Background: In Al-Baha City, Saudi Arabia, there have been few or no statistical studies evaluating the prevalence and pattern of Head and Neck malignancies and till today no published data. The current study was conducted to analysis the different clinical and pathological features of head and neck cancers at Al-Baha region, Saudi Arabia.Methods: This is a retrospective, cross-sectional study, in which the records of patients presented to the Otorhinolaryngology (ENT), and various surgical departments at King Fahd Hospital at Al-Baha region and the documents of patients referred from Al-Baha region to the nearby specialized and oncology centers over ten years (January 2009-December 2019). A total of 470 patient's records were reviewed for the following variables: Age, sex, occupation, smoking and alcohol consumption habits, primary tumor location, clinical tumor stage, histological type and grade, diagnosis, and patient survival.
Results:The age ranged from 36 to 91 years with a mean 63.4 years, the most prevalent age groups were from 51 to 60 years (30.4%) and between 61 to 70 years (30%). Four hundred and five patients (86.2%) of the studied cases were males. Smoking was recorded as a habit in 86.5% male patients. Oral cavity and laryngeal malignant tumors were the most common, 35.1% and 32.1% respectively. The most found risk factor was smoking (86.5%) followed by oral unhygienic conditions & periodontal diseases (43.6%). Squamous cell carcinoma was the most frequent histopathological type 91.3%. Early stage tumors were observed in oral cavity and laryngeal carcinomas.
Conclusion:This study was invariably required to show how serious the likely problem of head and neck cancer is typically and how it affects the local health system in Al-Baha area. The study revealed that smoking with its consequences is a significant risk factor for head and cancer in Al-Baha city.