Research Article
Volume 17 Issue 8 - 2018
To Evaluate the Tumor Size, Time Interval and Factors Involved in Delayed Presentation of Oral Cancerous Lesion in Rural Areas – A Multifactorial Analytical Study
Harish Saluja1*, Shivani Sachdeva2, Semmit Shah3, Anuj Dadhich1, Parul Tandon4 and Vinayak More4
1Reader, Department of Oral and Maxillofacial Surgery, Rural Dental College, Maharashtra, India
2Reader, Department of Periodontics, Rural Dental College, Maharashtra, India
3Professor and Head, Department of Oral and Maxillofacial Surgery, Rural Dental College, Maharashtra, India
4Senior Lecturer, Department of OMFS, Rural Dental College, Maharashtra, India
*Corresponding Author: Harish Saluja, Department of Oral and Maxillofacial Surgery, Rural Dental College, Maharashtra, India.
Received: June 06, 2018; Published: July 30, 2018
Citation: Harish Saluja., et al. “To Evaluate the Tumor Size, Time Interval and Factors Involved in Delayed Presentation of Oral Cancerous Lesion in Rural Areas – A Multifactorial Analytical Study”. EC Dental Science 17.8 (2018): 1439-1444.
Abstract
Introduction:Early diagnosis and treatment is the main key to the success in management of cancer patients. Detecting Oral cancer at an early stage is believed to greatly enhance the patient’s chances of survival and reduce the burden and disfigurement from the disease. Unfortunately in rural parts of India as of our institute patients of cancer reports at a very late stage because of many reasons. Multiple reasons are involved in late reporting of onco patients including personal and professional delays. In this study we reported the size of primary lesions and different reasons for such big delays.
Materials and Methods:200 oral cancer patients reporting to OMFS department of Rural Dental College were evaluated for the size of the primary lesions and to find out the different personal and professional reasons for such long delays. Also time lapse for these patients were also evaluated from the noticing of sign/symptom to reporting to our department.
Results:Results were not encouraging for any onco surgeon, as the time lapse from first sign/symptom to reporting to our department was 10 months and above in almost 70% of cases. In our study 70% of the cases reported at t3, t4 size of the primary lesion.
Among reasons for such big delays were 2 important findings, patients negligence/reluctance towards their health and inability of local health professionals to diagnose the cases and refer with in time.
Discussion and Conclusion:The patients reported to our rural centre in our study at very late stage and the lesions size were very big in majority of cases. Patients health risk taking behaviour and inability to diagnose cases with in time by health care professional in rural areas were most common reasons note in our study. Thousands of studies, lot of research, and huge amount of money have been spended in the field of oncology to improve results but these all will be of significance when patient reports well in time. Exact reasons for such health risk taking behaviours will help us to work at ground level. Local social worker, rural health committees can work in this direction to change the attitude of rural patients towards health.
Keywords: Oral Cancer; Delay; Treatment; Rural; Prognosis; Big Lesions
Copyright: © 2018 Harish Saluja., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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