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癌前病变的患病率及其向口腔癌的转变:一项临床研究。

Prevalence of Premalignant Conditions and Their Transformation Into Oral Cancers: A Clinical Study.

作者信息

Pavan Kumar Batchu, Narra Pallavi, Vidya Devi Vuyyuru, Gowtham Marella Vishnu, More Saudamini G, Mujoo Sheetal, Satish Kumar Neshaneni

机构信息

Department of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Sreepuram, Narketpally, Nalgonda, Telangana, India.

Department of Public Health Dentistry, Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2563-S2565. doi: 10.4103/jpbs.jpbs_384_24. Epub 2024 Jun 7.

Abstract

OBJECTIVES

The purpose of this study is to look at how often premalignant oral diseases are among patients who visit a tertiary care center, as well as how often these problems progress to become mouth malignancies.

METHODS

Between 2017 and 2022, 200 patients at a tertiary care facility who were identified with premalignant oral lesions had their medical records retrospectively examined. Information on lesion features, histological results, and demographics was gathered. Statistical analysis was used to determine the prevalence of premalignant oral lesions and the rate at which these lesions turned into oral malignancies, with a significance threshold of < 0.05.

FINDINGS

The research population's mean age was 55 years (SD ± 10), with a 65% male preponderance. The most prevalent premalignant lesions were leukoplakia (45%), erythroplakia (30%), and oral submucous fibrosis (25%). Remarkably, during follow-up, 40% of patients showed development of premalignant lesions into mouth malignancies. Based on statistical analysis, there were significant correlations ( < 0.05) between dysplastic alterations, age, tobacco use, and the development of oral malignancies from premalignant lesions.

CONCLUSION

In conclusion, this study highlights the need of early diagnosis and focused therapies in tertiary care settings by offering important insights into the occurrence and evolution of premalignant oral lesions. The results provide important information that may be used to create screening programs and preventive measures that will lessen the incidence of oral cancer.

摘要

目的

本研究旨在探讨三级医疗中心就诊患者中癌前口腔疾病的发病频率,以及这些问题发展为口腔恶性肿瘤的频率。

方法

2017年至2022年期间,对一家三级医疗机构中200例被诊断为癌前口腔病变的患者病历进行回顾性检查。收集病变特征、组织学结果和人口统计学信息。采用统计分析确定癌前口腔病变的患病率以及这些病变转变为口腔恶性肿瘤的发生率,显著性阈值<0.05。

结果

研究人群的平均年龄为55岁(标准差±10),男性占比65%。最常见的癌前病变是白斑(45%)、红斑(30%)和口腔黏膜下纤维化(25%)。值得注意的是,在随访期间,40%的患者癌前病变发展为口腔恶性肿瘤。基于统计分析,发育异常改变、年龄、吸烟与癌前病变发展为口腔恶性肿瘤之间存在显著相关性(<0.05)。

结论

总之,本研究通过提供有关癌前口腔病变的发生和演变的重要见解,强调了三级医疗环境中早期诊断和针对性治疗的必要性。研究结果提供了重要信息,可用于制定筛查计划和预防措施,以降低口腔癌的发病率。

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本文引用的文献

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Oral potentially malignant disorders: risk of progression to malignancy.口腔潜在恶性疾病:进展为恶性肿瘤的风险
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Critical evaluation of diagnostic aids for the detection of oral cancer.口腔癌检测诊断辅助手段的批判性评估。
Oral Oncol. 2008 Jan;44(1):10-22. doi: 10.1016/j.oraloncology.2007.06.011. Epub 2007 Sep 6.
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Oral cancer and precancerous lesions.口腔癌及癌前病变
CA Cancer J Clin. 2002 Jul-Aug;52(4):195-215. doi: 10.3322/canjclin.52.4.195.

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