Department of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences; Oral Cancer Screening Program, Biocon foundation, Bengaluru, Karnataka, India.
Healthcare, Biocon Foundation, Bengaluru, Karnataka, India.
Indian J Cancer. 2022 Jul-Sep;59(3):442-453. doi: 10.4103/ijc.IJC_128_21.
Oral cancer is usually preceded by oral potentially malignant disorders (OPMDs) and early detection can downstage the disease. The majority of OPMDs are asymptomatic in early stages and can be detected on routine oral examination. Though only a proportion of OPMDs may transform to oral squamous cell carcinoma (OSCC), they may serve as a surrogate clinical lesion to identify individuals at risk of developing OSCC. Currently, there is a scarcity of scientific evidence on specific interventions and management of OPMDs and there is no consensus regarding their management. A consensus meeting with a panel of experts was convened to frame guidelines for clinical practices and recommendations for management strategies for OPMDs. A review of literature from medical databases was conducted to provide the best possible evidence and provide recommendations in management of OPMDs.
口腔癌通常发生在口腔潜在恶性疾病(OPMDs)之前,早期发现可以降低疾病的分期。大多数 OPMDs 在早期阶段没有症状,可以通过常规口腔检查发现。尽管只有一部分 OPMDs 可能转化为口腔鳞状细胞癌(OSCC),但它们可以作为一种替代的临床病变来识别有发展为 OSCC 风险的个体。目前,关于 OPMDs 的具体干预措施和管理方面的科学证据有限,并且对于其管理方法也没有达成共识。为此,召集了一组专家进行了一次共识会议,制定了 OPMDs 的临床实践指南和管理策略建议。对医学数据库中的文献进行了回顾,以提供最佳的证据,并为 OPMDs 的管理提供建议。