Factors Related to Delay in Diagnosis of Oral Squamous Cell Carcinoma

Gao, Wei; Guo, Chao

doi:10.1016/j.joms.2008.12.022

Cited by 47 publications

(43 citation statements)

References 13 publications

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“…1,9 This is supported by our findings. The retrospective nature of this study did not allow analysis of other logistical and preference factors affecting delay.…”

Section: Discussionsupporting

confidence: 88%

“…Some authors cite the importance of performing biopsies at the earliest opportunity to reduce diagnostic delay and improve prognosis. 1 Others advocate delaying until MRI of the primary site has been undertaken to avoid artefact. 2 We investigated if performing biopsies, before or after pre-treatment MRI affects accuracy of primary tumour staging, in addition to the impact on time from initial intervention to treatment.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Accuracy of staging of oral squamous cell carcinoma of the tongue: should incisional biopsy be done before or after magnetic resonance imaging?

Howe

Khurram

Hunter

et al. 2017

British Journal of Oral and Maxillofacial Surgery

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“…1,9 This is supported by our findings. The retrospective nature of this study did not allow analysis of other logistical and preference factors affecting delay.…”

Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Accuracy of staging of oral squamous cell carcinoma of the tongue: should incisional biopsy be done before or after magnetic resonance imaging?

Howe

Khurram

Hunter

et al. 2017

British Journal of Oral and Maxillofacial Surgery

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“…3,11,[17][18][19] One study hypothesized that patients who had previously experienced benign lesions may have a longer delay time, since they are less inclined to believe their condition needs attention. 20 Of patients diagnosed with oral cancer, most can retrospectively pinpoint symptoms attributable to cancer and the majority of patients diagnosed with oral cancer report presenting as a result of their symptoms. 10,21 This being said, symptom recognition is not a reliable method of detecting tumours at an early stage since about 25% of oral cancers remain asymptomatic until they reach an advanced size.…”

Section: Australian Dental Journalmentioning

confidence: 99%

Patient perspectives of diagnostic delay for suspicious oral mucosal lesions

Allen

Farah

2015

Australian Dental Journal

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Background: This study aimed to investigate patient experiences regarding the discovery of and subsequent referral for suspicious oral mucosal pathology. The population under investigation were patients of an oral medicine clinic in Australia who had been referred for oral lesions suspected for malignancy. Methods: A self-completed questionnaire gathered information regarding patient experiences and beliefs leading up to diagnosis at their review appointments. Results: Fifty-four per cent of participants knew about their mucosal pathology before referral. The highest proportion of delay occurred between self-discovery of a lesion and seeking help. Ninety-one per cent of self-aware participants had reason for seeking help in relation to their mucosal pathology. The three most common reasons for this was the desire for an explanation, being advised by a health care provider or presence of pain. Conclusions: Some patients were unaware of their own oral mucosal pathology and some seek help only when worried, in pain or following advice. Practitioners should examine the oral mucosa to detect suspicious oral mucosal pathology since patients may not be aware of its existence.

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“…12 Another study also showed that lesion site was associated with delay, but again a small sample size of uncommon cancer sites meant they were also unable to draw strong conclusions. 15 Those with cancer in more visible sites such as the lip or tongue have been shown to be diagnosed at earlier stages than others. 49 A lesion's maximal diameter was shown to be inversely proportional to delay by one study.…”

Section: Lesion Factors Contributing To Delaymentioning

confidence: 99%

“…8 It is commonly recognized that patient delay constitutes the largest proportion of total delay time, although the amount varies between studies. 8,10,12,[15][16][17][18][19][20] Reasons for patient delay have been hypothesized and explored, however findings have been inconsistent. This may be in part due to differences in the population under study, study design or recall bias.…”

Section: Introductionmentioning

confidence: 99%