Tongue cancer epidemiology in Brazil: incidence, morbidity and mortality

Goldemberg, Daniel Cohen; Araújo, Luiz Henrique; Antunes, Héliton Spíndola; Melo, Andréia Cristina de; Thuler, Luiz Cláudio Santos

doi:10.1002/hed.25166

Cited by 26 publications

(29 citation statements)

References 26 publications

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“…Stages III & IV represented more than two thirds of our cases similar to a large Brazilian population-based study (15) and a respectable Japanese report (16). This observation is really strange because tongue is an accessible organ.…”

Section: Discussionsupporting

confidence: 89%

Squamous Cell Carcinoma of the Oral Tongue: A Single Institution Retrospective Cohort Study from Mansoura University Hospital

Hamdy

Halim

2019

Indonesian Journal of Cancer

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Background: Egyptian hospital–based statistics showed that head & neck carcinomas represent 18% of all cancers and mostly diagnosed at advanced stages. Our Clinical Oncology & Nuclear Medicine Department of Mansoura Faculty of Medicine serves a large rural area of the Delta region of Egypt. There is no previous study in our institution that focused on oral tongue carcinoma alone. This study aims in establishing the demographics, treatment outcome and prognostic factors of oral tongue squamous cell carcinoma (SCC).Methods: We retrospectively reviewed data of 50 cases with oral tongue SCC treated in our department from January 2014 to December 2016 to evaluate the demography, pathological characteristics, and therapeutic modalities. We estimated the survival rates during the entire follow-up period by the Kaplan–Meier method. The univariate and multivariate Cox proportional hazards analysis were performed for prognostic factors determination.Results: The median follow-up was 30 months (range: 4-45 months). The 3-year overall survival (OS) and disease-free survival (DFS) rates were 68% and 60% respectively. By univariate analysis, both advanced stages (III, IVA) and depth of invasion >0.5 cm were statistically significant as prognostic factors for 3-year DFS and OS rates. DFS rates were 34% vs. 98% for stage III and IVA vs. stage I and II respectively (p = 0.001); 52% vs. 78% for >0.5 cm vs. ≤0.5 cm depth of invasion (p = 0.003). OS rates were 36% vs. 99% for stage III and IVA vs. stage I and II respectively (p = 0.002); 52% vs. 80% for >0.5 cm vs. ≤0.5 cm depth of invasion (p = 0.001). Multivariate analysis of prognostic factors affecting 3-year DFS and OS rates confirmed the statistical significance of the same 2 factors.Conclusions: The majority of our patients were males below 60 years. Tumors were mainly found at stage III and were moderately differentiated. Vascular invasion and lymphatic permeation were uncommon. Staging and tumor invasion depth significantly affected the outcome. The 3-year OS and DFS were 68% and 60% respectively.

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Section: Discussionsupporting

confidence: 89%

Squamous Cell Carcinoma of the Oral Tongue: A Single Institution Retrospective Cohort Study from Mansoura University Hospital

Hamdy

Halim

2019

Indonesian Journal of Cancer

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“…The comparability of tongue cancer to mouth cancer could be alarming if it will be interpreted as health-seeking behavior due to new cases. This is comparable to the global increase in tongue cancer in developing (Cohen Goldemberg et al, 2018) and developed nations (Haeggblom et al, 2019). This cannot be verified by the data provided by the Philippines cancer registries as all types of oral cancer are grouped into one.…”

