Document Detail

Globus sensation as early presentation of hypopharyngeal cancer.
MedLine Citation:
PMID:  18076431     Owner:  NLM     Status:  MEDLINE    
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.
A Tsikoudas; N Ghuman; M A Riad
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery     Volume:  32     ISSN:  1749-4486     ISO Abbreviation:  -     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-13     Completed Date:  2008-02-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247023     Medline TA:  Clin Otolaryngol     Country:  England    
Other Details:
Languages:  eng     Pagination:  452-6     Citation Subset:  IM    
Department of Otolarygology, Ninewells Hospital & Medical School, Dundee, UK.
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MeSH Terms
Aged, 80 and over
Barium Sulfate / diagnostic use
Deglutition Disorders / complications,  diagnosis*
Hypopharyngeal Neoplasms / complications,  diagnosis*
Middle Aged
Retrospective Studies
Reg. No./Substance:
7727-43-7/Barium Sulfate

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