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Master Thesis

Le dépistage des cancers de la cavité buccale et de l'oropharynx par les médecins généralistes : étude des pratiques dans la région du Havre en Seine-Maritime

Abstract : In France oral and oropharyngeal cancers are frequent and constitute a public health issue, especially in countys of the North-Ouest. Their diagnosis is late in about 70% of cases and the survival rate hasn’t improved in the last 20 years. Late stage treatments are heavy, leading to physical, psychological and social aftermath. The pratice of a complete oral examination would allow the earlier detection of those cancers. This detection relies on an opportunistic individual screening of high-risk patients. This study offers to examine the practice of this screening by general praticioners. After a review of current knowledge on anatomy and epidemiology of oral cancers, we carried out a cross-sectional descriptive study in order to analyse the current knowledge and practice of a sample of general praticioners in the area of Le Havre in Seine-Maritime. 47.6% of the interviewed physicians perform a systematic oral examination of their high-risk patients, and most of the time this examination is incomplete. 93% declare themselves interested in the provision of a short practice support document. It appears from this study that the screening for oral and oropharyngeal cancers is insufficient or inadequate in general practice. The organisation of formations and the setting up of help tools could lead to improved practice.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01689066
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Submitted on : Wednesday, January 24, 2018 - 10:11:40 AM
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Christophe Bertrand. Le dépistage des cancers de la cavité buccale et de l'oropharynx par les médecins généralistes : étude des pratiques dans la région du Havre en Seine-Maritime. Médecine humaine et pathologie. 2017. ⟨dumas-01689066⟩

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