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1.
Rev. Odontol. Araçatuba (Impr.) ; 41(2): 40-44, maio-ago.2020. tab, graf
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1102694

ABSTRACT

O objetivo deste estudo foi avaliar o conhecimento de pacientes do Centro Universitário da Serra Gaúcha acerca do câncer oral. Foram aplicados questionários para idosos (n=60) de ambos os gêneros, diferentes etnias e graus de escolaridade. A análise dos dados foi realizada por meio do teste qui-quadrado com nível de confiança de 95%. Não houve relação estatisticamente significativa (p>0,05) entre gênero, estado civil e escolaridade. A presença de lesões bucais, ausência de dentes, visitas frequentes ao dentista, e uso de bebida alcoólica e tabagismo não influenciaram quanto ao conhecimento acerca do câncer bucal. Embora a maioria dos pacientes (85%) já tenha ouvido falar em câncer bucal, apenas a minoria relatou saber se prevenir (23%) e possuir o hábito de examinar a boca em casa (35%). Além disso, apesar de 55% dos pacientes visitarem regularmente o dentista, apenas 28,3% relatou ter recebido informações sobre o câncer bucal. Pôde-se concluir que mesmo sabendo da existência do câncer bucal, a população idosa não possui informações suficientes para o correto diagnóstico e prevenção da doença, sendo necessário melhorias nas orientações fornecidas pelos profissionais da área da saúde com relação a este tema(AU)


The aim of this study was to evaluate the knowledge of patients at Serra Gaucha University Center about oral cancer. Questionnaires were applied to the elderly (n = 60) of both genders, different ethnicities and educational levels. Data analysis was performed using the chi-square test with a 95% confidence level. There was no statistically significant relationship (p> 0.05) between gender, marital status and education. The presence of oral lesions, absence of teeth, frequent visits to the dentist, and the use of alcohol and smoking did not influence the knowledge about oral cancer. Although most patients (85%) have heard of oral cancer, only a minority reported knowing whether to prevent it (23%) and having the habit of examining their mouth at home (35%). In addition, although 55% of patients regularly visit the dentist, only 28.3% reported receiving oral cancer information. It can be concluded that even knowing the existence of oral cancer, the elderly population does not have enough information for the correct diagnosis and prevention of the disease, being necessary improvements in the guidance provided by health professionals regarding this theme(AU)


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Mouth Neoplasms , Mouth Neoplasms/diagnosis , Mouth Neoplasms/prevention & control , Health of the Elderly
2.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 15 Marzo 2019. a) f: 12 l:15 p. graf.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 4, 134).
Monography in Spanish | LILACS (Americas), InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1102823

ABSTRACT

Desde la Subgerencia Operativa Red de Odontología en Hospitales, dependiente de la Dirección General de Hospitales del Ministerio de Salud del GCABA, conjuntamente con la Dirección Nacional de Salud Bucodental de la Secretaria de Salud de la Nación, y la Facultad de Odontología de la UBA, se realizaron diversas actividades de Promoción y Prevención del Cáncer Bucal promoviendo el diagnóstico precoz, las medidas de prevención y de control de esta patología. Se informa sobre los resultados de población encuestada, factores de riesgo y género, uso de protección solar, y consumo de bebidas.


Subject(s)
Mouth Neoplasms/diagnosis , Mouth Neoplasms/etiology , Mouth Neoplasms/prevention & control , Mouth Neoplasms/epidemiology , Oral Health , Public Health Dentistry , Health Promotion/supply & distribution
3.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4344, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-997890

ABSTRACT

Objective: To determine compatibility between clinical diagnosis and the pathological reports of biopsies from oral lesions. Material and Methods: In this descriptive study, 1146 clinical files of patients referring to Tabriz Faculty of Dentistry from 2004 to 2016 were retrieved and evaluated. The kappa coefficient was calculated for each file for compatibility of clinical and pathological diagnosis. Results: In relation to clinical (40.2%) and pathological (39.2%) diagnosis, irritational lesions of soft tissues exhibited the highest frequency. In 72.3% of cases, the clinical and pathological diagnosis were compatible and in 27.7% of cases these diagnosis were not compatible. The highest compatibility rates were detected for irritational lesions of soft tissues (81.5%) and mucocutaneous lesions (76.9%). There was no compatibility for osseous malignant tumors, inflammatory tissues, granulation tissues, metastatic lesions and hematologic disorders. Conclusion: Approximately one-third of clinical and histopathological diagnosis were not compatible. Therefore, to reach a correct diagnosis, the clinical, radiographic and histopathological views should be evaluated simultaneously.


