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Official websites use. Share sensitive information only on official, secure websites. Correspondence: Anne-Valerie N. Head and neck cancers have a very poor prognosis and are common in France. They are subject to various recommendations for early detection and management, but there is no detailed data in the French general population to fuel the public health debate on it.

A high-resolution population-based study about cancer management was conducted, using cancers registries in the north-west of France, on tumors diagnosed between and The tumors were diagnosed late After adjustment, advanced stages were more frequent in patients with hypopharyngeal [adjusted odds ratio ORa : 4. They were also more frequent in patients with moderate ORa 1.

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A multidisciplinary meeting MM had taken place in The assessment included a panendoscopy in The vast majority of patients Despite the recommendations for early detection, diagnoses are often made late, even for tumors that can be detected by a direct visual and tactile examination of the oral cavity. However, the major risk of advanced stage concerns deep tumors and the most weakened subjects. Otherwise, diagnostic assessment is broadly consistent with the recommendations, and multidisciplinary treatment decisions are widespread.

Keywords: cancers registry, head and neck cancer, management, population-based study, stage. In Europe, head and neck cancers HNC are the fourth most common group of cancers among men. With over 35 cases per , py for men, the north-west of France is the region with the highest incidence of these cancers. As for all cancer localization, stage at diagnosis is the main prognostic factor. These cancers often occur in fragile patients and their management is complex, requiring a multidisciplinary approach.

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Since , the French cancer plans [ 11 ] recommend early detection of cancers oral cavity included , multidisciplinary decisions concerning treatment, the implementation of coordinated paths for care and improved availability of imaging, positron emission tomography PET , and radiotherapy treatment.

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