Lei Frank, Chen Jing-Yi, Wang Wen-Chen, Lin Li-Min, Huang Hsien-Cheng, Ho Kun-Yen, Chen Yuk-Kwan
Division of Periodontology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Division of Oral Pathology & Maxillofacial Radiology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Gerodontology. 2015 Dec;32(4):281-7. doi: 10.1111/ger.12118. Epub 2014 Feb 21.
The aim was to provide information regarding oral and maxillofacial (OMF) lesions in an older Taiwanese population.
The rate of increase of older people in Taiwan is expected to be rapid. OMF lesions are very frequent in the older population, but no studies have been performed on these lesions in Taiwan.
OMF cases (between 2000 and 2011) in geriatric patients (≥60 years of age) with records of age, sex and histological diagnoses were retrieved from the Oral Pathology Department of our institution. These lesions were classified into four main categories: tumour/tumour-like reactive lesions, cystic/pseudocystic lesions, inflammatory/infective lesions and other miscellaneous lesions.
Six thousand seven hundred and twenty-six lesions were collected from a total of 39 503 OMF lesions in older Taiwanese patients in this study. Most of these lesions were distributed in the inflammatory/infective group, followed by tumour/tumour-like reactive lesions. Squamous cell carcinoma was the most common lesion, and, additionally, there was a high frequency of oral potentially malignant disorders.
The present study showed trends similar to previous reports from other countries. However, some detailed information was different, perhaps due to the different criteria and different geographic distribution. Worthy of note, our results indicated that screening for oral potentially malignant disorder and oral malignancy in the older population is essential.
旨在提供有关台湾老年人口口腔颌面（OMF）病变的信息。
台湾老年人口的增长速度预计将很快。OMF病变在老年人群中非常常见，但台湾尚未针对这些病变开展相关研究。
从本机构口腔病理科检索2000年至2011年期间老年患者（≥60岁）的OMF病例，记录其年龄、性别和组织学诊断。这些病变主要分为四类：肿瘤/肿瘤样反应性病变、囊性/假性囊性病变、炎症/感染性病变和其他杂类病变。
本研究共收集了39503例台湾老年患者的OMF病变，其中6726例。这些病变大多分布在炎症/感染性组，其次是肿瘤/肿瘤样反应性病变。鳞状细胞癌是最常见的病变，此外，口腔潜在恶性疾病的发生率也很高。
本研究显示出与其他国家先前报告相似的趋势。然而，一些详细信息有所不同，这可能是由于标准不同和地理分布不同所致。值得注意的是，我们的结果表明，对老年人群进行口腔潜在恶性疾病和口腔恶性肿瘤的筛查至关重要。
