Development and Evolution of a Diagnostic and Oral Pathology Service in a Southeast Brazilian State
Palavras-chave:mouth neoplasms/diagnosis, carcinoma, squamous cell, early diagnosis, health services
Introduction: Oral squamous cell carcinoma (OSCC) is one of the most frequent cancers whose main causes are preventable because oral cavity is easily accessible for examination. OSCC involves many steps from the diagnosis until treatment which can result in late diagnosis and worst prognosis. Objective: Development and evolution of a Stomatology and Oral Pathology Service at the Federal University of Alfenas addressing early diagnosis and management of oral lesions. Method: Retrospective study developed with the files from 1998 to 2019. Data from all the cases diagnosed as oral malignancies were collected and the demographical, clinical, and microscope diagnosis were included. Results: 270 (84.64%) OSCC were found among 8,952 histopathological diagnoses. The patients age ranged from 24 to 94 years (mean 59.7±13.1 years), and more frequent in the sixth (32.3%) and seventh (26%) decades of life. Men were 2.5 times more affected than women. Most of patients were Caucasian (74.8%), and users of tobacco and alcohol. Over the years, there was an increase in the number of cases diagnosed and expansion of the area covered by the Service. Conclusion: The Dental Clinic (Stomatology) and Oral Pathology Laboratory has been playing an important role for the establishment and improvement of the healthcare system to the local population, mainly in rural areas.
Abdo EN, Garrocho AA, Barbosa AA, et al. Time elapsed between the first symptoms, diagnosis and treatment of oral cancer patients in Belo Horizonte, Brazil. Med Oral Patol Oral Cir Bucal. 2007;12(7):E469-73.
Santos LCO, Batista OM, Cangussu MCT. Characterization of oral cancer diagnostic delay in the state of Alagoas. Braz J Otorhinolaryngol. 2010;76(4):416-22. doi: https://doi.org/10.1590/S1808-86942010000400002
Martins Filho PRS, Santos TS, Silva LCF, et al. Oral cancer in Brazil: a secular history of public health policies. Rev Gauch Odontol. 2014;62(2):159-64. doi: https://doi.org/10.1590/1981-8637201400020000091688
Ribeiro ILA, Nobrega JBM, Valenca AMG, et al. Predictors for oral cancer in Brazil. Rev Odontol UNESP. 2017;46(6):325-29. doi: https://doi.org/10.1590/1807-2577.06117
Franca GM, Silva LAB, Silva FMA, et al. Epidemiological profile of oral squamous cell carcinoma in a Northeastern Brazilian state. Arch Head Neck Surg. 2018;47(2):e910. doi: https://doi.org/10.4322/ahns.2018.0910
Paraguassu EC, Ramos PF, Oliveira LB, et al. Systematic review of the epidemiology of oral cancer in Brazil. Int J Innov Educ Res. 2019;7(4):366-74. doi: https://doi.org/10.31686/ijier.vol7.iss4.1431
Faria SO, Nascimento MC, Kulcsar MAV. Malignant neoplasms of the oral cavity and oropharynx treated in Brazil: what do hospital cancer records reveal? Braz J Otorhinolaryngol. 2020;S1808-8694(20)30089-6. doi: https://doi.org/10.1016/j.bjorl.2020.05.019
Wunsch-Filho V. The epidemiology of oral and pharynx cancer in Brazil. Oral Oncol. 2002;38(8):737-46. doi: https://doi.org/10.1016/S1368-8375(02)00066-0
Silva PGB, Mesquita KC, Dantas TS, et al. A ten-year retrospective study of the clinical, sociodemographic, and survival characteristics of patients with oral and pharyngeal squamous cell carcinomas. Braz J Health Rev. 2019;2(6):5160-72. doi: https://doi.org/10.34119/bjhrv2n6-022
Curado MP, Johnson NW, Kerr AR, et al. Oral and oropharynx cancer in South America: incidence, mortality trends and gaps in public databases as presented to the Global Oral Cancer Forum. Transl Res Oral Oncol. 2016;1:1-7. doi: https://doi.org/10.1177/2057178X16653761
Instituto Nacional de Câncer Jose Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2019.
Fonseca EP, Oliveira CDL, Chiaravalloti Neto F, et al. Bayesian model and spatial analysis of oral and oropharynx cancer mortality in Minas Gerais, Brazil. Cienc Saude Colet. 2018;23(1):153-60. doi: https://doi.org/10.1590/1413-81232018231.17022015
Soto AL, Sousa AA, Pinheiro LC, et al. Oral cancer: socio-spatial analysis of a Brazilian sample. Rev Bras Cancerol. 2020;66(3):e-061029. doi: https://doi.org/10.32635/2176-9745.RBC.2020v66n3.1029
Grossmann SMC, Sales ACR, Reis DS, et al. Knowledge of oral cancer by a Brazilian population. J Cancer Educ. 2021;36(5):965-70. doi: https://doi.org/10.1007/s13187-020-01722-4
Carli ML, Santos SL, Pereira AAC, et al. Características clinicas, epidemiológicas e microscópicas do câncer bucal diagnosticado na Universidade Federal de Alfenas. Rev Bras Cancerol. 2009;55(3):205-11. doi: https://doi.org/10.32635/2176-9745.RBC.2009v55n3.1608
El-Naggar AK, Chan JKC, Grandis JR, et al, editors. WHO Classification of head and neck tumours. 4th ed. Lyon (France): International Agency for Research on Cancer; 2017.
StataCorp [Internet]. Stata: release 16. Statistical software. College Station (TX): StataCorp LLC; c1996-2022 – [cited 2020 Oct 25]. Available from: https://www.stata-press.com/data/r16/
Secretaria de Estado de Saude de Minas Gerais [Internet]. Belo Horizonte (MG): SES; [data desconhecida]. Superintendencias Regionais de Saude (SRS) e Gerencias Regionais de Saude (GRS); 2011 ago 2 [atualizado 2021 dez 6; acesso 2020 out 25]. Disponivel em: https://saude.mg.gov.br/sobre/institucional/superintendenciasregionais-de-saude-e-gerencias-regionais-de-saude
Castro MC, Massuda A, Almeida G, et al. Brazil’s unified health system: the first 30 years and prospects for the future. Lancet. 2019;394(10195):345-56. doi: https://doi.org/10.1016/S0140-6736(19)31243-7
Cunha AR, Prass TS, Hugo FN. Mortality from oral and oropharyngeal cancer in Brazil: impact of the National Oral Health Policy. Cad Saude Publica. 2019;35(12):e00014319. doi: https://doi.org/10.1590/0102-311x00014319
Bandeira CM, Almeida AA, Carta CFL, et al. How to improve the early diagnosis of oral cancer? Braz Dent Sci. 2017;20(4):25-31. doi: https://doi.org/10.14295/bds.2017.v20i4.1439
Tomo S, Armelin AML, Hernandes ACP, et al. Oral lesions detected during a population screening for prevention and early diagnosis of oral cancer and potentially malignant disorders. RFO UPF. 2019;24(3):350-4. doi: https://doi.org/10.5335/rfo.v24i3.9818
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