Subject(s)
Humans , Mouth Neoplasms/diagnosis , Clinical Diagnosis/diagnosis , Clinical Laboratory Techniques/methods , Diagnosis, Oral , Iran , Medical Records , Epidemiology, Descriptive , Data Interpretation, Statistical
4.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4716, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-998227

ABSTRACT

Objective: To qualitatively investigate whether a prototype brush composed of metal bristles collects oral epithelial cells effectively for cytological evaluation of oral mucosal lesions. Material and Methods: Twenty patients with suspicious oral mucosal lesions were enrolled. Patients were asked to gargle with saline and to deposit the oral rinse into specimen cup. Then, oral mucosal cell samples were collected using a metal oral brush, via sweeping motion. Punch biopsy was performed for histological examination. All samples were evaluated with liquid based cytology (LBC) according to the cellularity, the depth of the epithelial layer, cellular integrity by an oral pathologist. Results: Oral rinse provided samples with 100% cellular integrity and cellularity, mostly from the intermediary layers. With metal brush, both inadequate cellularity and cellular integrity was observed in 25% of the cases. Cellular integrity was adequate in 65%, cellularity was adequate in 45% of the lesions. Samples were dominantly from the intermediary layers, but in one case, metal brush collected cells from the parabasal layer. Conclusion: The narrow spiral pitch and width of metal bristles may have resisted to release the cellular samples collected. With adjustment of the spiral pitch and diameter of metal brush bristles, its' efficacy could be enhanced.


Subject(s)
Humans , Biopsy , Mouth Neoplasms/diagnosis , Early Diagnosis , Mouth Mucosa/pathology , Turkey , Cytological Techniques/methods , Cytodiagnosis
5.
Rev. bras. cancerol ; 65(4)20191216.
Article in Portuguese | LILACS (Americas) | ID: biblio-1048719

ABSTRACT

Introdução:Tem-se apontado a persistência de desigualdades raciais na acessibilidade a bens e serviços de saúde, estando o indivíduo com câncer inserido nesse contexto. Objetivo: Analisar os fatores que impactam a acessibilidade da população negra ao cuidado oncológico no Brasil. Método: Por meio de uma revisão integrativa da literatura, buscaram-se, nas bases PubMed, LILACS e Embase, artigos originais publicados em português, inglês e espanhol sem limite temporal. Resultados: Foram incluídos 13 artigos, analisados a partir do tipo de câncer abordado: câncer de mama, câncer ginecológico, câncer de próstata e câncer de cavidade oral. Conclusão: As desigualdades raciais e socioeconômicas refletem nas ações de acessibilidade ao cuidado oncológico, maioritariamente na detecção precoce. Independentemente do tipo de câncer e das formas de diagnóstico e de tratamento, é inegável a dificuldade do paciente negro aos cuidados oncológicos por razões de natureza social e econômica.Os profissionais de saúde deveriam assegurar o atendimento à população negra ao mesmo nível prestado aos demais grupos sociais para garantir e superar as barreiras de acesso aos bens e serviços de saúde.


Introduction: The persistence of racial inequalities in the access to health services has been pointed out and the individual with cancer is within this scenario. Objective: To analyze the factors that impact the accessibility of the black population to cancer care in Brazil. Method: Through an integrative literature review, it were searched original articles published in Portuguese, English and Spanish in the databases PubMed, LILACS and Embase without time limitation. Results: Thirteen articles were included and analyzed based in the type of cancer addressed: breast cancer, gynecological cancer, prostate cancer and oral cancer. Conclusion: The racial and socioeconomic inequalities reflect upon the actions of accessibility to cancer care, mostly in early detection. Regardless of the type of cancer and the forms of diagnosis and treatment, it is unquestionable the difficulty the afro-descendant population has to access oncological care because of social and economic issues. Healthcare providers must ensure the care to the afro-descendant population as much as they do with other social groups to overcome the barriers to access health services.


