A scientific survey on 1550 cases of oral lesions diagnosed in a Brazilian referral center (original) (raw)
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Gerodontology, 2010
Gerodontology 2010;00; doi: 10.1111/j.1741-2358.2010.00370.x Epidemiological study of 534 biopsies of oral mucosal lesions in elderly Brazilian patientsBackground: The number of elderly people in Brazil has increased during the last few decades. Oral lesions are very common in this age group, but few studies have examined the prevalence of these conditions worldwide and, particularly, in Brazil.Purpose: This study aimed to evaluate the frequency of oral lesions in an elderly Brazilian population.Materials and methods: A total of 534 cases of oral lesions retrieved from the files of the Oral Pathology Laboratory of the School of Dentistry, University of Pernambuco, between 1991 and 2008, were descriptively and qualitatively evaluated.Results: In this study, the oral mucosal lesions cases preferentially affected women (n = 357; 66.8%), white persons (n = 253; 47.3%), in the seventh decade of life (n = 361; 67.6%), and with lesions predominantly located on the gingival/alveolar ridge (n = 102; 19.1%). The non-neoplastic lesions (n = 353; 66.1%) were more prevalent than benign neoplasms (n = 85; 15.9%), oral cancers (n = 56; 10.4%) and potentially malignant lesions (n = 40; 7.4%). The five most predominant diseases were fibrous hyperplasia, non-specific chronic inflammatory processes, oral squamous cell carcinoma, non-specified odontogenic cysts and epithelial dysplasia.Conclusions: Our results may be helpful in understanding the distribution of oral diseases in this very specific age group that requires special attention.
Journal of Public Health, 2019
Aim To perform an epidemiological and clinical analysis of cases of oral cancer (OC) and potentially malignant disorders (PMDs). Subjects and methods This retrospective study was based on the analysis of data from 631 patients who attended a clinic of the Interdisciplinary League of Oral Cancer (LINCCO) of a public university of northeastern Brazil over a time period of 12 years. Sociodemographic, economic, and clinical variables were investigated. Descriptive, bivariate, and multivariate statistical analyses using Poisson regression were performed. Results During the analyzed period, 19.3% (n = 122) of cases were related to diagnoses of some type of OC or PMDs. The majority of patients were male (60.7%) and in the fifth (22.0%) or sixth (23.7%) decades of life. The reported smoking and alcohol consumption were 27.0% and 27.9%, respectively. The most prevalent lesions were actinic cheilitis (48.4%) and squamous cell carcinoma (SCC) (23.8%). The most affected anatomical region was the lower lip (45.1%). The prevalence of smoking was higher among those who presented with OC [prevalence ratio (PR) = 2.56, 95% confidence interval (CI) = 1.54-4.24, p < 0.001)] compared to those who presented with a PMD. Conclusion Public health managers and the scientific community should continue to direct efforts to raise public awareness about protective and preventive measures for OC and PMDs, including early diagnosis and frequent visits to the dentist. Otherwise, the rates of these injuries may continue to grow exponentially, significantly impacting the health indicators of the population.
Oral lesions in elderly patients of a community in Brazilian Northeast
Gerodontology, 2012
Oral lesions in elderly patients of a community in Brazilian Northeast Objective: To investigate the oral soft-tissue injuries in people aged 60 or older. Methods: Cross-sectional research conducted with 262 elders aged 60-93 years (mean 69.84, SD ± 6.212) from the Dende community in Northeast, Brazil. Data were collected through an identification questionnaire and the Community Indicator in Oral Health. Data were computed by the Software SPSS, version 15. Results: There was a predominance of female gender (64.1%), retired, low schooling and income of up to one minimum wage. It was detected a prevalence of soft-tissue injuries in 38.4% (n = 101) of the elders, distributed as follows: red spots 60(57.7%), blisters 20(19.2%), lesions and/or wound 16(15.4%), and white spot 8(7.7%). Among the elders, 40(15.3%) smoked and 20(7.6%) used alcohol. It was verified a statistical association between injuries and using prosthesis (p = 0.039), medicine (p = 0.023) and calculus (p = 0.016). Conclusion: The oral health of this population is precarious, and there is a high prevalence of oral lesions.
