Prevalence of Oral Lesions Diagnosed at a Pathology Institute: A Four-year Analysis

Authors

  • Jordana Zimmer
  • Raíssa Rigo Garbin
  • Mayara Trapp Vogel
  • Lilian Rigo

Keywords:

Biopsy, Neoplasms, Diagnosis, Oral, Pathology, Oral

Abstract

Objective: To identify the most prevalent oral lesions based on reports from a pathology institute’s reports and associations between malignant and oral potentially malignant disorders with patient’s demographic variables and the anatomical location. Material and Methods: All 1,298 histopathological reports of oral lesions recorded in the database were reviewed. Demographic variables, anatomical location of the lesion, histopathological diagnosis of the lesions, and their biological behavior were analyzed. Results: Regarding the biological behavior of the identified lesions, benign lesions were predominant (70%), followed by lesions of undetermined behavior (14.3%), malignant lesions (14.2%), absence of histological alteration (1.2%), and finally, oral potentially malignant disorders (0.5%). The anatomical locations of the most prevalent oral lesions potentially malignant disorders and malignant were in the following structures of the oral cavity: gums, buccal mucosa, floor of the mouth and hard palate (p=49.2%), and tongue (p=48.7%). Conclusion: The probability of malignant and premalignant lesions was higher among males (PR= 4.21; 95% CI 2.08-6.22), the increase in age (PR = 1.06; 95% CI 1.05-1.08), and in the tongue region (PR = 5.48; 95% CI 1.67; 17.92). Identification of malignant and potentially malignant oral conditions is higher in older men and in tongue specimens.

References

Emerick C, Barki MCLJM, Tucci R, Barros EMVB, Azevedo RS. Sociodemographic and clinicopathological profile of 80 cases of oral squamous cell carcinoma. J Bras Patol Med Lab 2020; 56:e1492020. https://doi.org/10.5935/1676-2444.20200001

Mendez M, Haas AN, Rados PV, Sant'ana M Filho, Carrard VC. Agreement between clinical and histopathologic diagnoses and completeness of oral biopsy forms. Braz Oral Res 2016; 30(1):e94. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0094

Ziv E, Durack JC, Solomon SB. The importance of biopsy in the era of molecular medicine. Cancer J 2016; 22(6):418-422. https://doi.org/10.1097/PPO.0000000000000228

Abati S, Bramati C, Bondi S, Lissoni A, Trimarchi M. Oral cancer and precancer: A narrative review on the relevance of early diagnosis. Int J Environ Res Public Health 2020; 17(24):9160. https://doi.org/10.3390/ijerph17249160

Ray JG. Oral potentially malignant disorders: Revisited. J Oral Maxillofac Pathol 2017; 21(3):326-327. https://doi.org/10.4103/jomfp.JOMFP_224_17

Alam MS, Siddiqui SA, Perween R. Epidemiological profile of head and neck cancer patients in Western Uttar Pradesh and analysis of distributions of risk factors in relation to site of tumor. J Cancer Res Ther 2017; 13(3):430-435. https://doi.org/10.4103/0973-1482.180687

Freitas CJR, Silva JA, Barbosa MHPA, Pereira LKM. Oral cancer in the state of Rio Grande do Norte: An ecological study. Revista Ciência Plural 2020; 6(2):125-139.

Bertoja IC, Tomazini JG, Braosi APR, Zielak JC, Reis LFG, Giovanini AF. Prevalência de lesões bucais diagnosticadas pelo Laboratório de Histopatologia do UnicenP. RSBO 2007; 4(2):41-46. [In Portuguese].

Torres-Pereira CC, Angelim-Dias A, Melo NS, Lemos CA Jr, Oliveira EM. Abordagem do câncer da boca: uma estratégia para os níveis primário e secundário de atenção em saúde. Cad Saude Publica 2012; 28(Suppl):s30-39. https://doi.org/10.1590/s0102-311x2012001300005 [In Portuguese].

Soares ÉC, Bastos Neto BC, Santos LPDS. Estudo epidemiológico do câncer de boca no Brasil. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo 2019; 64(3):192-198. https://doi.org/10.26432/1809-3019.2019.64.3.192 [In Portuguese].

Ledesma-Montes C, Hernández-Guerrero JC, Durán-Padilla MA, Alcántara-Vázquez A. Squamous cell carcinoma of the tongue in patients older than 45 years. Braz Oral Res 2018; 32:e123. https://doi.org/10.1590/1807-3107bor-2018.vol32.0123

Montero PH, Patel SG. Cancer of the oral cavity. Surg Oncol Clin N Am 2015; 24(3):491-508. https://doi.org/10.1016/j.soc.2015.03.006

Iftikhar A, Islam M, Shepherd S, Jones S, Ellis I. What is behind the lifestyle risk factors for head and neck cancer? Front Psychol 2022; 13:960638. https://doi.org/10.3389/fpsyg.2022.960638

Dhanuthai K, Rojanawatsirivej S, Thosaporn W, Kintarak S, Subarnbhesaj A, Darling M, et al. Oral cancer: A multicenter study. Med Oral Patol Oral Cir Bucal 2018; 23(1):e23-e29. https://doi.org/10.4317/medoral.21999

Ribeiro IL, de Medeiros JJ, Rodrigues LV, Valença AM, Lima Neto Ede A. Factors associated with lip and oral cavity cancer. Rev Bras Epidemiol 2015; 18(3):618-629. https://doi.org/10.1590/1980-5497201500030008

Boza OYV, López SA. Análisis retrospectivo de las lesiones de la mucosa oral entre 2008-2015 en el internado clínico de odontología de la Universidad de Costa Rica. PSM 2019; 16(2):134-154. https://doi.org/10.15517/psm.v0i0.34404 [In Spanish].

Reys IG, Scarini JF, Fontes KBFC, Barki MCM, Azevedo RS, Tucci R. Análise do diagnóstico citopatológico realizado em pacientes atendidos na clínica de estomatologia do curso de odontologia da Universidade Federal Fluminense, Nova Friburgo / RJ. Rev Odontológica de Araçatuba 2017; 38(2):46-50. [In Portuguese].

Posada-López A, Palacio MA, Grisales H. Supervivencia de los pacientes con cáncer escamocelular bucal, tratados por primera vez, en centros oncológicos en el periodo 2000 a 2011, Medellín-Colombia. Rev Fac Odontol Univ Antioq 2016; 27(2):245-261. [In Spanish].

Candia J, Fernández A, Somarriva C, Horna-Campos O. Mortalidad por cáncer oral en Chile, 2002-2012. Rev Med Chil 2018; 146(4):487-493. https://doi.org/10.4067/s0034-98872018000400487 [In Spanish].

Werner B, Campos AC, Nadji M, Torres LFB. Practical use of immunohistochemistry in surgical pathology. J Bras Patol e Med Lab 2005; 41(5):353-364. https://doi.org/10.1590/S1676-24442005000500011

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Published

2023-11-18

How to Cite

Zimmer, J., Garbin, R. R., Vogel, M. T., & Rigo, L. (2023). Prevalence of Oral Lesions Diagnosed at a Pathology Institute: A Four-year Analysis. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 24, e230037. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/2791

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Original Articles