An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis

Background: Surgical management of head and neck cancer is undoubtedly challenging, and we would like to see the outcome of managing such cases at one of the tertiary referral center in the East Coast of Malaysia. Methods: A 6-year retrospective analysis of surgically treated head and neck cancer c...

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Main Authors:	Abdullah, Kahairi, Raja Lope Ahmad, Raja Ahmad Al'konee, Asha'ari, Zamzil Amin, Razali, Mohd Sayuti, Wan Leman, Wan Ishlah
Format:	Article
Language:	English
Published:	Universiti Sains Malaysia 2014
Subjects:	RF Otorhinolaryngology
Online Access:	http://irep.iium.edu.my/37232/ http://irep.iium.edu.my/37232/ http://irep.iium.edu.my/37232/1/surg_head_neck_mjms.pdf

id	iium-37232
recordtype	eprints
spelling	iium-372322018-06-19T06:40:48Z http://irep.iium.edu.my/37232/ An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis Abdullah, Kahairi Raja Lope Ahmad, Raja Ahmad Al'konee Asha'ari, Zamzil Amin Razali, Mohd Sayuti Wan Leman, Wan Ishlah RF Otorhinolaryngology Background: Surgical management of head and neck cancer is undoubtedly challenging, and we would like to see the outcome of managing such cases at one of the tertiary referral center in the East Coast of Malaysia. Methods: A 6-year retrospective analysis of surgically treated head and neck cancer cases in Hospital Tengku Ampuan Afzan (HTAA) Kuantan, Pahang was conducted. Results: The total number of patients reviewed was 55 and mean age of the patients was 59 years (SD 12). The larynx was the most common surgically treated site (29.1%), followed by the oral cavity (16.4%) and the paranasal sinuses (14.5%). Majority of the patients presented with stage III (32.8%) and stage IV (41.8%) cancer. Post-operative local complications (23.6%) and wound breakdown was identified as the most common cause (20%). Low hemoglobin level prior to surgery was associated with anemia after surgery (P = 0.007) and prolonged hospital stay (P = 0.030). Tumor recurrence was observed in 21.8% of the cases. Advanced stage tumor had more percentage of positive margin than early stage tumor i.e., 23% in early stage versus 58% in advanced stage (P = 0.050). Conclusion: Surgical management of head and neck cancer in this center has an acceptable outcome. Universiti Sains Malaysia 2014-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/37232/1/surg_head_neck_mjms.pdf Abdullah, Kahairi and Raja Lope Ahmad, Raja Ahmad Al'konee and Asha'ari, Zamzil Amin and Razali, Mohd Sayuti and Wan Leman, Wan Ishlah (2014) An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis. Malaysian Journal of Medical Sciences , 21 (4). pp. 28-36. ISSN 2180-4303 (O), 1394-195X (P) http://journal.usm.my/journal/mjms-21-4-028.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RF Otorhinolaryngology
spellingShingle	RF Otorhinolaryngology Abdullah, Kahairi Raja Lope Ahmad, Raja Ahmad Al'konee Asha'ari, Zamzil Amin Razali, Mohd Sayuti Wan Leman, Wan Ishlah An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis
description	Background: Surgical management of head and neck cancer is undoubtedly challenging, and we would like to see the outcome of managing such cases at one of the tertiary referral center in the East Coast of Malaysia. Methods: A 6-year retrospective analysis of surgically treated head and neck cancer cases in Hospital Tengku Ampuan Afzan (HTAA) Kuantan, Pahang was conducted. Results: The total number of patients reviewed was 55 and mean age of the patients was 59 years (SD 12). The larynx was the most common surgically treated site (29.1%), followed by the oral cavity (16.4%) and the paranasal sinuses (14.5%). Majority of the patients presented with stage III (32.8%) and stage IV (41.8%) cancer. Post-operative local complications (23.6%) and wound breakdown was identified as the most common cause (20%). Low hemoglobin level prior to surgery was associated with anemia after surgery (P = 0.007) and prolonged hospital stay (P = 0.030). Tumor recurrence was observed in 21.8% of the cases. Advanced stage tumor had more percentage of positive margin than early stage tumor i.e., 23% in early stage versus 58% in advanced stage (P = 0.050). Conclusion: Surgical management of head and neck cancer in this center has an acceptable outcome.
format	Article
author	Abdullah, Kahairi Raja Lope Ahmad, Raja Ahmad Al'konee Asha'ari, Zamzil Amin Razali, Mohd Sayuti Wan Leman, Wan Ishlah
author_facet	Abdullah, Kahairi Raja Lope Ahmad, Raja Ahmad Al'konee Asha'ari, Zamzil Amin Razali, Mohd Sayuti Wan Leman, Wan Ishlah
author_sort	Abdullah, Kahairi
title	An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis
title_short	An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis
title_full	An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis
title_fullStr	An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis
title_full_unstemmed	An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis
title_sort	outcome of surgically treated head and neck cancer in one of the tertiary referral center in the east coast of malaysia: a 6-year retrospective analysis
publisher	Universiti Sains Malaysia
publishDate	2014
url	http://irep.iium.edu.my/37232/ http://irep.iium.edu.my/37232/ http://irep.iium.edu.my/37232/1/surg_head_neck_mjms.pdf
first_indexed	2023-09-18T20:53:24Z
last_indexed	2023-09-18T20:53:24Z
_version_	1777410144519323648

An outcome of surgically treated head and neck cancer in one of the tertiary referral center in the East Coast of Malaysia: a 6-year retrospective analysis

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