The evaluation of head and neck neoplasm in young and old adults
Background: Head and neck neoplasm (HNN) is one of the most common neoplasms in 6th and 7th of life. Its incidence rate is different in various human societies. Some neoplasms have an increasing trend in the young population, and some have a decreasing trend. According to the limited evidence in Ira...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2019-03-01
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| Series: | Social Determinants of Health |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/sdh/article/view/28749 |
| _version_ | 1818871287749017600 |
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| author | Mahbobeh Oroei Ali Asghar Peyvandi Hassan Peyvandi Shahrokh Khoshsirat Niloofaralsadat Motamedi |
| author_facet | Mahbobeh Oroei Ali Asghar Peyvandi Hassan Peyvandi Shahrokh Khoshsirat Niloofaralsadat Motamedi |
| author_sort | Mahbobeh Oroei |
| collection | DOAJ |
| description | Background: Head and neck neoplasm (HNN) is one of the most common neoplasms in 6th and 7th of life. Its incidence rate is different in various human societies. Some neoplasms have an increasing trend in the young population, and some have a decreasing trend. According to the limited evidence in Iran, we decided to investigate the types and basic characteristics of HNN in young patients with less than 40 years and old patients more than 40 years of age.
Methods: In this cross sectional study, we assessed the medical records of 695 patients in the department of Ear Nose and Throat (ENT) of Loghman Hakim Hospital during 2007-2017 to compare the fundamental characteristics and types of HNN in young and old adults. Chi-square test and Mann-Whitney U test were used and interpreted with a significant level of less than 0.05.
Results: The average age of our patients was 51.80±17.39 years old. The majority of the patients were more than 40 years old (n=514, 73.95%) and the rest were younger (n=181, 26.05%). Significantly, the percentage of male patients, diabetic patients, positive history of smoking were more predominant in old adults as compared young adults (72.76% vs. 49.18%, 10.31% vs. 2.20%, 66.99% vs. 25.44%; all p-value <0.001). However the neoplasms of salivary glands, thyroid, and paranasal sinus had a significantly higher frequency in young adults (41.98%(n=76);p<0.001, 21.55%(n=39);p<0.001, 6.10%(n=11); p=0.033 respectively). There was a high percentage of larynx neoplasm in old adults as compared to the young adults (42.22 %(n=217) vs. 4.41%(n=8); p=0.001).
Conclusion: Larynx neoplasm was common among the old smokers. The percentage of salivary glands and thyroid neoplasms were higher than other HNN in young adults(≤40 years old), especially female patients and non-smokers. Therefore, HNN is not rare in young people and the physicians must consider it while cancer screening the young adults. |
| first_indexed | 2024-12-19T12:20:31Z |
| format | Article |
| id | doaj.art-44c72806ce7641f382b56ebb928d74e3 |
| institution | Directory Open Access Journal |
| issn | 2423-7337 |
| language | English |
| last_indexed | 2024-12-19T12:20:31Z |
| publishDate | 2019-03-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Social Determinants of Health |
| spelling | doaj.art-44c72806ce7641f382b56ebb928d74e32022-12-21T20:21:47ZengShahid Beheshti University of Medical SciencesSocial Determinants of Health2423-73372019-03-015210.22037/sdh.v5i2.28749The evaluation of head and neck neoplasm in young and old adultsMahbobeh Oroei0Ali Asghar Peyvandi1Hassan Peyvandi2Shahrokh Khoshsirat3Niloofaralsadat Motamedi4Hearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranHearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranHearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of pediatrics, Arak University of Medical Sciences, Tehran, IranBackground: Head and neck neoplasm (HNN) is one of the most common neoplasms in 6th and 7th of life. Its incidence rate is different in various human societies. Some neoplasms have an increasing trend in the young population, and some have a decreasing trend. According to the limited evidence in Iran, we decided to investigate the types and basic characteristics of HNN in young patients with less than 40 years and old patients more than 40 years of age. Methods: In this cross sectional study, we assessed the medical records of 695 patients in the department of Ear Nose and Throat (ENT) of Loghman Hakim Hospital during 2007-2017 to compare the fundamental characteristics and types of HNN in young and old adults. Chi-square test and Mann-Whitney U test were used and interpreted with a significant level of less than 0.05. Results: The average age of our patients was 51.80±17.39 years old. The majority of the patients were more than 40 years old (n=514, 73.95%) and the rest were younger (n=181, 26.05%). Significantly, the percentage of male patients, diabetic patients, positive history of smoking were more predominant in old adults as compared young adults (72.76% vs. 49.18%, 10.31% vs. 2.20%, 66.99% vs. 25.44%; all p-value <0.001). However the neoplasms of salivary glands, thyroid, and paranasal sinus had a significantly higher frequency in young adults (41.98%(n=76);p<0.001, 21.55%(n=39);p<0.001, 6.10%(n=11); p=0.033 respectively). There was a high percentage of larynx neoplasm in old adults as compared to the young adults (42.22 %(n=217) vs. 4.41%(n=8); p=0.001). Conclusion: Larynx neoplasm was common among the old smokers. The percentage of salivary glands and thyroid neoplasms were higher than other HNN in young adults(≤40 years old), especially female patients and non-smokers. Therefore, HNN is not rare in young people and the physicians must consider it while cancer screening the young adults.https://journals.sbmu.ac.ir/sdh/article/view/28749NeoplasmYoung adultsHead and Neck |
| spellingShingle | Mahbobeh Oroei Ali Asghar Peyvandi Hassan Peyvandi Shahrokh Khoshsirat Niloofaralsadat Motamedi The evaluation of head and neck neoplasm in young and old adults Social Determinants of Health Neoplasm Young adults Head and Neck |
| title | The evaluation of head and neck neoplasm in young and old adults |
| title_full | The evaluation of head and neck neoplasm in young and old adults |
| title_fullStr | The evaluation of head and neck neoplasm in young and old adults |
| title_full_unstemmed | The evaluation of head and neck neoplasm in young and old adults |
| title_short | The evaluation of head and neck neoplasm in young and old adults |
| title_sort | evaluation of head and neck neoplasm in young and old adults |
| topic | Neoplasm Young adults Head and Neck |
| url | https://journals.sbmu.ac.ir/sdh/article/view/28749 |
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