Abstract
In the United States, large-scale programs of mass screening for oral cancer have not proven cost effective in terms of societal benefit related to detection cost. A recent, poignant example of this fact is the excellent oral cancer screening program conducted by the State University of New York (Buffalo) and the Roswell Park Memorial Institute in 1978. Of 3,662 persons screened by oral clinical examination, 250 exhibited “abnormalities” and 43 revealed suspicious lesions recommended for biopsy; of these, only one case of cancer was proven [1]. Thus, even such a well-conducted study yielded a detection rate of only 0.027% for that particular population. Sisson reported similar findings in 2,500 persons clinically screened for oral cancer in Chicago [2].
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Hamner, J.E., Choksi, S.K. (1984). Detection. In: Hamner, J.E. (eds) The Management of Head and Neck Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69649-7_3
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DOI: https://doi.org/10.1007/978-3-642-69649-7_3
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