Epidemiology
The total incidence of mouth, lip and pharyngeal cancer in England and Wales is approximately 3,600 cases per annum.
These tumours have their maximal incidence in the elderly with a male to female preponderance of approximately 10:1.
Site incidence:
- tonsil and faucial pillars - 50%
- base of tongue - 20%
- soft palate and uvula - 10%
- posterior pharyngeal wall and other sites - 20%
Lymphomas are usually of B-cell, high grade, non-Hodgkin's variety.
Presenting features of oropharyngeal cancer:
- persistent sore throat 90%
- otalgia 60-70%
- hoarseness 50%
Reference:
- (1) Referral Guidelines for Suspected Cancer (April 2000). NHS Executive.
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