Oral Lesions Diagnosed during Oral Cancer Prevention Campaign in Fernandópolis, Brazil, 2015
World Journal of Dentistry, 2015
Background To describe oral lesions diagnosed during oral cancer prevention campaign performed in Fernandópolis, Brazil, in 2015. Materials and methods Patients who attended for the Basic Health Units of the city of Fernandópolis on the day of the campaign were examined by dental surgeons who searched for oral lesions clinically suggestive for oral squamous cell carcinoma (SCC) or potentially malignant lesions. Final diagnosis was obtained by a re-evaluation of patients with suspicious lesions performed by an expert in oral diseases. Results Seven hundred and sixty-two patients were examined during the campaign; although 96 (12.59%) presented with oral suspicious lesions and forwarded for re-evaluation, only 72 (9.44%) attended for re-evaluation and got the final diagnosis. Among re-evaluated patients, only 1 (1.38%) was diagnosed with oral SCC, whereas 56 (77.77%) were diagnosed with oral benign lesions, and 19 (26.38%) were diagnosed with oral normality variations. Conclusion Oral...
Brazilian Journal of Development, 2021
Introduction: As one of the most common human malignancies, oral and oropharyngeal cancer represents a challenge in global public health. Objective: To describe the lesions diagnosed during an oral cancer prevention campaign carried out in Fernandópolis, Brazil, in 2018. Material and methods: Patients treated at the basic health units in Fernandópolis on the day of the campaign were examined by a previously trained dentist who looked for suggestive oral lesions with malignant potential. Patients with suspicious lesions were scheduled for re-evaluation by an oral disease specialist to obtain the correct diagnosis of the lesion. Results: 956 patients were examined during the campaign. Among them, 75 (7.84%) were referred, however, 66 (88%) attended for reassessment and proper diagnostic management by the dentist specializing in oral diseases. Were diagnosed 59 benign oral lesions and 23 variations from normality, no patient was diagnosed with malignant oral lesion. Conclusion: The absence of a diagnosis of oral cancer during the campaign suggests the need to reassess its methodology, aiming to reach a target audience with a higher risk of carrying oral lesions that lead to malignant manifestations. It is also noteworthy that health professionals need better training to clinically recognize lesions suggestive of oral cancer.
Oral lesions in elderly population: a biopsy survey using 2250 histopathological records
Gerodontology, 2006
Objective: To perform an oral biopsy survey focused on the incidence of oral lesions in Brazilian elderly patients.Methods: A total of 17 329 oral biopsy records were analysed and divided into two age groups: elderly patients, ≥60 years old; and non-elderly patients, <60 years old. Information about sex, race, age and histopathological diagnosis (categorised in non-neoplastic and neoplastic lesions) was collected. Differences of diagnosis incidence were tested by comparison between two proportions (binomial test).Results: The incidence of epithelial malignant neoplasms and pre-malignant lesions in the elderly group was higher than non-elderly group, as well as autoimmune diseases and salivary gland tumours. The three most prevalent lesions in the elderly group were inflammatory fibrous hyperplasia, squamous cell carcinoma, and fibroma.Conclusion: The distribution of oral diseases using biopsies allows greater accuracy in data about oral health of elderly patients, especially when considering malignant and pre-malignant lesions.
Medicina oral, patología oral y cirugía bucal, 2008
The aim of this study was to investigate risk factors and clinical aspects associated with oral squamous cell carcinoma (OSCC) in young patients as compared to older ones. STUDY DESIGN. Data was obtained by retrospective analysis of files of patients with OSCC, who were categorised into two groups: the young group (< or =40 years old) and the older group (> 40 years old). Clinical data, including habits, familial antecedents, medical records and occupation were collected. One hundred and twenty-one patients were found to have OSCC; 13 (10.7%) were young individuals and 108 (89.3%) older ones. Consumption of tobacco and/or alcohol was reported by 7 (53.8%) young patients and by 81 (75.0%) older patients, this difference not being statistically significant (P = 0.18). However, only 1 young patient (12.5%) was a heavy consumer of tobacco and alcohol as opposed to 49 (60.5%) of the older patients. Familial antecedents of malignant neoplasm were reported by 11 (84.6%) young patient...
Journal of the American Geriatrics Society, 2017
The aim of this study was to investigate the prevalence of oral and maxillofacial lesions among older adults (≥60 years) from representative regions in Brazil. Retrospective descriptive cross-sectional study. Biopsy records were obtained from the archives of four Brazilian referral centers of oral diagnosis between 2000 and 2016. A total of 45,506 biopsy records of all patients were analyzed, of these 7,259 persons aged 60 and older were selected. Data such as gender, age, race, anatomical location, and histopathological diagnosis were collected and categorized. Pearson's chi-square test (P < .005) was used to evaluate differences in the frequency of the several groups of oral lesions. Oral and maxillofacial lesions were diagnosed in 7,259 older people, including 59.4% women (P < .001) and 61.3% white patients (P = .07). The most commonly affected sites were the cheek mucosa (20.3%) and mandible (8.9%) (P < .001). Reactive and inflammatory lesions were the most common l...