牙龈肿瘤:巴西888例患者的多中心合作研究。

É-G Santos-Leite, B-V Louredo, L-L de Souza, H-A Pontes, F-S Pontes, J-N Dos Santos, Á-C Henriques, J-F de Castro, E-J Carvalho, A-C Leonel, R-F Albuquerque, T-O Gonçalves, A-C Abrahão, M Agostini, M-J Romañach, V-C Carrard, M-D Martins, T-C Dos Santos, F-R Pires, A-R Santos-Silva, M-A Lopes, P-A Vargas, D-E Perez
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摘要

背景:评估巴西一系列牙龈肿瘤的患病率和临床病理特征。材料和方法:从巴西6家口腔病理服务机构41年间的记录中检索所有牙龈良性和恶性肿瘤。从患者的临床图表中收集临床和人口统计学资料、临床诊断和组织病理学资料。统计分析采用卡方检验、独立样本中位数检验和U Mann-Whitney检验,考虑显著性为5%。结果:10026例口腔病变中,牙龈肿瘤888例(0.9%)。男性496例(55.9%),平均年龄54.2岁。恶性肿瘤居多(70.3%)。结节(46.2%)和溃疡(38.9%)分别是良恶性肿瘤最常见的临床表现。最常见的牙龈肿瘤是鳞状细胞癌(55.6%),其次是鳞状细胞乳头状瘤(19.6%)。在69例(11.1%)恶性肿瘤中,临床认为病变是炎症性或感染性的。恶性肿瘤多见于老年男性,体积较大,发病时间较良性肿瘤短(结论:良、恶性肿瘤均可在牙龈组织中以结节形式出现。此外,在鉴别诊断持续性单侧牙龈溃疡时,应考虑恶性肿瘤,特别是鳞状细胞癌。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Gingival neoplasms: a multicenter collaborative study of 888 patients in Brazil.

Background: To evaluate the prevalence and clinicopathological features of a large series of gingival neoplasms in Brazil.

Material and methods:  All gingival benign and malignant neoplasms were retrieved from the records of six Oral Pathology Services in Brazil, during a 41-year period. Clinical and demographic data, clinical diagnosis, and histopathological data were collected from the patients' clinical charts. For statistical analysis, the chi-square, median test of independent samples and the U Mann-Whitney tests were used, considering a significance of 5%.

Results:  From 100,026 oral lesions, 888 (0.9%) were gingival neoplasms. There were 496 (55.9%) males, with a mean age of 54.2 years. Most cases (70.3%) were malignant neoplasms. Nodules (46.2%) and ulcers (38.9%) were the most common clinical appearance for benign and malignant neoplasms, respectively. Squamous cell carcinoma (55.6%) was the most common gingival neoplasm, followed by squamous cell papilloma (19.6%). In 69 (11.1%) malignant neoplasms, the lesions were clinically considered to be inflammatory or of infectious origin. Malignant neoplasms were more common in older men, appeared with larger size, and with a time of complaint shorter than benign neoplasms (p<0.001).

Conclusions:  Benign and malignant tumors may appear as nodules in gingival tissue. In addition, malignant neoplasms, especially squamous cell carcinoma, should be considered in the differential diagnosis of persistent single gingival ulcers.

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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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