Section: Discussionmentioning

confidence: 72%

Analysis of the Filipinos’ Interest in Searching Online for Oral Cancer

Dalanon

Esguerra

Diano

et al. 2020

Asian Pac J Cancer Prev

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Objective: This study analyzed the health-seeking behavior of Filipinos through relative search volume in Google Trends using oral cancer, mouth cancer, tongue cancer, gum cancer, and lip cancer as predetermined search terms. Methods: Comma-separated values files containing relative search volumes of search trends pertaining to oral cancer from 2009 to 2019 were assessed. Brown-Forsythe one-way ANOVA was used to measure differences of oral cancer between years and among months. Repeated measures two-way ANOVA measured differences among the searches for mouth cancer, tongue cancer, gum cancer, and lip cancer through the years. Time series models were fitted and used to forecast search interests. Results: The results revealed that interests in oral cancer were significantly higher in 2019 (43.75±5.5, p<0.05) compared to 2009 (29.0 ± 6.7). In terms of months, searches were higher in February (45.0 ± 6.6) compared to May (24.8 ± 3.4, p=0.015), June (25.3 ± 4.4, p=0.020), and December (26.5 ± 4.0, p=0.038). Search interests for gum cancer and lip cancer remained significantly lower from 2011 to 2019, and tongue cancer from 2016 to 2018 but approximated mouth cancer in 2019. The forecast shows mouth cancer (31.67%), tongue cancer (23.75%), and lip cancer (3.83%) fluctuating through the year, while gum cancer (8%) will remain steady in 2020. Conclusion: Health-seeking behavior through search trends show an increased interest in oral cancer in 2019 and during February. Search interests will fluctuate in 2020, but at the end of the year will decrease for mouth cancer and tongue cancer, will increase for lip cancer, and will remain steady for gum cancer.

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“…Já com relação aos aspectos epidemiológicos e fatores de risco associados, os universitários demonstram haver uma lacuna na compreensão da doença. De acordo com Goldemberg et al 9 , os indicadores epidemiológicos do CCO estão relacionados desde a falta de educação até o diagnóstico tardio da doença. Portanto, os profissionais de saúde devem estar a par das evidências epidemiológicas 11,12 .…”

Section: Discussionunclassified

“…Canevese et al 20 mostraram que o conhecimento dos usuários de uma unidade básica de saúde é inadequado quanto ao reconhecimento de alguns fatores de risco, características, prevalência, faixa etária e incidência. Nesse contexto, as universidades, como instituições sociais, e os cursos da área da saúde devem preparar profissionais com habilidades para atuar na resolução das necessidades de saúde pública 7 , bem como é indispensável incrementar ações de saúde para combater, prevenir e melhorar os indicadores de sobrevida 9,30 , assim como reduzir a ocorrência de novos casos, ajudar no diagnóstico precoce e evitar a sobrecarga do sistema de saúde, fazendo com que os recursos destinados ao tratamento e ao acompanhamento de pacientes oncológicos não sejam insuficientes 31 .…”

Section: -9unclassified

Conhecimento de Universitários da Área da Saúde sobre o Câncer de Cavidade Oral

Ganzer¹,

Wagner²

2019

Rev. Bras. Cancerol.

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Introdução: O câncer de cabeça e pescoço engloba um grupo heterogêneo de neoplasias malignas originadas na cavidade oral, faringe, laringe, seios paranasais, cavidade nasal, glândulas salivares e tireoide. Objetivo: Este estudo buscou avaliar o conhecimento dos universitários da área da saúde sobre o câncer de cavidade oral. Método: Estudo do tipo epidemiológico, transversal, descritivo, quali-quantitativo com amostra não probabilística de conveniência. Os universitários receberam, via formulário on-line, um questionário com 24 questões aplicadas que abordavam os fatores de risco, sintomatologia, aspectos clínicos, autoexame, prevenção e tratamento. Resultados: Participaram do estudo 110 universitários da área da saúde (58 = primeiro ano e 52 = último ano), distribuídos nos cursos de fisioterapia, odontologia, psicologia, educação física, enfermagem, medicina e nutrição. Em relação à média de acertos dos questionários, os universitários do primeiro ano obtiveram 77,65% (±21,09) de acertos, e os universitários do último ano, 82,37% (±19,88). As questões que obtiveram menores taxas de acertos foram as relacionadas à incidência do câncer de boca no Brasil; 43 (39%) acertaram e 52 (47,3%) dos universitários desconhecem a idade em que maioria dos casos são diagnosticados. Conclusão: Apesar de o câncer de cavidade oral ser crescente, formas de prevenção e diagnóstico precoce reservam maiores chances de cura. A partir deste estudo, pôde-se concluir que os universitários dos cursos da área da saúde, principalmente do último ano, parecem estar aptos a informar à população a respeito do câncer de cavidade oral.

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Tongue cancer epidemiology in Brazil: incidence, morbidity and mortality

Cited by 26 publications

References 26 publications

Squamous Cell Carcinoma of the Oral Tongue: A Single Institution Retrospective Cohort Study from Mansoura University Hospital

Squamous Cell Carcinoma of the Oral Tongue: A Single Institution Retrospective Cohort Study from Mansoura University Hospital

Analysis of the Filipinos’ Interest in Searching Online for Oral Cancer

Conhecimento de Universitários da Área da Saúde sobre o Câncer de Cavidade Oral

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