{"id":659,"date":"2022-07-20T01:46:08","date_gmt":"2022-07-20T01:46:08","guid":{"rendered":"https:\/\/cifincan.org\/?p=659"},"modified":"2022-10-18T21:44:44","modified_gmt":"2022-10-18T21:44:44","slug":"head-and-neck-cancer","status":"publish","type":"post","link":"https:\/\/cifincan.org\/en\/head-and-neck-cancer\/","title":{"rendered":"Head and neck cancer"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_spacing=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; column_position=&#8221;default&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][vc_column_text]<span style=\"font-weight: 400;\">Dr Eric Ortiz | Head of Medical Oncology of the CIF<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The term <\/span><b>Head and neck cancer <\/b><span style=\"font-weight: 400;\">refers to tumors that develop in sites such as the mouth, pharynx, larynx, nasal cavity, paranasal sinuses, thyroid, and salivary glands. Together they represent approximately 3.6% of all reported cancers and about 2% of deaths attributed to cancer. Of all of them, in our country, the <\/span><b>most common are the oral cavity (44%), larynx (31%), pharynx (25%)<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is considered to <\/span><b>tobacco use <\/b><span style=\"font-weight: 400;\">A s the main risk factor associated with the appearance of these tumors, people who have a higher risk of developing this disease have used tobacco for more than 35 years. The risk increases when tobacco consumption is combined with alcohol consumption, thus close to the <\/span><b>75% of head and neck tumors are related to these two factors<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most<\/span><b> cases <\/b><span style=\"font-weight: 400;\">of head and neck cancer occur in <\/span><b>mens <\/b><span style=\"font-weight: 400;\">with <\/span><span style=\"font-weight: 400;\">an <\/span><b>average<\/b><b> age of 60 years<\/b><span style=\"font-weight: 400;\">, although the age of appearance has been reduced mainly in <\/span><b>oropharyngeal<\/b><b> cancer <\/b><span style=\"font-weight: 400;\">(area that covers the part of the throat, &#8220;angina&#8221; and base of the tongue). In recent years, this type of cancer has increased in young non-smokers, due to a higher incidence of throat infection due to <\/span><b>human <\/b><b>papillomavirus<\/b> <span style=\"font-weight: 400;\">(HPV). As serious as it may seem, it is these latter cases that are associated with a better prognosis compared to cases related to tobacco use.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">HPV is a virus of which more than 150 types have been identified. Most of them infect the skin and are responsible for the formation of warts, some types are sexually transmitted, that is, they are transmitted through contact with the genitals. In most cases, the immune system can fight infections caused by these viruses, but in some people the infection can remain for a long time without symptoms and develop cancer at the infected site. HPV has been classified into two large groups: low risk and high risk (HPV 16 and HPV 18); this depends on the probability of generating premalignant lesions such as red ulcers (erythroplakia) or whitish plaques (leukoplakia) or even cancer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The cancers most related to HPV infection are: <\/span><b>cervical cancer, anal canal cancer, oral cavity cancer, and doropharynx cancer<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Generally, the <\/span><b>Symptoms and signs <\/b><span style=\"font-weight: 400;\">presented in head and neck cancer are related to an ulcer or &#8220;lump&#8221; that presents a gradual growth (the discomfort presented depends on the affected structures), changes in the voice (hoarseness), or chronic cough. For the above, <\/span><b>many times these types of conditions take time to be detected as they are confused with upper respiratory tract infections, foreign bodies or allergic processes<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some <\/span><b>symptoms and signs produced by head and neck tumors according to the site of involvement <\/b><span style=\"font-weight: 400;\">are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Oral cavity: <\/b><span style=\"font-weight: 400;\">painless ulcers, canker sores, pain in the mouth, tumor or &#8220;lump&#8221; that increases in size and causes discomfort when eating; loosening of teeth may also occur.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Throat (oropharynx, hypopharynx): <\/b><span style=\"font-weight: 400;\">sore throat, pain when swallowing, ear pain, hoarseness, difficulty swallowing or a feeling of blockage, neck tumor.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Larynx: <\/b><span style=\"font-weight: 400;\">hoarseness may be the first symptom, difficulty swallowing, ear pain, chronic cough may also occur.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tobacco and alcohol consumption can also affect other structures such as <\/span><b>respiratory and upper digestive tract <\/b><span style=\"font-weight: 400;\">Therefore, these patients also have an increased probability compared to the general population of presenting (at the same time, before or after) lung or esophageal cancer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In case of detecting any abnormality in any of the commented sites, it is important <\/span><b>see a specialist (otolaryngologist) <\/b><span style=\"font-weight: 400;\">that can assess the injury or injuries presented and request the necessary studies to reach a diagnosis. If cancer originating in any of the structures of the head or neck is confirmed, the <\/span><b>management and follow-up should be carried out by a multidisciplinary team <\/b><span style=\"font-weight: 400;\">where experts in oncology (surgeon oncologist, medical oncologist, radiation oncologist) with experience in head and neck tumors participate.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">CIF, Your Allies in Science and Regulation.<\/span>[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; 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