scholarly journals Gender and risk‐taking behaviors influence the clinical presentation of oral squamous cell carcinoma

Author(s):  
Susanne Wolfer ◽  
Annika Kunzler ◽  
Tatjana Foos ◽  
Cornelia Ernst ◽  
Andreas Leha ◽  
...  
2022 ◽  
Author(s):  
Jeyashanth Riju ◽  
Amit Jiwan Tirkey ◽  
Malavika Babu ◽  
Ronald Anto ◽  
Amey Madhav Baitule ◽  
...  

Abstract Oral squamous cell carcinoma(OSCC) involving tongue and buccoalveolar complex(BAC) behaves differently. Clinical features of the two subsites and their influence on pathological factors remain least analysed. Patients are divided into two groups i.e, tongue cancer and BAC cancer group, and various clinical parameters were compared. Among 474 patients 232 had tongue cancer and 242 had BAC cancer. 30% of patients with OSCC were asymptomatic at presentation except for the ulcer. Compared to tongue cancers, lesions confined to BAC presents at an advanced stage(p=0.006). Multivariate analysis showed that dysphagia in tongue cancer(p=0.020) and external swelling or lesion in BAC cancers(p=0.002) were significant predictors of an advanced stage of disease. On histopathology perineural invasion was significantly associated tongue(p=0.008) and BAC cancers(P=0.015). Among tongue cancers, those with pain and referred otalgia had a statistically significantly high depth of invasion(DOI), compared to those without pain (DOI – no pain 6.9mm, pain 9.9mm and referred otalgia 11.4mm). There is a delay in clinical presentation of OSCC. Among tongue cancers, clinical history of pain was significantly associated with depth of invasion and perineural invasion, the significance of which needs to be prospectively analysed. Clinical history in OSCC can be used as predicting factors for various pathological characters, which is subsite specific.


2021 ◽  
Vol 28 (08) ◽  
pp. 1067-1075
Author(s):  
Fahad Ahmed ◽  
◽  
Hassan Shahid ◽  
Salman Shafique ◽  
Aswad Ahmed ◽  
...  

Objectives: The objectives of this study were to determine the prevalence of Human Papilloma virus 16 in patients with oral squamous cell carcinoma presenting at Isra University Hospital and to correlate the existence of Human Papilloma virus 16 in squamous cell carcinoma with clinical presentation, habits and histological grading. Study Design: Interventional Study. Setting: Department of Oral Surgery, Isra Dental College Hospital. Period: July 2017 to December 2017. Material & Methods: A sample of 60 patients presenting were selected by non-probability purposive sampling. Patients reporting to Isra Dental College, Oral Surgery OPD Isra University during the study period with clinical suspicion of Oral Squamous Cell Carcinoma were included. Results: Age category was from 20 till 60+ years of age whereas age group of 40-49 (36.7%) was the most frequent age in the study population followed by 30-39 (30%) years and 50-59 (23.3%) years of age respectively. The mean and standard deviation was 43.35 ± 10.156 respectively. Maximum numbers of people were seen to have more than one habit i.e. they were using guthka with smoking or areca nut with guthka and smoking etc. areca nut, cigarette smoking and guthka were among the others most used. The mean was 6.32 with standard deviation of 2.954. Most of the patients had submucous fibrosis on the right side of buccal vestibule 24 (40%) and 22 (36.7%) had submucous fibrosis on the left side of buccal vestibule. 56 (93.3%) of the patients had well differentiated squamous cell carcinoma whereas 4 (6.7%) has moderately differentiated squamous cell carcinoma. No patients were seen to have poorly differentiated squamous cell carcinoma. Conclusion: In conclusion, the Prevalence of HPV 16 in our study was found to be 11.7%. There was no association between habits and histological grading with Human Papillomavirus 16 in patient with oral squamous cell carcinoma. But there was association between HPV16 and clinical presentation of OSCC because of p-value (.015) which was significant.


2003 ◽  
Vol 7 (1) ◽  
pp. 46-51 ◽  
Author(s):  
Paulo Rogério de Faria ◽  
Sérgio Vitorino Cardoso ◽  
Sérgio de A. Nishioka ◽  
Sindeval José Silva ◽  
Adriano Mota Loyola

2013 ◽  
Vol 1 (2) ◽  
pp. 02-06
Author(s):  
SM Anwar Sadat ◽  
Sufia Nasrin Rita ◽  
Shoma Banik ◽  
Md Nazmul Hasan Khandker ◽  
Md Mahfuz Hossain ◽  
...  

A cross sectional study of 29 cases of oral squamous cell carcinoma with or without  cervical lymph node metastasis was done among Bangladeshi patients from January 2006 to December 2007. Majority of the study subjects (34.5%) belonged to the age group of 40-49 years. 58.6% of the study subjects were male, while remaining 41.4% of them were female. 51.7% of the lesions were located in the alveolar ridge where the other common sites were buccal mucosa (27.6%) and retro molar area (13.8%). Half of the study subjects (51.7%) were habituated to betel quid chewing followed by 37.9% and 10.3% were habituated to smoking and betel quid-smoking respectively. Grade I lesions was most prevalent (75.9%) in the study subjects.  Majority of cases presented with Stage IV lesions (55.2%). The sensitivity, specificity, positive predictive value, negative predictive value & accuracy of clinical palpation method for determining metastatic cervical lymph nodes were 93.33%, 64.29%, 73.68%, 90% and 79.3% respectively. Careful and repeated clinical palpation plays important role in evaluation of cervical lymph nodes though several modern techniques may help additionally in the management of oral cancer.DOI: http://dx.doi.org/10.3329/updcj.v1i2.13978 Update Dent. Coll. j. 2011: 1(2): 02-06


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