Department of Oral Pathology and Microbiology, DAPM R V Dental College and Hospital, Bengaluru 560078, Karnataka, India.
Department of Oral Pathology & Microbiology, M. S. Ramaiah Dental College, Bengaluru, Karnataka, India.
Dis Mon. 2020 Dec;66(12):101033. doi: 10.1016/j.disamonth.2020.101033. Epub 2020 Jun 30.
Oral cancer represents a blend of genetic and epigenetic instability. Many a times, oral cancer occurs in the background of oral potentially malignant disorders (OPMDs), which could be easily detected and diagnosed. Various diagnostic aids have been explored for early detection of oral cancer. Some of the minimally invasive (chair-side diagnostic) procedures such as vital staining and light-based systems are used widely in the clinical practice as well as in the hospital setting owing to their simple and easy operability. In addition, these chair-side diagnostic procedures offer relatively good sensitivity and specificity despite some of their limitations. These diagnostic tools could complement good clinical history and thorough examination of patients for early detection of oral precancer and cancer.
口腔癌是遗传和表观遗传不稳定的混合体。很多时候,口腔癌发生在口腔潜在恶性疾病(OPMDs)的背景下,这些疾病可以很容易被发现和诊断。已经探索了各种诊断辅助手段来早期发现口腔癌。一些微创(椅旁诊断)程序,如活组织染色和基于光的系统,由于其简单易用的操作性,在临床实践和医院环境中得到了广泛应用。此外,尽管这些椅旁诊断程序存在一些局限性,但它们具有相对较好的灵敏度和特异性。这些诊断工具可以补充良好的临床病史和对患者的彻底检查,以早期发现口腔癌前病变和癌症。