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Section
27. Neoplasms (Cancer) of the Head and Neck
Tumors
The American Cancer Society (ACS) predicted
that in 1999 approximately 40,400 new cases
of head and neck cancer would be diagnosed
in the United States (29,800 with oral cavity
and pharyngeal cancer and 10,600 with laryngeal
cancer). The same grim reckoning projected
12,300 American deaths in 1999 from this
class of cancers. These diagnosis and mortality
figures correspond to over 4% of all new
cancer cases and 2% of all cancer deaths
in the United States annually. Nearly identical
percentages are reported from Britain, but
head and neck cancers have a much greater
impact in certain other parts of the world
and are among the leading causes of cancer
mortality worldwide.
Section
43. Oncology and the Information Revolution
Clinical oncologists are experiencing unprecedented
challenges to research and therapeutic and
practice management skills brought on by
the necessity to manage the geometric increase
in medical information and the striking
changes in the clinical practice of oncology
demanded by managed competition. The clinical
oncologist must be a clinician, researcher,
educator, businessperson, statistician,
healthcare administrator, and informatician,
who must interact with the whole patient,
both as a specialist and as a primary-care
physician.
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