Introducción: Se ha señalado la persistencia de las desigualdades racial e la accesibilidad a los bienes y servicios de salud, con el individuo con cáncer insertado en este contexto. Objetivo: Analizar los factores que afectan la accesibilidad de la población negra a la atención del cáncer en Brasil. Método: A través de una revisión bibliográfica integradora, se realizar búsquedas en las bases de datos PubMed, LILACS e Embase artículos originales publicados en portugués, inglés y español sin límite de tiempo. Resultados: Se incluyeron 13 artículos, analizado sen función del tipo de cáncer abordado: cáncer de mama, cáncer ginecológico, cáncer de próstata y cáncer de cavidad oral. Conclusión: Las desigualdades raciales y socioeconómicas se reflejan en las acciones de accesibilidad a la atención del cáncer, principalmente en la detección temprana. Independientemente del tipo de cáncer y las formas de diagnóstico y tratamiento, la dificultad del paciente negro en la atención del cáncer es innegable por razones sociales y económicas. Los profesionales de la salud deben garantizar la atención de la población negra al mismo nivel que otros grupos sociales para garantizar y superar las barreras de acceso a los bienes y servicios de salud.


Subject(s)
Humans , Male , Female , African Continental Ancestry Group , Health Services Accessibility , Neoplasms/diagnosis , Prostatic Neoplasms/diagnosis , Socioeconomic Factors , Brazil , Breast Neoplasms/diagnosis , Mouth Neoplasms/diagnosis , Health of Ethnic Minorities , Race Factors , Genital Neoplasms, Female/diagnosis , Neoplasms/therapy
6.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 9 mar. 2018. a) f: 15 l:18 p. graf.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 3, 81).
Monography in Spanish | LILACS (Americas), InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1103355

ABSTRACT

El lunes 5 de diciembre se celebra el "Día Nacional de Lucha Contra el Cáncer Bucal", declarado por decreto Nº 955/16 del Poder Ejecutivo Nacional. La propuesta de implementar dicho evento, para la difusión de esta patología, resulta un hecho inédito a nivel Nacional y Provincial. Por tal motivo, desde la Subgerencia de Odontología en Hospitales, dependiente de la Dirección General de Hospitales del Ministerio de Salud CABA, conjuntamente con la Dirección Nacional de Salud Bucodental del Ministerio de Salud de la Nación, se realizaron diversas actividades de Promoción y Prevención del Cáncer Bucal promoviendo el diagnóstico precoz, las medidas de prevención y de control de esta patología. Se describen los recursos humanos y físicos utilizados en la campaña, y los resultados obtenidos


Subject(s)
Mouth Neoplasms/diagnosis , Mouth Neoplasms/etiology , Mouth Neoplasms/prevention & control , Mouth Neoplasms/epidemiology , Dental Health Surveys , Dental Health Surveys/instrumentation , Dental Health Surveys/statistics & numerical data , Oral Health , Public Health Dentistry , Health Promotion/supply & distribution
7.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3853, 15/01/2018. graf
Article in English | LILACS (Americas), BBO | ID: biblio-967102

