Epidemiological and Clinical Evaluation of Patients with Oral Squamous Cell Carcinoma

Authors

  • Júlio César Saraiva Santos Universidade Estadual do Piauí (Uespi), Centro de Ciências da Saúde. Teresina (PI), Brasil. https://orcid.org/0000-0002-5674-9980
  • Carlos Eduardo Moura Carvalho Rocha Universidade Estadual do Piauí (Uespi), Centro de Ciências da Saúde. Teresina (PI), Brasil. https://orcid.org/0000-0002-6819-7415
  • Rafael Everton Assunção Ribeiro da Costa Universidade Estadual do Piauí (Uespi), Centro de Ciências da Saúde. Teresina (PI), Brasil. https://orcid.org/0000-0002-0798-890X
  • Eduardo Salmito Soares Pinto Secretaria de Saúde do Estado do Piauí, Hospital Getúlio Vargas. Teresina (PI), Brasil. https://orcid.org/0000-0002-8312-9373
  • Ana Luisa Rios Barbosa de Almeida Hospital São Marcos, Serviço de Odontologia. Teresina (PI), Brasil. https://orcid.org/0000-0002-2324-0475
  • João Batista Mendes Teles Centro Universitário Uninovafapi. Teresina (PI), Brasil. https://orcid.org/0000-0002-1836-5185
  • Luciana Tolstenko Nogueira Universidade Estadual do Piauí (Uespi), Centro de Ciências da Saúde. Teresina (PI), Brasil. https://orcid.org/0000-0003-2547-7545
  • Lucielma Salmito Soares Pinto Universidade Estadual do Piauí (Uespi), Centro de Ciências da Saúde. Teresina (PI), Brasil. https://orcid.org/0000-0002-8766-8593

DOI:

https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1584

Keywords:

squamous cell carcinoma of head and neck/epidemiology, mouth neoplasms, medical records

Abstract

Introduction: Oral cancer corresponds to about 30% of all head and neck tumors. Approximately 90% of these malignancies are squamous cell carcinomas (SCC) and about 15 thousand new cases are estimated each year in Brazil. Objective: Evaluate the clinical and epidemiological aspects of patients with oral SCC. Method: Observational cross-sectional, quantitative and retrospective design study, based on the analysis of medical records of patients with histopathological diagnosis of oral SCC treated at a reference center in oncology in Brazil’s Northeast. Clinical and epidemiological variables were collected and analyzed. Statistical analysis was performed using the chi-square test (p≤0.05). Results: Among the 298 medical records evaluated, male patients predominated (75.2%), with an average age of 60.4 years, smokers and alcoholics (62.0%). The most reported complaint was the presence of a wound or injury in the mouth (61.1%) and the most common location was the tongue (62.1%). Clinical variables revealed advanced clinical staging (III or IV) in 76.4% of patients. Among patients aged up to 50 years, there was high concentration of men (p=0.015) and greater use of alcohol than among patients over 50 years (p=0.010). The other variables did not show a statistically significant difference between the groups. Conclusion: The clinical and epidemiological characteristics related to oral SCC should be considered when planning public policies, in order to prevent new cases as well as to allow for early diagnosis.

Downloads

Download data is not yet available.

References

Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2019.

Campana IG, Goiato MC. Tumores de cabeça e pescoço: epidemiologia, fatores de risco, diagnóstico e tratamento. Rev Odontol Arac. 2013;34(1):20-31.

Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral Oncol. 2009;45(4-5):309-16. doi: https://doi.org/10.1016/j.oraloncology.2008.06.002 DOI: https://doi.org/10.1016/j.oraloncology.2008.06.002

Scully C, Porter S. Oral cancer. West J Med. 2001;174(5):348-51. doi: https://doi.org/10.1136/ewjm.174.5.348 DOI: https://doi.org/10.1136/ewjm.174.5.348

Ribeiro KRB, Lira Júnior C, Marinho SA, et al. Epidemiological profile of young patients with squamous cell carcinoma in northeast Brazil. J Investig Clin Dent. 2019;10(4):e12436. doi: https://doi.org/10.1111/jicd.12436 DOI: https://doi.org/10.1111/jicd.12436

Leite AA, Leonel ACLS, Castro JFL, et al. Oral squamous cell carcinoma: a clinicopathological study on 194 cases in northeastern Brazil. A cross-sectional retrospective study. Sao Paulo Med J. 2018;136(2):165-9. doi: https://doi.org/10.1590/1516-3180.2017.0293061217 DOI: https://doi.org/10.1590/1516-3180.2017.0293061217

Organização Mundial da Saúde. CID-10: classificação estatística internacional de doenças e problemas relacionados à saúde. 10. ed. São Paulo: Edusp; 2017.

Conselho Nacional de Saúde (BR). Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção 1:59.

União Internacional Contra o Câncer. TNM: classificação de tumores malignos. 7. ed. Rio de Janeiro: INCA; 2012.

