Tongue cancer screening

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Tongue cancer Microchapters

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Differentiating Tongue cancer from other Diseases

Epidemiology and Demographics

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Screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2] Mohammed Abdelwahed M.D[3]

Overview

According to the United States Preventive Services Task Force, screening for tongue cancer is not recommended in the United States. Outside the US, multiple screening programs have been tried in high-risk patients. Screening subjects are tobacco or alcohol consumers.

Screening

  • Tongue cancer screening is not standard procedure for a health assessment. There is no effective oral cancer screening program either a general or a selected high-risk population for oral cancer in the United States.[1]
  • Screening high-risk individuals in developing countries could be an effective prevention strategy that lowered the stage of oral cancer at diagnosis and improved 5-year survival.[2]
  • Screening subjects in the subgroup who used tobacco or alcohol reduced the mortality rate from oral cancer.[3]
  • The US Preventive Services Task Force (USPSTF) in 2013 stated evidence was insufficient to determine the balance of benefits and harms of screening for oral cancer in adults without symptoms by primary care providers. 
  • The American Academy of Family Physicians comes to similar conclusions while the American Cancer Society recommends that adults over 20 years who have periodic health examinations should have the oral cavity examined for cancer. 
  • The American Dental Association recommends that providers remain alert for signs of cancer during routine examinations.

References

  1. http://www.uspreventiveservicestaskforce.org/BrowseRec/Search?s=tongue+cancer Accessed on November 28, 2015.
  2. Sankaranarayanan R, Ramadas K, Thomas G, Muwonge R, Thara S, Mathew B; et al. (2005). "Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial". Lancet. 365 (9475): 1927–33. doi:10.1016/S0140-6736(05)66658-5. PMID 15936419.
  3. Nunes DN, Kowalski LP, Simpson AJ (2000). "Detection of oral and oropharyngeal cancer by microsatellite analysis in mouth washes and lesion brushings". Oral Oncol. 36 (6): 525–8. PMID 11036246.

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