EPIDEMIOLOGICAL PROFILE AND ASSOCIATION OF VARYING HABITS WITH PRECANCER AND OSCC IN POPULATION OF NORTH INDIA

Authors

DOI:

https://doi.org/10.22159/ijpps.2023v15i2.46725

Keywords:

OSCC, OPMD,epidemiology, tobacco, alcohol, smoking.

Abstract

Objective: The pathologic appearances and clinical symptoms of Oral Premalignant Disorders (OPMDs) and Oral Squamous Cell Carcinoma (OSCC) vary across different patient populations. This is possibly due to behaviours and cultural influences such as excess tobacco use. We aim to evaluate the epidemiological profile and clinical characteristics of OPMDs and OSCC in the North Indian population.

Methods: This was a retrospective study of 600 subjects including 200 OSCC cases, 200 OPMDs and 200 matched controls. Medical records and clinical and histopathological diagnosis of OSCC and oral precancer patients were included. The data was analysed using SPSS.

Results: Two third of the OSCC patients were males and one third were females and mean age of 48.5 y. Maximum incidence of total cases was observed in age groups from 30-70 y and was more in males. Buccal mucosa is found to be the most affected location (67%) in both men and women. We found a significant association between size of the tumor, the number of nodes involved, and degree of differentiation and gender. Significant association was observed between gender and tobacco use, pattern of smoking and alcohol consumption, while no association was observed with fluoride use by habit and gender. Significant results were found between prevalence of OSCC and OPMDs with chewing tobacco and pattern of smoking. Also, pattern of smoking was significantly associated with gender in OPMD and OSCC subjects.

Conclusion: This study could help in educating the people and support the healthcare workers in implementing preventive measures against OPMDs and OSCC.

Downloads

Download data is not yet available.

References

Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral Oncol. 2009;45(4-5):309-16. doi: 10.1016/j.oraloncology.2008.06.002. PMID 18804401.

Mehrotra R, Pandya S, Chaudhary AK, Kumar M, Singh M. Prevalence of oral pre-malignant and malignant lesions at a tertiary level hospital in Allahabad, India. Asian Pac J Cancer Prev. 2008;9(2):263-5. PMID 18712970.

Sheikh S, D’souza J. A case of well-differentiated squamous cell carcinoma in an extraction socket. J Indian Soc Periodontol. 2012;16(4):602-5. doi: 10.4103/0972-124X.106928, PMID 23492825.

Das S, Mukherjee S, Choudhury S, Bose A, Roy S. Antioxidant and cytotoxic activities of areca catechu seed extract in swiss albino mice using eac cell line in different culture medium. Int J Curr Pharm Sci. 2020;12(2):20-7. doi: 10.22159/ijcpr.2020v12i2.37481.

Sumintarti MR, Hajrah Yusuf ASt. Oral hairy leukoplakia manifestations related to CD4 count in HIV/AIDS patients at Dr Wahidin Sudirohusodo hospital. Int J Appl Pharm. 2019;11(4):57-9. doi: 10.22159/ijap.2019.v11s4.35292.

La Vecchia C, Tavani A, Franceschi S, Levi F, Corrao G, Negri E. Epidemiology and prevention of oral cancer. Oral Oncol. 1997;33(5):302-12. doi: 10.1016/s1368-8375(97)00029-8, PMID 9415327.

Blot WJ, McLaughlin JK, Winn DM, Austin DF, Greenberg RS, Preston Martin S. Smoking and drinking in relation to oral and pharyngeal cancer. Cancer Res. 1988;48(11):3282-7. PMID 3365707.

Ko YC, Huang YL, Lee CH, Chen MJ, Lin LM, Tsai CC. Betel quid chewing, cigarette smoking and alcohol consumption related to oral cancer in Taiwan. J Oral Pathol Med. 1995;24(10):450-3. doi: 10.1111/j.1600-0714.1995.tb01132.x, PMID 8600280.

Shirani S, Kargahi N, Razavi SM, Homayoni S. Epithelial dysplasia in oral cavity. Iran J Med Sci. 2014;39(5):406-17. PMID 25242838.

