口腔癌:病因、临床特征和鉴别诊断

Julia Figueiredo Rossi, Marina Rodrigues Hoffmann, L. Leal
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引用次数: 0

摘要

在巴西,口腔癌是一项重大的公共卫生挑战。根据国家癌症研究所(INCA)的数据,2022 年报告的新增口腔癌病例超过 11 000 例。这种特殊类型的癌症可分为鳞状细胞癌(SCC)、鳞状细胞癌(SCC)或表皮样癌。在此背景下,本研究的主要目的是进行全面的文献综述,重点关注 SCC 的鉴别诊断及其独特特征。为此,我们使用以下术语在科学电子图书馆在线(Scielo)、PubMed 和 LILACS 数据库中进行了检索:"口腔癌"、"鉴别诊断和鳞状细胞癌"、"头颈部鳞状细胞癌 "和 "头颈部鳞状细胞癌",时间跨度为 2004 年至 2023 年。风险因素包括吸烟、过量饮酒、人乳头瘤病毒(HPV)感染和长期日晒。值得注意的是,吸烟是主要的风险因素之一,吸烟者患 SCC 的风险最高可增加三倍。总之,口腔癌的治疗需要采取综合方法,包括预防措施、准确诊断和适当治疗。此外,将口腔癌与其他可能表现出类似症状的疾病区分开来仍然是有效治疗的一个关键方面。
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Câncer oral: etiologia, características clínicas e diagnóstico diferencial
In Brazil, oral cancer constitutes a significant public health challenge. According to the National Cancer Institute (INCA), over 11,000 new cases of oral cancer were reported in 2022. This particular type of cancer can be identified as either squamous cell carcinoma (SCC), squamous cell carcinoma (SCC), or epidermoid carcinoma. Within this context, the primary objective of this study is to conduct a comprehensive literature review focusing on the differential diagnoses of SCC and its distinctive characteristics. To achieve this, we conducted searches in the Scientific Electronic Library Online (Scielo), PubMed, and LILACS databases usingthe following terms: "oral cancer," "differential diagnosis and squamous cell carcinoma," "head and neck squamous cell carcinoma," and "head and neck squamous cell carcinoma," encompassing the period between 2004 and 2023. Among the contributing risk factors are tobacco consumption, excessive alcohol intake, human papillomavirus (HPV) infection, and prolonged sun exposure. Notably, smoking emerges as one of the principal risk factors, elevating the risk of SCC development up to threefold for smokers. In conclusion, the management of oral cancer necessitates a comprehensive approach encompassing preventive measures, accurate diagnosis, and appropriate treatment. Moreover, distinguishing oral cancer from other conditions that might manifest similar symptoms remains a critical aspect of effective management.
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