Factors Involved In the Diagnosis of Oral Squamous Cell Carcinoma in Malaysia

Abstract

The delay in the diagnosis of oral cancer has been variously reported as being contributed by the clinicians, patients or both. The purpose of this study was to evaluate the referral pattern of 65 patients eventually diagnosed as having oral squamous cell carcinoma. The results showed that 50% of the patients delayed seeking professional help for more than 3 months after being aware of the lesion. The majority of the patients consulted medical practitioners as the first source of help. The mean clinicians' and patients' delay were 10.3 weeks and 28.9 weeks respectively. Dental practitioners showed a tendency to refer more advanced lesions compared to the medical practitioners. The findings raise the concern that lack of patients' awareness, misdiagnosis by clinicians and late detection by dental practitioners prevail thus calling for urgent measures towards early detection of the disease.

Keywords

Oral squamous cell carcinoma diagnosis delay

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References

1. Ng KH , Siar CH , Ramanathan K , et al. Squamous cell carcinoma of the oral mucosa-any change? Southeast Asian J Trop Pub Hlth 1985; 16 (4): 602–6.

2. Evans SJW. Prognostic significance of STNMP and velocity of tumour growth in oral cancer. Cancer 1982; 49: 773–6.

3. Scully C , Malamos D , Levers BGH , et al. Sources and patterns of referrals of oral cancer: role of general practitioners. Br Med J 1986; 293: 599–601.

4. Guggenheimer J , Verbin RS , Johnson JT , et al. Factors delaying the diagnosis of oral and oropharyngeal carcinomas. Cancer 1989; 64: 932–53.

5. Jonavic A , Kostense PJ , Schulten EAJM , et al. Delay in diagnosis of oral squamous cell carcinoma: A report from the Netherlands. Oral Oncol Eur J Cancer 1992; 28B (1): 37–8.

6. Shafer WG. Initial mismanagement and delay in diagnosis of oral cancer. JADA 1975; 90: 1262–4.

7. Cooke BED , Tapper-Jones L. Recognition of oral cancer. Causes of delay. BDJ 1977; 1 (42): 96–8.

8. Dimitroulis G , Reade P , Wiesenfeld D. Referral patterns of patients with oral squamous cell carcinoma in Australia: Oral Oncol Eur J Cancer 1992; 28B (1): 23–7.