Lateness of diagnosis of oral and oropharyngeal carcinoma: factors related to the tumour, the patient and health professionals.

摘要: The risk of presenting with advanced stage vs. early disease was evaluated in a prospective study 336 consecutive patients oral and oropharyngeal carcinomas referred to three head neck surgery services Sao Paulo, Curitiba Goiania during the period from February 1986 December 1988. Income educational levels were not associated distribution. having dependent upon male gender. Another important determinant tumour location on less visible surfaces cavity oropharynx. Although there clear increase delay referral among cases who seen by more than one health professional, duration symptoms patient professional delays unifactorial analysis. following factors independently for lip carcinoma: painful ulcer, alcoholism caused non-specialist medical doctor. carcinoma were: type lesion, odynophagia/dysphagia, dentist Two most immediate consequences conspicuous treatment costs longer hospital stay.