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Query: UMLS:C0262471 (ENT)
 5,307 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A pilot study on a screening program for tumours of the upper respiratory and digestive tracts was conducted from December 1988 to May 1989 in the Friuli-Venezia Giulia Region (Northern Italy), an area showing high mortality rates for cancers of these sites. Six hundred seventy-one patients at risk (i.e. habitual smokers and/or drinkers) were referred to an E.N.T. specialist by 16 general practitioners for free examination. Of these 436 (65%) actually underwent examination and, among them, 55 (12.6%) precancerosis and 8 (1.8%) epithelial tumors were detected. Although some low risk patients (mainly females) were eventually seen as well, two non-epithelial tumors being found, this pilot study would appear to have accomplished its purposes, namely to establish a closer relationship between GPs and ENT Specialists so as to discover cancerous and precancerous lesions early on and to address an educational message against smoking and heavy drinking to at risk subjects.
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PMID:[Pilot study of screening for the early diagnosis of tumors of the upper respiratory and digestive tracts in individuals at risk in the Friuli-Venezia Giulia region]. 226 Apr 37

Between 1960 and 1987, 1567 laryngeal and hypopharyngeal carcinomas were diagnosed at the First ENT Clinic of Vienna University. Patients under 50 years of age increased steadily in number and proportion. Three subgroups of carcinomas were considered: glottic (including subglottic), supraglottic and hypopharyngeal. A total of 1442 cases could be studied in detail. In the supraglottic and hypopharyngeal groups the proportion under 50 years of age rose significantly, whereas in the glottic cases no significant trend is discernible. The subgroups were standardized in 10-year age groups to the population of eastern Austria. The incidence was constant in females. In males two opposite trends were found: in glottic tumours the proportion of middle-aged patients shows a slight decrease, whereas older age groups show a significant decrease. In hypopharyngeal carcinoma, younger age groups show a highly significant increase and the older age groups a slight decrease. Supraglottic carcinoma was intermediate: in younger age groups, a slight increase was found compared with a marked decrease in older ages. The age-specific regional mortality showed a pattern similar to that of the supraglottic and hypopharyngeal tumours seen at our clinic. The alcohol and tobacco consumption of all male patients between 1977 and 1983 was reviewed. Heavy smoking was about equally frequent for all tumour sites. High alcohol intake was more frequent in supraglottic and hypopharyngeal than in glottic tumours, and more frequent in younger than in older patients. Tobacco smoke acts as a carcinogen in the long run, and this effect can be enhanced by heavy drinking.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Changes in the age of illness onset in cancer of the hypopharynx and larynx since 1960. The epidemiologic context in Austria]. 278 98

Between 1960 and 1987, a total of 709 carcinomas of the floor of the mouth, tongue and oropharynx (BOPC) were diagnosed at the first ENT Clinic of the University of Vienna (555 men, 154 women). Patients under 50 years of age increased steadily in number of proportion. Age-specific rates in men based on the actual population of eastern Austria showed a highly significant increase in younger patients and a slight decrease in older patients. Crude regional mortality increased considerably in men during the whole period, and in women since 1982. The evolution of age-specific mortality in men was similar to that of the incidence at our clinic. In women the increase affected all ages. The rate of tobacco and alcohol consumption of male patients between 1977 and 1983 was compared with that of patients with chronic otitis and hypopharyngeal carcinoma. Smoking and drinking rates were substantially higher in the BOPC group than in the otitis group, and their distribution differed from that of the hypopharyngeal cancer group: heavy consumption of both tobacco and alcohol was equally frequent, but smoking rates were lower and heavy drinking more frequent in the BOPC group. High consumption in BOPC patients was more common in patients under 60 years of age. The increasing incidence of the disease and the shift to younger patients may be linked with the alcohol component within the field of influence of combined tobacco and alcohol abuse.
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PMID:[Incidence and age at onset of cancers of the mouth and oropharynx since 1960. The epidemiologic context in East Austria]. 279 31