Globus sensation as early presentation of hypopharyngeal cancer

Autor: A. Tsikoudas, N. Ghuman, M.A. Riad
Rok vydání: 2007
Předmět:
Zdroj: Clinical Otolaryngology. 32:452-456
ISSN: 1749-4478
DOI: 10.1111/j.1749-4486.2007.01574.x
Popis: Objectives: To identify if patients with early hypopharyngeal carcinoma can present with only the single complaint of globus sensation. Design: Retrospective case review. Setting: Teaching Hospital in Scotland. Participants: Cohort of 23 patients with hypopharyngeal carcinoma. Retrospective review of their case notes with regards to their hospital pathway from initial referral from the General Practitioner to diagnosis. Outcome measures: Symptoms & signs on presentation, subsequent investigations and time interval between initial presentation and diagnosis. Results: We identified two patients (9%) who presented early with globus or other soft symptoms as the only complaint and with normal clinical findings. There was a 78%‘pick up’ rate of abnormalities in the barium swallow examination. Conclusion: We believe this can have important clinical implications in the screening & investigation of globus patients who represent a significant outpatient workload. We review the relevant literature.
Databáze: OpenAIRE