Yardimci G, Kutlubay Z, Engin B, Tuzun Y. Precancerous lesions of oral mucosa. World J Clin Cases. 2014 Dec 16;2(12):866-72. doi: 10.12998/wjcc.v2.i12.866. PMID 25516862.

Neville BW, Day TA. Oral cancer and precancerous lesions. CA Cancer J Clin. 2002;52(4):195-215. doi: 10.3322/canjclin.52.4.195, PMID 12139232.

Ranganathan K, Kavitha L. Oral epithelial dysplasia: classifications and clinical relevance in risk assessment of oral potentially malignant disorders. J Oral Maxillofac Pathol. 2019 Jan-Apr;23(1):19-27. doi: 10.4103/jomfp.JOMFP_13_19. PMID 31110412.

Mortazavi H, Baharvand M, Mehdipour M. Oral potentially malignant disorders: an overview of more than 20 entities. J Dent Res Dent Clin Dent Prospects. 2014;8(1):6-14. doi: 10.5681/joddd.2014.002. PMID 25024833.

Messadi DV, Wilder-Smith P, Wolinsky L. Improving oral cancer survival: the role of dental providers. J Calif Dent Assoc. 2009;37(11):789-98. PMID 19998655.

Chhaparwal Y, M Pai K, Kamath Ms, Carnelio S, Chhaparwal S. Efficacy and safety of tetrahydro curcuminoid in the treatment of oral Leukoplakia: a pilot study. Asian J Pharm Clin Res 2018;11(12). doi: 10.22159/ajpcr.2018.v11i12.28107.

Chestnutt IG, Binnie VI. Smoking cessation counselling-a role for the dental profession? Br Dent J. 1995;179(11-12):411-5. doi: 10.1038/sj.bdj.4808944. PMID 8534569.

Balaram P, Sridhar H, Rajkumar T, Vaccarella S, Herrero R, Nandakumar A. Oral cancer in southern India: the influence of smoking, drinking, paan-chewing and oral hygiene. Int J Cancer. 2002;98(3):440-5. doi: 10.1002/ijc.10200, PMID 11920597.

Tavares C, Guimaraes J, Lopes O, Felino A, Coimbra F. Epidemiological profile of malignant oral cancers in a population of northern Portugal. Rev Port Estomatol Med Dent Cir Maxilofac. 2016;57(4):229-35. doi: 10.1016/j.rpemd.2016.10.145.

Singh MP, Kumar V, Agarwal A, Kumar R, Bhatt ML, Misra S. Clinico-epidemiological study of oral squamous cell carcinoma: a tertiary care centre study in North India. J Oral Biol Craniofac Res. 2016;6(1):31-4. doi: 10.1016/j.jobcr.2015.11.002. PMID 26937366.

Dikshit RP, Kanhere S. Tobacco habits and risk of lung, oropharyngeal and oral cavity cancer: a population-based case-control study in Bhopal, India. Int J Epidemiol. 2000;29(4):609-14. doi: 10.1093/ije/29.4.609, PMID 10922335.

Singh MP, Kumar V, Agarwal A, Kumar R, Bhatt ML, Misra S. Clinico-epidemiological study of oral squamous cell carcinoma: a tertiary care centre study in North India. J Oral Biol Craniofac Res. 2016;6(1):31-4. doi: 10.1016/j.jobcr.2015.11.002. PMID 26937366.

Mir SA. Associations between therapeutic regimen related factors and medication adherence in patients on oral anticancer therapy. Asian J Pharm Clin Res. 2022;15(3):25-8. doi: 10.22159/ajpcr.2022.v15i3.44070.

Published

01-02-2023

How to Cite

TANDON, D., and J. RAJAWAT. “EPIDEMIOLOGICAL PROFILE AND ASSOCIATION OF VARYING HABITS WITH PRECANCER AND OSCC IN POPULATION OF NORTH INDIA”. International Journal of Pharmacy and Pharmaceutical Sciences, vol. 15, no. 2, Feb. 2023, pp. 35-39, doi:10.22159/ijpps.2023v15i2.46725.

Issue

Section

Original Article(s)