Cancer in persons diagnosed with facial nerve paresis: A hospital-based cohort study in Denmark

  • 0Department of Clinical Epidemiology, Center for Popula7on Medicine, Aarhus University and Aarhus University Hospital, Denmark and Department of Neurology, Hospital of the University of Pennsylvania, United States.

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Summary

This summary is machine-generated.

Facial nerve palsy (FNP) is linked to elevated cancer risks, particularly nervous system and head/neck cancers within a year. Persistent elevated risks for specific cancers suggest metastatic disease plays a key role in FNP.

Area Of Science

  • Oncology
  • Neurology
  • Epidemiology

Background

  • Neoplasms can cause facial nerve paresis or palsy (FNP) through compression or infiltration.
  • Limited evidence exists for cancers outside the head, neck, and nervous system in FNP patients.

Purpose Of The Study

  • To examine overall and site-specific cancer rates in patients diagnosed with FNP.
  • To investigate cancer risks associated with FNP over a 29-year period in Denmark.

Main Methods

  • Hospital-based cohort study in Denmark (1994-2022).
  • Identified FNP cases from inpatient, outpatient, and emergency room visits.
  • Calculated absolute risks (AR) and standardized incidence ratios (SIR) for cancers diagnosed <1 year and ≥1 year after FNP.

Main Results

  • 27,147 FNP diagnoses recorded.
  • Cancers diagnosed <1 year post-FNP showed elevated SIR for nervous system (14.7) and head/neck (8.37).
  • Cancers diagnosed ≥1 year post-FNP showed persistent elevated SIR for salivary gland (2.43), brain (1.48), liver (2.02), and anus (1.94).

Conclusions

  • Persistently elevated cancer rates observed in FNP patients compared to the general population.
  • Metastatic disease is implied as a significant underlying cause of FNP.
  • Further research into cancer stage associations with FNP is warranted.