ABSTRACT

Objective: To analyse Potential Years of Life Lost (PYLL) rates trends of lip, oral cavity and pharynx neoplasms in the Slovak population by age and gender. Material and Methods: The study analyses PYLL rates (age-standardized) of lip, oral cavity and pharynx neoplasms (C00-C14) per 100,000 in the period of six years (2010-2015). The study sample was divided into two age sub-categories (all ages: 0-69y. and working group: 20-69y.) National mortality data (C00-C14) (3,138 mortality causes) were analysed from the Statistical Office of the Slovak Republic. Results: The highest PYLL rate was found in sub-category 20-69 years in males (378 per 100,000) in 2012 and in females (64 per 100,000) in 2013. The highest PYLL rate was observed in sub-category all age groups in males (296 per 100,000) in 2012 and in females (50 per 100,000) in 2013. The PYLL rates of lip, oral cavity and pharynx neoplasms had in the period 2011- 2015 upward trend in both sexes, however, in the 2014 was found the opposite trend. In 2015 the highest PYLL rates (non-standardized) in both sexes was found in age subcategory 55-59y. Conclusion: Our study should contribute to the development of oral cancer intervention programs.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Lip Neoplasms/diagnosis , Mouth Neoplasms/diagnosis , Mouth Neoplasms/pathology , Pharyngeal Neoplasms/diagnosis , Life Expectancy , Potential Years of Life Lost , Data Interpretation, Statistical , Slovakia
8.
Rev. inf. cient ; 97(2 Suplemento Estomatología): i:430-f:436, 2018. tab
Article in Spanish | LILACS (Americas) | ID: biblio-999280

ABSTRACT

Se realizó un estudio observacional, descriptivo, transversal, con el objetivo de determinar el comportamiento clínico del cáncer de la cavidad bucal en el Hospital General Docente "Dr. Octavio de la Concepción y de la Pedraja" en el período de enero a diciembre del 2015. El universo estuvo constituido por 273 pacientes con el diagnóstico de cáncer, la muestra estuvo integrada por los 21 pacientes con diagnóstico de cáncer bucal. Se estudiaron las variables: edad, sexo, procedencia del paciente, localización anatómica, tamaño de la lesión y tipo histológico. Predominó la enfermedad en pacientes de 46 a 60 años, procedencia rural y su localización prevaleció en el labio. El carcinoma epidermoide fue la variedad histológica más frecuente(AU)


An observational, descriptive, cross-sectional study was carried out to determine the clinical behavior of oral cavity cancer in the General Teaching Hospital "Dr. Octavio de la Concepción de la Pedraja "in the period from January to December of 2015. The universe consisted of 273 patients with a diagnosis of cancer, the sample consisted of 21 patients with a diagnosis of oral cancer, the variables age, sex, patient origin, anatomical location, lesion size and histological type. The disease predominated in patients from 46 to 60 years of age, of rural origin and their location prevailed in the lip. Epidermoid carcinoma was the most frequent histological variety(AU)


Subject(s)
Humans , Mouth Neoplasms/diagnosis , Mouth Neoplasms/epidemiology , Lip Neoplasms/epidemiology , Carcinoma, Squamous Cell/pathology , Epidemiology, Descriptive , Cross-Sectional Studies , Observational Study
9.
Rev. chil. cir ; 70(1): 59-65, 2018. tab, ilus
Article in Spanish | LILACS (Americas) | ID: biblio-899657

ABSTRACT

Resumen Introducción La rehabilitación oral con implantes es en la actualidad la mejor opción para el tratamiento de pacientes parcial o totalmente edéntulos. Sin embargo, no es un procedimiento exento de complicaciones. La aparición de carcinoma epidermoide en la encía circundante de los implantes, aunque infrecuente puede ser una de ellas y aunque no hay muchos casos descritos en la literatura, sería conveniente establecer qué relación, si es que existiera, pueden tener los implantes en el desarrollo de esta enfermedad. Caso clínico Presentamos el caso de una mujer de 85 años de edad con antecedentes personales de liquen plano oral, exfumadora y portadora de implantes osteointegrados colocados en las áreas correspondientes a 34, 45 y 46, que desarrolló un carcinoma epidermoide en la encía periimplantaria.


Introduction Currently, dental implants is considered as the best choice for edentulism partial or complete treatment. However, this treatment has some associated medical complications such as surrounding gum squamous cell carcinoma. Even though there are not that many cases described in medical literature, it could be appropriated to determine whether there is any relation between this neoplasic disease and the dental implants. Clinical case Presenting a 85-year-old women with PMH of lichen planus, ex-smoker and osseointegrated dental implant in areas 34, 45 and 46, with surrounding implant gum area Squamous cell carcinoma.


