Bruzinga Fábio Fernandes Borém, Fernandes Fernanda Carvalho Fulgêncio, Dias Fernanda Ribeiro, Lima Marla Gabriela, de Souza Paulo Eduardo Alencar, de Aguiar Maria Cássia Ferreira, Grossmann Soraya de Mattos Camargo
Department of Dentistry, School of Dentistry, Pontifícia Universidade Católica de Minas Gerais (PUC Minas), Belo Horizonte, Brazil.
Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil.
Oral Dis. 2023 Apr;29(3):1028-1038. doi: 10.1111/odi.14119. Epub 2022 Jan 18.
To describe the frequency, clinical, and demographic features of minor salivary gland tumors and possible associated factors.
A cross-sectional study was conducted. Clinical and demographic data were collected from biopsy records of two oral pathology services. Chi-square test, Fisher's exact test, and descriptive statistical analysis were performed.
A total of 480 (0.89%) minor salivary gland tumors were retrieved, 272 (56.7%) benign and 147 (30.7%) malignant. Sixty-one (12.6%) had no subtype specification. Most patients were women (307/64.0%), in sixth decade of life (80/16.7%), with a mean age of 45.32 years. Palate was the most common site (336/70.1%). Pleomorphic adenoma (PA; 245/51.1%), mucoepidermoid carcinoma (MEC; 70/14.6%), and adenoid cystic carcinoma (ACC; 43/8.9%) were the most frequent tumors. Symptomatic case, recurrence, and tobacco use were associated with malignancy (p < 0.05). PA and MEC were more frequent in palate (p < 0.05). No association between the three most frequent histological types and gender or age group was observed (p > 0.05).
This represents one of the largest exclusive series of minor salivary gland tumors in Brazil and worldwide. PA, MEC, and ACC were the most frequent tumors. Clinical and demographic data are similar from Brazilian studies or from other countries.
描述小涎腺肿瘤的发病率、临床及人口统计学特征以及可能的相关因素。
进行了一项横断面研究。从两个口腔病理科的活检记录中收集临床和人口统计学数据。进行了卡方检验、费舍尔精确检验和描述性统计分析。
共检索到480例(0.89%)小涎腺肿瘤,其中272例(56.7%)为良性,147例(30.7%)为恶性。61例(12.6%)未明确亚型。大多数患者为女性(307例/64.0%),年龄在60岁左右(80例/16.7%),平均年龄为45.32岁。腭部是最常见的部位(336例/70.1%)。多形性腺瘤(PA;245例/51.1%)、黏液表皮样癌(MEC;70例/14.6%)和腺样囊性癌(ACC;43例/8.9%)是最常见的肿瘤。有症状的病例、复发和吸烟与恶性肿瘤相关(p<0.05)。PA和MEC在腭部更为常见(p<0.05)。未观察到三种最常见组织学类型与性别或年龄组之间存在关联(p>0.05)。
这是巴西乃至全球最大的小涎腺肿瘤独立系列研究之一。PA、MEC和ACC是最常见的肿瘤。临床和人口统计学数据与巴西或其他国家的研究相似。