Oral cavity squamous cell carcinomas in patients with no identified risk factors: Feeling like an outsider.


Journal

European journal of cancer care
ISSN: 1365-2354
Titre abrégé: Eur J Cancer Care (Engl)
Pays: England
ID NLM: 9301979

Informations de publication

Date de publication:
Mar 2022
Historique:
revised: 03 01 2022
received: 22 06 2021
accepted: 26 01 2022
pubmed: 17 2 2022
medline: 11 3 2022
entrez: 16 2 2022
Statut: ppublish

Résumé

Head and neck squamous cell carcinomas (HNSCCs) mainly affect smokers and drinkers. However, oral cavity squamous cell cancers (OCSCCs) are increasingly affecting patients with no identified risk factors (NIRFs). This study aimed at characterising their experience of the disease. Qualitative study based on semi-structured interviews of 20 survivors of OCSCC with NIRF. Methods used in grounded theory approach were applied. Patients with NIRF had a similar experience to that of patients with risk factors regarding treatments. The absence of identified causes led to stigma and led the patients to distance themselves, both from the stereotypic HNSCC cancer patient and the identity as a cancer patient. Furthermore, having no identified risk factors seemed to reinforce the fear of recurrence. This study is the first to address key gaps in knowledge regarding patients with NIRF having survived OCSCC. Their experience is similar to that of patients with orphan diseases. Owing to confrontation with other patients and the repeated questions of caregivers about tobacco/alcohol consumption, these patients felt stigmatised during their treatment. OCSCC patients with NIRF may benefit from guidance and support on how to engage in prevention.

Identifiants

pubmed: 35170126
doi: 10.1111/ecc.13558
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e13558

Subventions

Organisme : PIA Institut Convergence François Rabelais PLAsCAN
ID : PLAsCAN, 17-CONV-0002

Informations de copyright

© 2022 John Wiley & Sons Ltd.

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Auteurs

Sophie Deneuve (S)

Surgical Oncology Department, Léon Bérard Cancer Comprehensive Center, Lyon, France.
INSERM 1296, Radiations: Defense, Health and Environment, Léon Bérard Cancer Center, Lyon, France.

Lolane Dentand (L)

GRePS Groupe d'Etude, Lumière University Lyon 2, Lyon, France.

Myriam Pannard (M)

GRePS Groupe d'Etude, Lumière University Lyon 2, Lyon, France.

Agnes Dupret-Bories (A)

Head and Neck Department, Toulouse University Cancer Institute, Toulouse, France.

Eric Roux Pierre (E)

Surgical Oncology Department, Léon Bérard Cancer Comprehensive Center, Lyon, France.

Lara Nokovitch (L)

Surgical Oncology Department, Léon Bérard Cancer Comprehensive Center, Lyon, France.

Toufic Renno (T)

Cancer Research Center of Lyon, INSERM 1052, Claude Bernard University Lyon 1, Villeurbanne, France.

Olivia Perol (O)

INSERM 1296, Radiations: Defense, Health and Environment, Léon Bérard Cancer Center, Lyon, France.
Prevention Cancer Environnement Department, Léon Bérard Cancer Comprehensive Center, Lyon, France.

François Virard (F)

Cancer Research Center of Lyon, INSERM 1052, Claude Bernard University Lyon 1, Villeurbanne, France.
University of Lyon, Faculty of Odontology, Hospices Civils de Lyon, Lyon, France.

Beatrice Fervers (B)

Prevention Cancer Environnement Department, Léon Bérard Cancer Comprehensive Center, Lyon, France.
University of Lyon, Faculty of Odontology, Hospices Civils de Lyon, Lyon, France.

Preau Marie (P)

INSERM 1296, Radiations: Defense, Health and Environment, Léon Bérard Cancer Center, Lyon, France.

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