OBJECTIVE: To identify pain as the initial symptom of oral cancer patients. STUDY DESIGN: Hospital charts of 1412 patients (1977 to 1998) with oral cancer were reviewed (238 female and 1174 male). RESULTS: Pain was the initial complaint in 19.2% of the sample. Oral cancer (ratio 4:1) and initial pain (ratio 9:1; P= .001) was prevalent in men. There were 12 different complaints of pain: sore throat (37.6%), tongue pain (14.0%), mouth pain (12.9%); pain when swallowing (11.1%), dental pain (5.9%); earache (5.9%); pain in the palate (4.1%); burning mouth (3.3%); gingival pain (2.2%); pain when chewing (1.1%); neck pain (1.1%), and facial pain (0.7%). Pain was associated with advanced TNM staging and location of tumor in the tongue (P= .004) and the tongue/mouth floor (P< .006). CONCLUSION: There were 12 different descriptions of pain; pain was related to TNM staging in the tongue and the tongue/mouth floor. The data presented reinforce the suggestion that patients with orofacial pain need systematized evaluation and sometimes require an interdisciplinary approach.
OBJECTIVE: To identify pain as the initial symptom of oral cancerpatients. STUDY DESIGN: Hospital charts of 1412 patients (1977 to 1998) with oral cancer were reviewed (238 female and 1174 male). RESULTS:Pain was the initial complaint in 19.2% of the sample. Oral cancer (ratio 4:1) and initial pain (ratio 9:1; P= .001) was prevalent in men. There were 12 different complaints of pain: sore throat (37.6%), tongue pain (14.0%), mouth pain (12.9%); pain when swallowing (11.1%), dental pain (5.9%); earache (5.9%); pain in the palate (4.1%); burning mouth (3.3%); gingival pain (2.2%); pain when chewing (1.1%); neck pain (1.1%), and facial pain (0.7%). Pain was associated with advanced TNM staging and location of tumor in the tongue (P= .004) and the tongue/mouth floor (P< .006). CONCLUSION: There were 12 different descriptions of pain; pain was related to TNM staging in the tongue and the tongue/mouth floor. The data presented reinforce the suggestion that patients with orofacial pain need systematized evaluation and sometimes require an interdisciplinary approach.
Authors: Huaising C Ko; Mandira N Mehra; Adam R Burr; Aaron M Wieland; Randal J Kimple; Gregory K Hartig; Paul M Harari; Matthew E Witek Journal: J Pain Manag Date: 2020
Authors: Karine G Oliveira; Sandra V von Zeidler; Jose Rv Podestá; Agenor Sena; Evandro D Souza; Jeferson Lenzi; Nazaré S Bissoli; Sonia A Gouvea Journal: BMC Cancer Date: 2014-01-24 Impact factor: 4.430