Demographic and clinical profile of oral squamous cell carcinoma patients: A retrospective study.

Background: Oral cancers are one of the ten leading cancers in the world. However, in India, it is one of the most common cancer and constitutes a major public health problem. Aim: The purpose of this study was to evaluate, retrospectively, the epidemiologic profile of patients with oral squamous cell carcinoma (OSCC). Materials and Methods: OSCC cases were retrospectively analyzed from January 2008 to September 2010 for age, gender, occupation, duration of the symptoms, habits (tobacco and alcohol consumption), site of primary tumor, and TNM staging, and the findings were formulated to chart the trends in central India population. Results: Male to female ratio was 4.18:1. Mean age was 49.73 years. The most common site of presentation of tumor was in mandibular alveolus region. Tobacco chewing was the major cause for the development of OSCC. Maximum number of patients, i.e., 201 (68.14%) were presented within 6 months of onset of symptoms. Majority of patients were presented in Stage III (82.37%). Correlation between the two variables, i.e., site to habits, staging to site involved, staging to duration of the disease, staging to habits, and staging to age of the patient, were found to be statistically nonsignificant (P>0.05). Conclusions: The aim of the study was the demographic description of oral squamous cell carcinoma. Most of the cases report at advanced stages of the disease which often leads to delay in the management coupled with the fact that health care centers are burdened with long waiting lists. Strategies to overcome the present situation must be undertaken by oral health programs for the early diagnosis and prevention and management and follow up of oral cancer.

Sources of lead exposure in urban slum school children.

A school based study was undertaken to trace various sources of lead exposure in urban slum children. Two cases with elevated venous blood lead (PbB) levels were detected and confirmed in 100 consecutive Bombay school children, referred to a hospital school clinic for clinical pallor. A common source of lead exposure in one suburb, was implied by the significantly higher PbB levels here. Systematic family and environmental studies identified the source was a nearby factory manufacturing lead storage batteries. Similar studies for the other index case traced the source to the dust produced by small scale foundries and secondary lead smelters. This study indicates that large scale screening studies are necessary to establish the magnitude and epidemiology of this problem in Bombay.