Today, July 27, experts emphasize the need for prevention and early detection to reduce the burden of disease and not lead to a spiral that he would examine its growth rate.
Statistics on head and neck cancer burden in India
Head and neck cancer, with an astonishing incidence of 149,782 patients in 2012, is a significant contributor to the burden on the Indian health care system. Experts predict that they will rise within the EU by 23.76% next two years alone.
A large majority includes the oral cavity (ASR (age-standardized rate) of 7.2 per 100.00), followed by throat (3.1 per 100.00). Bhopal has the world's highest ASR in men for both the tongue (1
A "Belt of Thyroid Cancer" was detected in the western coastal districts of Goa, Karnataka and Kerala.
"The estimated prevalence of these cancers is a conservative estimate, since the actual incidence is at least 1.5 to 2 times higher due to the low coverage of cancer registries," Dr. Pankaj Chaturvedi, senior cancer surgeon (head and neck), Tata Memorial Hospital, Mumbai.
Over the past 30 years, a steady increase in the prevalence of these cancers has been observed, especially in the mouth. Typically, they appear in older men, but recent data suggest a shift towards younger age groups, probably due to the increasing number of people with an early age of habits initiation.
Outcome of Head and Neck Cancer in India
The mortality of these cancers is quite high among our population, as most of them are at an advanced stage, making them quite expensive for an emerging economy like India.
Early diagnosis has shown that survival is quite good for early-stage head and neck cancers.
The 5-year overall survival of cancers of the oral cavity is 45.1%, the oropharynx 29.7%, the hypopharynx 29.1% and the larynx 41.2%;
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Causes of Head and Neck Cancer in India
Most head and neck cancers are due to a combination of individual preference and exposure due to various carcinogens caused by lifestyle activities. Tobacco use, which has broad public acceptance in the Indian community, has fallen from 28.6% to 34.6% in recent years, with Kaini and Beedi being the most popular forms. About twice the adult population uses smoke-free compared to smoked tobacco. In addition, the average rural Indian consumes almost twice as much alcohol as global average individual consumption per year (11.4 vs. 6.2 liters). Others include areca, bad oral hygiene, chronic dental trauma and the HPV virus.
"Sharp tooth is one of the main reasons for the development of wounds that can lead to serious illnesses, even oral cancer, over time.We have an ulcer clinic in our hospital and those who notice a sore in the mouth, that does not heal should be screened, "says dr. OP Kharbanda, Director of the Dental Institute, All India Institute of Medical Sciences, Delhi.
Signs and Symptoms of Head and Neck Cancer in India
Symptoms depend on the range of cancer growth. For the oral cavity, an obvious growth or non-healing ulcer, particularly at the point of tobacco use, is the indicator most often given by the patient. Oropharyngeal carcinomas often have large swellings of the neck, along with mild to moderate voice changes due to obstruction of the tonsil or tongue base. For the larynx, voice changes and / or dysphagia (difficulty in swallowing), along with varying degrees of difficulty in breathing, are common symptoms. Presentation with radiant pain, rapid progression, deafness, hemorrhage, and regional lymph node swelling, all suggesting progression of the disease.
Preventive strategies for head and neck carcinomas in India
The total cost of cancer-related productivity losses in developing countries is $ 46.3 billion, while the highest cost of oral and oral cavities in India is a staggering .74 Billion dollars ($ 30,563 loss per death). Prevention and early detection is the most effective way to reduce the burden of disease in India.