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口腔和口咽癌更新:口腔保健提供者指南。

Update on Oral and Oropharyngeal Cancers: A guide for oral health care providers.

机构信息

Massachusetts College of Pharmacy and Health Sciences Boston, MA, USA

Medical Scientist Training Program University of Miami Miller School of Medicine Miami, FL, USA.

出版信息

J Dent Hyg. 2024 Apr;98(2):39-46.

PMID:38649286
Abstract

Oral squamous cell carcinomas (OSCC) signs and symptoms may be first identified by dental hygienists during routine extra and intra-oral examinations. A comprehensive extra-oral and intra-oral examination during regular dental hygiene assessment is paramount to identifying oral potentially malignant disorders (OPMD) and cancerous lesions for timely referral and treatment. Integrating a systematic list of questions during the medical and dental assessment along with careful visual and tactile examinations is critical to identifying OPMDs and cancerous lesions. Understanding the relationship between oropharyngeal squamous cell carcinomas (OPSCC) and Human Papilloma Virus (HPV) and how vaccination can prevent HPV-related OPSCC is critical to providing evidence-based recommendations and care. The purpose of this report is to provide an update on current epidemiological trends of OSCC and OPSCC rates in the United States (US) and provide the latest evidence on what dental hygienists must know to improve health outcomes and mitigate the consequences of undiagnosed cancer. This report considers enduring challenges with the annual rise in OPSCC rates and the public health burden of HPV-related cancers in the US. Emphasis on regular, quality continuing education about OSCC and OPSCC is emphasized along with recommendations for evidence-based training.

摘要

口腔鳞状细胞癌 (OSCC) 的症状和体征可能首先由牙科保健员在常规的口腔外和口腔内检查中发现。在定期的牙科保健评估中进行全面的口腔外和口腔内检查对于及时发现口腔潜在恶性疾病 (OPMD) 和癌性病变至关重要,以便进行转介和治疗。在医疗和牙科评估过程中纳入一系列系统问题,并进行仔细的视觉和触觉检查,对于识别 OPMD 和癌性病变至关重要。了解口咽鳞状细胞癌 (OPSCC) 与人类乳头瘤病毒 (HPV) 之间的关系,以及疫苗接种如何预防 HPV 相关的 OPSCC,对于提供循证建议和护理至关重要。本报告旨在提供美国 (US) 口腔鳞状细胞癌和口咽鳞状细胞癌发病率的最新流行病学趋势更新,并提供牙科保健员必须了解的最新证据,以改善健康结果并减轻未确诊癌症的后果。本报告考虑了与 OPSCC 发病率每年上升以及美国 HPV 相关癌症的公共卫生负担相关的持久挑战。强调定期、高质量的关于 OSCC 和 OPSCC 的继续教育,并提出了循证培训的建议。

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