Dhanuthai Kittipong, Kintarak Sompid, Subarnbhesaj Ajiravudh, Chamusri Nutchapon
Department of Oral Pathology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Department of Stomatology, Faculty of Dentistry, Prince of Songkla University, Hatyai, Songkhla, Thailand.
Eur J Dent. 2020 Jul;14(3):435-439. doi: 10.1055/s-0040-1713296. Epub 2020 Jun 15.
Tongue lesions constitute a considerable proportion of the oral lesions. Previous studies on tongue lesions were based on clinical studies. There has been a scarcity of the studies which are based on histopathological examination. This study aimed to determine the prevalence, demographic, and pathologic features of tongue lesions from Thailand.
Biopsy records of the participating institutions were reviewed for lesions on the tongue diagnosed during 1998 to 2017. Demographic data were collected from the biopsy records. Locations were arbitrarily classified as dorsal, lateral, and ventral surfaces, tip of the tongue, and the combination of sites. Lesions of the tongue were classified as reactive/inflammatory, developmental, immune-mediated, cystic, benign, premalignant, malignant, infectious, and miscellaneous categories.
Data were analyzed by descriptive statistics using SPSS version 20.0.
Of the 44,188 accessioned cases, 2,153 cases (4.87%) were diagnosed from the tongue. The age of the patients ranged from 3 to 93 years with the mean ± standard deviation = 45.26 ± 20.48 years. The female-to-male ratio was 1.49:1. The majority of the tongue lesions were encountered at the lateral border of the tongue (47.66%). Most of the tongue lesions in the present study (53.74%) fell into the reactive/inflammatory category. Irritation fibroma was the most prevalent lesion (18.99%) followed by squamous cell carcinoma (16.91%), and mucus extravasation phenomenon (14.26%), respectively.
This study offers new perspective into the study of tongue lesions apart from the clinically based studies. It also demonstrates the difference between the pediatric and the elderly patients. This study provides invaluable database for clinicians when formulating the clinical diagnosis of tongue lesions.
舌部病变在口腔病变中占相当比例。以往关于舌部病变的研究多基于临床研究。基于组织病理学检查的研究较少。本研究旨在确定泰国舌部病变的患病率、人口统计学特征和病理特征。
回顾参与机构1998年至2017年期间诊断的舌部病变活检记录。从活检记录中收集人口统计学数据。部位被任意分类为舌背、舌侧、舌腹、舌尖以及部位组合。舌部病变分为反应性/炎症性、发育性、免疫介导性、囊性、良性、癌前病变、恶性、感染性和其他类别。
使用SPSS 20.0版进行描述性统计分析数据。
在44188例登记病例中，2153例（4.87%）诊断为舌部病变。患者年龄范围为3至93岁，平均±标准差=45.26±20.48岁。女性与男性比例为1.49:1。大多数舌部病变发生在舌侧缘（47.66%）。本研究中大多数舌部病变（53.74%）属于反应性/炎症性类别。刺激性纤维瘤是最常见的病变（18.99%），其次是鳞状细胞癌（16.91%）和黏液外渗现象（14.26%）。
本研究为舌部病变的研究提供了除基于临床研究之外的新视角。它还展示了儿童患者和老年患者之间的差异。本研究为临床医生在制定舌部病变的临床诊断时提供了宝贵的数据库。