Amit M, Yen TC, Liao CT, et al. Improvement in survival of patients with oral cavity squamous cell carcinoma: an international collaborative study. Cancer. 2013;119(24):4242-8. doi: https://doi.org/10.1002/cncr.28357 DOI: https://doi.org/10.1002/cncr.28357

Kowalski LP, Oliveira MM, Lopez RVM, et al. Survival trends of patients with oral and oropharyngeal cancer treated at a cancer center in São Paulo, Brazil. Clinics. 2020;75:e1507. doi: https://doi.org/10.6061/clinics/2020/e1507 DOI: https://doi.org/10.6061/clinics/2020/e1507

Soares TRC, Carvalho MEA, Pinto LSS, et al. Oral cancer knowledge and awareness among dental students. Braz J Oral Sci. 2014;13(1):28-33. doi: https://doi.org/10.1590/1677-3225v13n1a06 DOI: https://doi.org/10.1590/1677-3225v13n1a06

Moyses RA, López RVM, Cury PM, et al. Significant differences in demographic, clinical, and pathological features in relation to smoking and alcohol consumption among 1,633 head and neck cancer patients. Clinics. 2013;68(6):738-44. doi: https://doi.org/10.6061/clinics/2013(06)03 DOI: https://doi.org/10.6061/clinics/2013(06)03

GCA, Pereira GA, Oliveira ACD. Características epidemiológicas de casos de câncer de boca registrados em hospital de Uberaba no período 1999-2003: um alerta para a necessidade de diagnóstico precoce. Rev Bras Epidemiol. 2008;11(4):584-96. doi: https://doi.org/10.1590/S1415-790X2008000400007 DOI: https://doi.org/10.1590/S1415-790X2008000400007

Santos LPS, Carvalho FS, Carvalho CAP. Características de casos de câncer bucal no estado da Bahia, 1999-2012: um estudo de base hospitalar. Rev Bras Cancerol. 2015;61(1):7-14. doi: https://doi.org/10.32635/2176-9745.RBC.2015v61n1.350 DOI: https://doi.org/10.32635/2176-9745.RBC.2015v61n1.350

SIDRA: sistema IBGE de recuperação automática [Internet]. Rio de Janeiro: IBGE; [2011] – . [Tabela], Censo 2010: população residente, por cor ou raça, segundo a situação de domicílio, o sexo e a idade; [acesso 2022 fev 11]. Disponível em: https://sidra.ibge.gov.br/tabela/3175

Le Campion ACOV, Ribeiro CMB, Luiz RR, et al. Low survival rates of oral and oropharyngeal squamous cell carcinoma. Int J Dent. 2017;2017:5815493. doi: https://doi.org/10.1155/2017/5815493 DOI: https://doi.org/10.1155/2017/5815493

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 DOI: https://doi.org/10.1590/S1808-86942010000400002

Abrahão R, Perdomo S, Pinto LFR, et al. Predictors of survival after head and neck squamous cell carcinoma in South America: the InterCHANGE study. JCO Glob Oncol. 2020;6:486-99. doi: https://doi.org/10.1200/GO.20.00014 DOI: https://doi.org/10.1200/GO.20.00014

Kowalski LP, Carvalho AL. Influence of time delay and clinical upstaging in the prognosis of head and neck cancer. Oral Oncol. 2001;37(1):94-8. doi: https://doi.org/10.1016/s1368-8375(00)00066-x DOI: https://doi.org/10.1016/S1368-8375(00)00066-X

Melo GM, Ribeiro KC, Kowalski LP, et al. Risk factors for postoperative complications in oral cancer and their prognostic implications. Arch Otolaryngol Head Neck Surg. 2001;127(7):828-33.

Zanoni DK, Montero PH, Migliacci JC, et al. Survival outcomes after treatment of cancer of the oral cavity (1985-2015). Oral Oncol. 2019;90:115-21. doi: https://doi.org/10.1016/j.oraloncology.2019.02.001 DOI: https://doi.org/10.1016/j.oraloncology.2019.02.001

Garcia LP, Freitas LRS. Consumo abusivo de álcool no Brasil: resultados da Pesquisa Nacional de Saúde 2013. Epidemiol Serv Saude. 2015;24(2):227-37. doi: https://doi.org/10.5123/S1679-49742015000200005 DOI: https://doi.org/10.5123/S1679-49742015000200005

Zhang YY, Wang DC, Su JZ, et al. Clinicopathological characteristics and outcomes of squamous cell carcinoma of the tongue in different age groups. Head Neck. 2017;39(11):2276-82. doi: https://doi.org/10.1002/hed.24898 DOI: https://doi.org/10.1002/hed.24898

Chen S, Lin Z, Chen J, et al. Older age is a risk factor associated with poor prognosis of patients with squamous cell carcinoma of the oral cavity. Eur Arch Otorhinolaryngol. 2020;277(9):2573-80. doi: https://doi.org/10.1007/s00405-020-05963-3 DOI: https://doi.org/10.1007/s00405-020-05963-3

Published

2022-02-15

How to Cite

1.
Santos JCS, Rocha CEMC, Costa REAR da, Pinto ESS, Almeida ALRB de, Teles JBM, Nogueira LT, Pinto LSS. Epidemiological and Clinical Evaluation of Patients with Oral Squamous Cell Carcinoma. Rev. Bras. Cancerol. [Internet]. 2022 Feb. 15 [cited 2024 Jul. 22];68(1):e-141584. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/1584

Issue

Section

ORIGINAL ARTICLE

Most read articles by the same author(s)