Introduction And Objectives: Studies prior to 1990 showed an incidence of 5% for oral and maxillofacial cancer in Romania. In this paper (Part 1) an evaluation of malignant tumour cases, covering a 10-year period is made regarding histological forms, the relationships of malignant tumours to patients' geographic origin, environment, age, gender of patients and lymph node involvement.

Patients And Methods: From 1485 patients with malignant oral and maxillofacial tumours, 1072 cases fulfilled the criteria for inclusion in this study. The following data were examined: patients' charts and medical records as well as pathology reports.

Results: From 16,315 patients admitted to this hospital between 1993 and 2002, 9% presented with primary ('de novo') malignant tumours; 2/3 were male patients; average age at presentation was 61 years for males and 59 years for females; 47% presented with stage IV tumours; out of the 'de novo' tumours, 93% were carcinomas and 4% sarcomas; 56% of patients had positive lymph nodes at presentation.

Conclusions: The number of head and neck cancer cases increased in the last 15 years; almost half of the patients presented with tumours in stage IV.

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http://dx.doi.org/10.1016/j.jcms.2007.02.001DOI Listing

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