Regular clinical follow-up of oral potentially malignant disorders results in improved survival for patients who develop oral cancer

被引:24
作者
Jawert, Fredrik [1 ,2 ]
Nyman, Jennie [3 ]
Olsson, Emma [3 ]
Adok, Claudia [4 ]
Helmersson, Madeleine [4 ]
Ohman, Jenny [3 ]
机构
[1] Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Oral & Maxillofacial Surg, Gothenburg, Sweden
[2] NU Hosp Grp, Dept Otorhinolaryngol Oral & Maxillofacial Surg, Trollhattan, Sweden
[3] Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Oral Med & Pathol, Gothenburg, Sweden
[4] Reg Canc Ctr West, Western Sweden Hlth Care Reg, Gothenburg, Sweden
关键词
Mouth neoplasms; Oral leukoplakia; Squamous cell carcinoma of head and neck; Survival; Early diagnosis; Prognosis; TRANSFORMATION; CLASSIFICATION; COMPLICATIONS; METAANALYSIS; LEUKOPLAKIA;
D O I
10.1016/j.oraloncology.2021.105469
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objectives: To evaluate whether clinical follow-up programs of oral potentially malignant disorders (OPMD) result in earlier detection and improved survival rates if malignant transformation occurs, as compared to OPMD patients without follow-up and other patients with oral squamous cell carcinoma (OSCC). Materials and methods: Three OSCC groups were retrospectively studied for disease stage at diagnosis and survival rates (N = 739): Group A, patients with OSCC with regular follow-up of preceding OPMD (N = 94); Group B, patients with OSCC with preceding OPMD but no follow-up (N = 68); Group C, patients with OSCC without previously known OPMD diagnosis (N = 577). Results: The patients with OPMD with follow-up (Group A) was diagnosed at a significantly earlier stage and have significantly higher survival rates compared to Group B (p < 0.001 and p = 0.022, respectively) and Group C (p < 0.001 and p < 0.001, respectively). There was no significant difference between Group B and Group C in terms of survival rate (p = 0.143) or stage at diagnosis (p = 0.475). Patients with OPMD and follow-up (Group A) had a 5-year net survival rate of 90.0% (95%CI 80.3-100.8%), as compared to 68.3% percent (95% CI 54.5-85.7) for Group B and 56.1% (95% CI 51.4-61.3) for Group C. Conclusion: The results of this study indicate that regular follow-up of patients with OPMD results in earlier detection of OSCC (if malignant transformation occurs) and improved survival.
引用
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页数:6
相关论文
共 30 条
[1]   Meta-analysis of the predictive value of DNA aneuploidy in malignant transformation of oral potentially malignant disorders [J].
Alaizari, Nader A. ;
Sperandio, Marcelo ;
Odell, Edward W. ;
Peruzzo, Daiane ;
Al-Maweri, Sadeq A. .
JOURNAL OF ORAL PATHOLOGY & MEDICINE, 2018, 47 (02) :97-103
[2]  
[Anonymous], 2012, HEAD NECK ONCOL
[3]  
awert F, **DATA OBJECT**
[4]  
Bierley JD., 2017, TNM classification of malignant tumors, V8th
[5]   Malignant transformation of oral leukoplakia in a well-defined cohort of 144 patients [J].
Brouns, E. R. E. A. ;
Baart, J. A. ;
Karagozoglu, K. H. ;
Aartman, I. H. A. ;
Bloemena, E. ;
van der Waal, I. .
ORAL DISEASES, 2014, 20 (03) :e19-e24
[6]   Annual malignant transformation rate of oral leukoplakia remains consistent: A long-term follow-up study [J].
Evren, Ilkay ;
Brouns, Elisabeth R. ;
Wils, Leon J. ;
Poell, Jos B. ;
Peeters, Carel F. W. ;
Brakenhoff, Ruud H. ;
Bloemena, Elisabeth ;
de Visscher, Jan G. A. M. .
ORAL ONCOLOGY, 2020, 110
[7]   Molecular, genomic and mutational landscape of oral leukoplakia [J].
Farah, Camile S. .
ORAL DISEASES, 2021, 27 (04) :803-812
[8]   Long-term treatment outcome of oral premalignant lesions [J].
Holmstrup, P. ;
Vedtofte, P. ;
Reibel, J. ;
Stoltze, K. .
ORAL ONCOLOGY, 2006, 42 (05) :461-474
[9]   Genetic polymorphisms in DNA repair genes XRCC1 and 3 are associated with increased risk of breast cancer in Bangladeshi population [J].
Howlader, Nupur Rani ;
Rahman, Md. Mostafizur ;
Hossain, Md. Amir ;
Sultana, Razia ;
Hossain, Syed Mozammel ;
Mazid, Md. Abdul ;
Rahman, Md. Mustafizur .
BREAST CANCER RESEARCH AND TREATMENT, 2020, 182 (03) :739-750
[10]   Potentially malignant disorders of the oral cavity and oral dysplasia: A systematic review and meta-analysis of malignant transformation rate by subtype [J].
Iocca, Oreste ;
Sollecito, Thomas P. ;
Alawi, Faizan ;
Weinstein, Gregory S. ;
Newman, Jason G. ;
De Virgilio, Armando ;
Di Maio, Pasquale ;
Spriano, Giuseppe ;
Pardinas Lopez, Simon ;
Shanti, Rabie M. .
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2020, 42 (03) :539-555