Diagnostic Delay in Symptomatic Oral Cancer

Varela‐Centelles, Pablo; Seoane, Juan; García-Pola, María; Seoane-Romero, Juan M.; Martín, José Manuel García

doi:10.1007/978-3-319-61255-3_4

Cited by 1 publication

(1 citation statement)

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“…Our results undoubtedly indicate an evident long time interval to the diagnosis of OSCC that could partially explain increased mortality. Generally, the main factors that have been recognized to contribute to the long time interval to diagnosis are the lack of awareness of early signs and symptoms of OSCC and the absence of screening [ 60 ]. Healthcare practitioners at the primary healthcare level, such as specialists in general medicine and dentists, may play a crucial role in patient education and the early detection of the OSCC.…”

Section: Discussionmentioning

confidence: 99%

Demographic and imaging features of oral squamous cell cancer in Serbia: a retrospective cross-sectional study

Janović,

Bracanović,

Antić

et al. 2024

BMC Oral Health

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Background The mortality of oral squamous cell cancer (OSCC) in Serbia increased in the last decade. Recent studies on the Serbian population focused mainly on the epidemiological aspect of OSCC. This study aimed to investigate the demographic and imaging features of OSCC in the Serbian population at the time of diagnosis. Methods We retrospectively analyzed computed tomography (CT) images of 276 patients with OSCC diagnosed between 2017 and 2022. Age, gender, tumor site, tumor volume (CT-TV, in cm3), depth of invasion (CT-DOI, in mm), and bone invasion (CT-BI, in %) were evaluated. TNM status and tumor stage were also analyzed. All parameters were analyzed with appropriate statistical tests. Results The mean age was 62.32 ± 11.39 and 63.25 ± 11.71 for males and females, respectively. Male to female ratio was 1.63:1. The tongue (36.2%), mouth floor (21.0%), and alveolar ridge (19.9%) were the most frequent sites of OSCC. There was a significant gender-related difference in OSCC distribution between oral cavity subsites (Z=-4.225; p < 0.001). Mean values of CT-TV in males (13.8 ± 21.5) and females (5.4 ± 6.8) were significantly different (t = 4.620; p < 0.001). CT-DOI also differed significantly (t = 4.621; p < 0.001) between males (14.4 ± 7.4) and females (10.7 ± 4.4). CT-BI was detected in 30.1%, the most common in the alveolar ridge OSCC. T2 tumor status (31.4%) and stage IVA (28.3%) were the most dominant at the time of diagnosis. Metastatic lymph nodes were detected in 41.1%. Conclusion Our findings revealed significant gender-related differences in OSCC imaging features. The predominance of moderate and advanced tumor stages indicates a long time interval to the OSCC diagnosis.

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Section: Discussionmentioning

confidence: 99%