Röth G J, Schirner E, Hornstein O P, Simon M
Dtsch Med Wochenschr. 1984 Aug 17;109(33):1229-31. doi: 10.1055/s-2008-1069353.
In a prospective study of 102 patients with pre-neoplasia and/or manifest squamous-cell carcinoma of the lower lip the synchronous occurrence of intra-oral, pharyngeal or laryngeal leukoplakia and carcinoma was assessed. There was a coincidence rate of almost 15% leukoplakias, including individual carcinomas. This high coincidence is probably due to a combination of various "risk profiles" in patients with threatened or manifest lower-lip cancer. Chronic exposure to sunlight, especially in the presence of a genetic disposition, is the most important risk factor in lower-lip cancer and its preceding stages, while chronic alcoholism and smoking abuse have little etiological significance.
在一项对102例下唇癌前病变和/或明显鳞状细胞癌患者的前瞻性研究中,评估了口腔、咽部或喉部白斑与癌的同步发生情况。白斑(包括个别癌)的发生率接近15%。这种高发生率可能是由于下唇癌处于威胁状态或已确诊的患者存在多种“风险特征”。长期暴露于阳光下,尤其是存在遗传易感性时,是下唇癌及其前期阶段最重要的危险因素,而慢性酒精中毒和吸烟滥用在病因学上意义不大。