Why is Mouth Self-Examination Still Not Recommended for Early Detection of Oral Cancer and Oral Potentially Malignant Disorders?
DOI:
https://doi.org/10.32635/2176-9745.RBC.2025v71n1.4908Keywords:
Mouth Neoplasms, Self-Examination, DiagnosisAbstract
Oral self-examination still remains enigmatic considering its functionality in detecting malignant disorders in the mouth. Although this tool is not concretely implemented in any health service, several studies have considered it as a real possibility for the screening and the early diagnosis of oral cancer. However, the heterogeneity of the methodologies applied in these studies makes their results inconsistent and imprecise, making the validation of oral self-examination impossible to date. Thus, once the methodological issues that compromise the real efficacy of self-examination have been resolved, this tool should be used and perhaps be considered essential as a strategy to detect malignant lesions, contributing to more favorable outcomes for oral cancer in public health.
Downloads
References
Sarode SC, Sarode GS, Tupkari JV. Oral potentially malignant disorders: precising the definition. Oral Oncol. 2012;48(9):759-60. doi: https://doi.org/10.1016/j.oraloncology.2012.02.025 DOI: https://doi.org/10.1016/j.oraloncology.2012.02.025
Seoane J, Takkouche B, Varela-Centelles P, et al. Impact of delay in diagnosis on survival to head and neck carcinomas: a systematic review with meta-analysis. Clin Otolaryngol. 2012;37(2):99-106. doi: https://doi.org/10.1111/j.1749-4486.2012.02464.x DOI: https://doi.org/10.1111/j.1749-4486.2012.02464.x
Warnakulasuriya S, Kujan O, Aguirre-Urizar JM, et al. Oral potentially malignant disorders: a consensus report from an international seminar on nomenclature and classification, convened by the WHO Collaborating Centre for Oral Cancer. Oral Dis. 2021;27(8):1862-80. doi: https://doi.org/10.1111/odi.13704 DOI: https://doi.org/10.1111/odi.13704
Aguirre-Urizar JM, Lafuente-Ibáñez de Mendoza I, Warnakulasuriya S. Malignant transformation of oral leukoplakia: systematic review and meta-analysis of the last 5 years. Oral Dis. 2021;27(8):1881-95. doi: https://doi.org/10.1111/odi.13810 DOI: https://doi.org/10.1111/odi.13810
Ghani WMN, Doss JG, Jamaluddin M, et al. Oral cancer awareness and its determinants among a selected Malaysian population. Asian Pac J Cancer Prev. 2013;14(3):1957-63. doi: https://doi.org/10.7314/apjcp.2013.14.3.1957 DOI: https://doi.org/10.7314/APJCP.2013.14.3.1957
Chaudhari A, Hegde-Shetiya S, Shirahatti R, et al. Comparison of different screening methods in estimating the prevalence of precancer and cancer amongst male inmates of a jail in Maharashtra, India. Asian Pac J Cancer Prev. 201328;14(2):859-64. doi: https://doi.org/10.7314/apjcp.2013.14.2.859 DOI: https://doi.org/10.7314/APJCP.2013.14.2.859
Sankaranarayanan R, Ramadas K, Thomas G, et al. Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial. Lancet. 2005;365(9475):1927-33. doi: https://doi.org/10.1016/s0140-6736(05)66658-5 DOI: https://doi.org/10.1016/S0140-6736(05)66658-5
Instituto Nacional de Câncer. Novas diretrizes para a detecção precoce do câncer de boca. Rede Câncer [Internet]. 2012[acesso 2024 jul 17];19:28-30. Disponível em: https://ninho.inca.gov.br/jspui/handle/123456789/15069
Walsh T, Liu JLY, Brocklehurst P, et al. Clinical assessment to screen for the detection of oral cavity cancer and potentially malignant disorders in apparently healthy adults. Cochrane Database Syst Rev. 2013;2013(11):CD010173. doi: https://doi.org/10.1002/14651858.cd010173.pub2 DOI: https://doi.org/10.1002/14651858.CD010173.pub2
Walsh T, Warnakulasuriya S, Lingen MW, et al. Clinical assessment for the detection of oral cavity cancer and potentially malignant disorders in apparently healthy adults. Cochrane Database Syst Rev. 2021;12(12):CD010173. doi: https://doi.org/10.1002/14651858.cd010173.pub3 DOI: https://doi.org/10.1002/14651858.CD010173.pub3
Elango KJ, Anandkrishnan N, Suresh A, et al. Mouth self-examination to improve oral cancer awareness and early detection in a high-risk population. Oral Oncol. 2011;47(7):620-4. doi: https://doi.org/10.1016/j.oraloncology.2011.05.001 DOI: https://doi.org/10.1016/j.oraloncology.2011.05.001
Ghani WMN, Razak IA, Doss JG, et al. Mouth self-examination as a screening tool for oral potentially malignant disorders among a high-risk Indigenous population. J Public Health Dent. 2019;79(3):222-30. doi: https://doi.org/10.1111/jphd.12313 DOI: https://doi.org/10.1111/jphd.12313
Scott SE, Rizvi K, Grunfeld EA, et al. Pilot study to estimate the accuracy of mouth self-examination in an at-risk group. Head Neck. 2010;32(10):1393-401. doi: https://doi.org/10.1002/hed.21341 DOI: https://doi.org/10.1002/hed.21341
Furquim CP, Pivovar A, Cavalcanti LG, et al. Mouth self-examination as a screening tool for oral cancer in a high-risk group of patients with Fanconi anemia. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(4):440-6. doi: https://doi.org/10.1016/j.oooo.2014.06.012 DOI: https://doi.org/10.1016/j.oooo.2014.06.012
Published
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.

This work is licensed under a Creative Commons Attribution 4.0 International License.