而國人對於頭頸癌的認識仍然十分侷限,加上不少國人有抽菸、喝酒及嚼食檳榔等習慣,導致頭頸癌的發生率持續上升。
所謂預防勝於治療,唯有民眾對頭頸癌有正確及詳盡的認識與了解,防患於未然,以及臨床醫師提高警覺以達到早期發現、早期治療,才能有效減低頭頸癌對國人健康的威脅。
【延伸閱讀】
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作者簡介:郭錦龍醫師
郭錦龍醫師的分享部落格 (Dr. Kuo’s Blog)
-國軍桃園總醫院耳鼻喉科主任
-陽明大學腦科學博士
-台北榮總耳鼻喉部特約主治醫師
-振興醫院耳鼻喉部特約主治醫師
-耳鼻喉科專科醫師
-頭頸腫瘤專科醫師
-顏面整形重建外科專科醫師
-中華民國教育部部定講師
-陽明大學醫學院醫學系耳鼻喉科講師
-國防醫學院醫學系講師
參考文獻
1.衛生福利部103年國人死因統計結果,http://www.mohw.gov.tw/news/531349778.
2.Ko YC, Huang YL, Lee CH, Chen MJ, Lin LM, Tsai CC. Betel quid chewing, cigarette smoking and alcohol consumption related to oral cancer in Taiwan. J Oral Pathol Med 1995;24:450-453.
3.Einhorn J, Wersall J. Incidence of oral carcinoma in patients with leukoplakia of the oral mucosa. Cancer 1967;20:2189-2193.
4.Schepman KP, van der Meij EH, Smeele LE, van der Waal I. Malignant transformation of oral leukoplakia: a follow-up study of a hospital-based population of 166 patients with oral leukoplakia from The Netherlands. Oral Oncol 1998;34:270-275.
5.Lumerman H, Freedman P, Kerpel S. Oral epithelial dysplasia and the development of invasive squamous cell carcinoma. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 1995;79:321-329.
6.Lapthanasupkul P, Poomsawat S, Punyasingh J. A clinicopathologic study of oral leukoplakia and erythroplakia in a Thai population. Quintessence international 2007;38:e448-455.
7.Kuo CL, Lee TL, Chu PY. Conservation surgery for hypopharyngeal cancer: changing paradigm from open to endoscopic. Acta Otolaryngol 2013;133:1096-1103.
8.Kuo CL, Chen YT, Shiao AS, Lien CF, Wang SJ. Acid reflux and head and neck cancer risk: A nationwide registry over 13 years. Auris, nasus, larynx 2015;42:401-405.
9.Scottish Intercollegiate Guidelines Network (SIGN), National clinical guideline 90, Diagnosis and management of head and neck cancer, 2006.
10.NCCN Clinical Practice Guidelines in Oncology, Head and Neck Cancers, V1.2011.
11.Vokes EE, Weichselbaum RR, Lippman SM, Hong WK. Head and neck cancer. N Engl J Med 1993;328:184-194.
12.Kuo CL, Ho DM, Ho CY. Dural metastasis of nasopharyngeal carcinoma: rare, but worth considering. Singapore medical journal 2014;55:e82-84.
13.Lin KT, Huang WY, Lin CCet al. Subsequent risk of nasopharyngeal carcinoma among patients with allergic rhinitis: a nationwide population-based cohort study. Head Neck 2015;37:413-417.
14.Chung SD, Wu CS, Lin HC, Hung SH. Association between allergic rhinitis and nasopharyngeal carcinoma: a population-based study. Laryngoscope 2014;124:1744-1749.
15.Hung SH, Chen PY, Lin HC, Ting J, Chung SD. Association of rhinosinusitis with nasopharyngeal carcinoma: a population-based study. Laryngoscope 2014;124:1515-1520.
16.Merkulov V, Petrov N. The role of ultrasonography in the diagnosis of neck lymphadenopathies. Centr EastEurope J ORL−HNS 1997;2:28.
17.Jones AS, Cook JA, Phillips DE, Roland NR. Squamous carcinoma presenting as an enlarged cervical lymph node. Cancer 1993;72:1756-1761.
18.Marur S, Forastiere AA. Head and neck cancer: changing epidemiology, diagnosis, and treatment. Mayo Clin Proc 2008;83:489-501.
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