Epidemiologic and Histopathologic Patterns of Head and Neck Cancers: A Single Institution Cohort of 1,702 Patients and a Review of the Literature

Mouna Khouchani, T. Igarramen, Youssef Darouassi, M. Darfaoui
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Abstract

Head and neck cancers (HNC) are the third most common cancers worldwide. They are a heterogeneous group of malignant tumors that affect various anatomical sites, including oral cavity, oropharynx, nasopharynx, hypopharynx, larynx, thyroid gland, salivary glands, nasal cavity and paranasal sinuses. In Morocco, there is a lack of epidemiological data due to the absence of a national or regional cancer registry. The present study aimed to describe the epidemiological, anatomopathological and evolutionary aspects of HNC in the southern region of Morocco. The study evaluated data from 1702 patients with HNC between 2009 and 2019. Our results showed that the main anatomical site was the nasopharynx (33.02%), and the most common histopathological type was squamous cell carcinoma (55.76%). Our study clearly showed that smoking and poor oral hygiene were the main risk factors for HNC. Thus, the present study should be considered as a first attempt to develop a national cancer registry and to shed light on the evolutionary patterns of HNC epidemiology and histopathology in Morocco.
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头颈部癌症的流行病学和组织病理学模式:1702例患者的单一机构队列和文献综述
头颈癌(HNC)是全球第三大常见癌症。它们是一种异质性的恶性肿瘤,影响到口腔、口咽、鼻咽、下咽、喉、甲状腺、唾液腺、鼻腔和鼻窦等各个解剖部位。在摩洛哥,由于缺乏国家或区域癌症登记,因此缺乏流行病学数据。本研究旨在描述摩洛哥南部地区HNC的流行病学、解剖病理学和进化方面。该研究评估了2009年至2019年期间1702名HNC患者的数据。结果显示:主要解剖部位为鼻咽部(33.02%),最常见的组织病理类型为鳞状细胞癌(55.76%)。我们的研究清楚地表明,吸烟和口腔卫生不良是HNC的主要危险因素。因此,本研究应被视为建立国家癌症登记处的第一次尝试,并阐明摩洛哥HNC流行病学和组织病理学的进化模式。
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