It is well known that alcohol consumption increases the risk for oropharyngeal malignancy. However, we have no systematic practice of detection and prevention of drug consumption by ORL professionals.

1. - Identify alcohol use in patients with oropharyngeal neoplasia and first-line approach of problematic drinking by ORL professionals.

2. - Identify the level of anxiety and depression

Cross-sectional study. 191 cancer patients treated sequentially in the Clinic Hospital (Barcelona, Spain) during two months by clinical interview, AUDIT, CAGE and Hamilton Depression Scale.

1. - 89% of the sample are long time smokers (more than 25 yrs) but 85% of them stop smoking once they are diagnosed with cancer.

2. - 85% consume alcohol out of whom 39% drink at risk. 12% of them persist with risky drinking after diagnosis.

3. - Only in 42% the doctor recommends to reduce or stop alcohol consumption. There is a statistically significant correlation between the existence of such a recommendation and the variation in consumption.

4. - Better prediction of risky drinking by Audit C than by Audit.

5. - Positive correlation between anxiety and newly diagnosed cancer,

1. - It is important to perform an alcohol screening and to give medical advice to reduce alcohol consumption.

2. - To be conscious of the anxiety levels of newly diagnosed patients.