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November 1985

Squamous Cell Carcinoma of the Head and Neck in Patients Under 40 Years of Age

Author Affiliations

From the Department of Otolaryngology—Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City (Drs Mendez and Maves), and the Department of Otolaryngology, University of Chicago (Dr Panje).

Arch Otolaryngol. 1985;111(11):762-764. doi:10.1001/archotol.1985.00800130094013

• Between 1960 and 1983, 63 of 3,489 patients treated for squamous cell carcinoma of the head and neck at the University of Iowa Hospitals and Clinics, Iowa City, were under the age of 40 years. Malignancies in these patients occurred in the oral cavity (41%), pharynx (28%), larynx (25%), and other sites (6%). One third of the patients were females and half the patients were smokers. Approximately 50% of the patients presented with a cervical mass. Management consisted of surgery, radiation, or a combination of the two. Actuarial five-year survival for the entire group was 67%. The best prognosis was for patients with cancer of the larynx, while the poorest was for those with cancer of the pharynx.

(Arch Otolaryngol 1985;111:762-764)

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