Tandlaegers og specialtandlaegers diagnostiske praecision i forbindelse med orale planocellulaere karcinomer
Sammanfattning
5-year survival rate. The GDP’s knowledge of oral cancer, potentially malignant lesions, and risk factors is important in order to reduce “doctor’s delay”, i.e. the time elapsed between first visit and referral of the patient. The diagnostic experience amongst GDPs is very low with an average of one oral cancer
pr. GDP per 10 years.
PURPOSE – To compare the diagnostic precision of SCC between the referring GDPs and the oral and maxillofacial surgeons (OMS) at the Department of Oral and Maxillofacial Surgery, Sydvestjysk Sygehus, Esbjerg, (SVS) to assess to what degree lack of suspicion of malignancy has on “doctor’s delay”.
MATERIALS AND METHODS – Over a 5-year period 56 consecutive SCC were referred from primary care GDPs to the hospital. The GDPs’ diagnoses on referral were compared to the findings of the OMS.
RESULTS – The GDPs’ diagnostic accuracy was 36% compared with 96% amongst the OMS. 7% were misdiagnosed by both groups.
CONCLUSION – GDPs and their hygienists carry a great responsibility in the diagnosis of oral cancer, as they are the only clinicians who assess the patient’s oral cavity on a regular basis. A sensitivity of only 36% in this study underlines the need for more focus on potentially malignant lesions and the clinical characteristics of oral cancer in order to reduce “doctor’s delay” and mortality