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Head and neck cancers usually occur in patients who have a history of long tobacco use. Chronic obstructive pulmonary disease (COPD) is a chronic progressive disease of the airways and lung parenchyma that is also associated with exposure to tobacco. COPD and head & neck cancer share a common environmental risk factor in cigarette smoke exposure. the investigators hypothesize that patients with chronic lung disease related to smoking have a higher risk to develop cancer in the head and neck.
The investigators designed a study to assess the prevalence of cancer and pre-cancer disease in the head & neck in patients with chronic lung disease. the investigators will examine patients with and without a history of smoking and chronic lung disease in order to determine the prevalence of head and neck cancer in the different groups. The patients who will be included in the study will undergo comprehensive evaluation of their lung function and voice performance.
This study is a joint effort of the Pulmonology Institute and the Department of Otolaryngology, Head & Neck Surgery in Israel and the Netherlands.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| copd patients | Adult patients with COPD |
| |
| healthy smokers | Adult patients with smoking history and no clinical manifestation of COPD who will be recruited form the institute of pulmonary medicine and the otolaryngology outpatient clinic. |
| |
| Adult patients with lung disease unrelated to smoking | Adult patients with lung disease unrelated to smoking |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stroboscopic nasopharyngeal laryngoscopy | Other |
| ||
| Stroboscopic nasopharyngeal laryngoscopy |
| Measure | Description | Time Frame |
|---|---|---|
| the primary outcome measure is the number of patients with malignant tumors and pre-malignant lesions of the head & neck | prevalence of malignant tumors and pre-malignant lesions of the head & neck in general, and the larynx in particular, is significantly increased in the COPD patient population in comparison to patients with history of smoking without clinical presentation of COPD and patients with no history of smoking. | participants will be followed for the duration of hospital stay, an expected average of one week |
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Inclusion Criteria:
Exclusion Criteria:
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The study group of adult COPD patients will be recruited from the Institute of Pulmonary medicine patient pool and referred for further evaluation in the Voice and Swallowing disorders outpatient Clinic in Hadassah University Medical Center.The study group will be compared to two control group:
2. Adult patients with smoking history and no clinical manifestation of COPD who will be recruited form the institute of pulmonary medicine and the otolaryngology outpatient clinic.
3. Adult patients with lung disease unrelated to smoking, i.e. bronchial asthma who will be recruited from the institute of pulmonary medicine
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tali Zemer- Landau | Contact | LANDAUT@clalit.org.il |
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| Other |
|
| Stroboscopic nasopharyngeal laryngoscopy | Other |
|
| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D006258 | Head and Neck Neoplasms |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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