The Journal of laryngology and otology · 2026
Pathways to the diagnosis of hypopharyngeal cancer in the West of Scotland.
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Zahranychna Olha, Vlasiuk Volodymyr, Horackiewicz Jan, Hurley Rhona, Buchanan Malcolm A, Asimakopoulos Panagiotis, Douglas Catriona M
Аннотация
OBJECTIVE: Hypopharyngeal cancer is characterised by low survival rates because of the prevalence of the advanced stage. This study aims to analyse the pathways to the diagnosis of hypopharyngeal cancer.
METHOD: A retrospective observational cohort study of 434 patients diagnosed with hypopharyngeal cancer extracted from the Head and Neck cancer multidisciplinary team database in the West of Scotland over 14 years.
RESULTS: There were 434 patients with a mean age 67.3 years. The Urgent Suspicion of Cancer referral pathway had 237 patients (54.6 per cent), while 87 patients (20 per cent) had urgent or routine general practitioner referral, 101 (23.3 per cent) were referred by secondary care specialities and 55 (12.7 per cent) presented as emergencies. The majority of patients, 288 (66.3 per cent), experienced symptoms for 3 months before referral and 180 of patients (41.5 per cent) had an ENT clinic appointment within 2 weeks after referral.
CONCLUSION: Diagnostic pathways to hypopharyngeal cancer are efficient despite a variety of clinical presentations. However, most patients present with short symptom duration and advanced disease, highlighting its aggressive nature.
METHOD: A retrospective observational cohort study of 434 patients diagnosed with hypopharyngeal cancer extracted from the Head and Neck cancer multidisciplinary team database in the West of Scotland over 14 years.
RESULTS: There were 434 patients with a mean age 67.3 years. The Urgent Suspicion of Cancer referral pathway had 237 patients (54.6 per cent), while 87 patients (20 per cent) had urgent or routine general practitioner referral, 101 (23.3 per cent) were referred by secondary care specialities and 55 (12.7 per cent) presented as emergencies. The majority of patients, 288 (66.3 per cent), experienced symptoms for 3 months before referral and 180 of patients (41.5 per cent) had an ENT clinic appointment within 2 weeks after referral.
CONCLUSION: Diagnostic pathways to hypopharyngeal cancer are efficient despite a variety of clinical presentations. However, most patients present with short symptom duration and advanced disease, highlighting its aggressive nature.