Subject(s)
Humans , Female , Aged, 80 and over , Mouth Neoplasms/diagnosis , Carcinoma, Squamous Cell/diagnosis , Dental Implantation/adverse effects , Mouth Neoplasms/surgery , Mouth Neoplasms/etiology , Carcinoma, Squamous Cell/surgery , Carcinoma, Squamous Cell/etiology
10.
Rev. ADM ; 74(6): 308-314, nov.-dic. 2017. tab
Article in Spanish | LILACS (Americas) | ID: biblio-973054

ABSTRACT

El cáncer oral es una neoplasia frecuente a nivel mundial; su diagnóstico se realiza de forma tardía por lo menos en un 50-60 por ciento de los casos, lo que empeora el pronóstico de los pacientes, ya que a mayor estadio, mayor es la tasa de mortalidad. Por lo tanto, es fundamental contar con herramientas que permitan realizar un diagnóstico temprano y tratamiento oportuno, sobre todo cuando existen lesiones premalignas clínicamente identificables. En el presente estudio se revisan las herramientas invasivas y no invasivas (modernas y antiguas) que han demostrado utilidad para el diagnóstico de cáncer oral; se basan tanto en técnicas ampliamente disponibles en la práctica clínica como en otras aún no disponibles, pero que podrían implementarse con una apropiada coordinación entre el profesional dedicado a la clínica y los investigadores.


Oral cancer is a neoplasm that is frequent on a worldwide level andis diagnosed late in at least 50-60% of the cases. Its late detection worsens the prognosis of patients because it is associated with a greater mortality. Therefore, it is essential to have tools that allow a timely diagnosis when premalignant lesions present and when there are noclinically identifi able premalignant lesions. In the present study, wereview the invasive and non-invasive tools (modern and old) that haveproven useful for the diagnosis of oral cancer; they are based bothon techniques widely available in clinical practice and on techniques not yet available, but that could be implemented with appropriate coordination between the clinic professional and the researchers.


Subject(s)
Humans , Mouth Neoplasms/diagnosis , Mouth Neoplasms/immunology , Biomarkers, Tumor , Early Diagnosis , Spectrum Analysis/methods , Spectrum Analysis, Raman , Diagnostic Imaging , Enzyme-Linked Immunosorbent Assay , Prognosis , Sequence Analysis, DNA
11.
Rev. Hosp. Ital. B. Aires (2004) ; 37(4): 146-148, dic. 2017. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1095758

ABSTRACT

El linfoma difuso de células B grandes (LDCBG) es el linfoma más frecuente. La presentación clínica puede ser nodal o extranodal y sus síntomas dependen de la localización tumoral; en la mayoría de los casos están asociados a algún tipo de inmunodeficiencia. Referiremos un caso de LDCBG de presentación atípica en una localización muy infrecuente. Es importante tener en cuenta estas situaciones, ya que pueden simular otros procesos patológicos, retrasando así su correcto diagnóstico y por lo tanto un adecuado tratamiento. (AU)


Diffuse large cell lymphoma B (LDCBG) is the most common type of lymphoma. It´s clinical presentation can be nodal or extranodal and it's symptoms depend where the tumor is located and whether is associated or not with an immunodeficiency disease. We present an atypical presentation of a LDCBG in a very unusual location. It´s important to consider these kind of appearance, as they can mimic other oral pathological processes, delaying their correct diagnosis and therefore an appropriate treatment. (AU)


Subject(s)
Humans , Male , Aged , Lymphoma, Non-Hodgkin/diagnosis , Gingival Neoplasms/diagnostic imaging , Lymphoma, Large B-Cell, Diffuse/diagnosis , Lymphoma, Non-Hodgkin/classification , Lymphoma, Non-Hodgkin/etiology , Mouth Neoplasms/diagnosis , Lymphoma, Large B-Cell, Diffuse/therapy , Lymphoma, Large B-Cell, Diffuse/diagnostic imaging , HIV Seronegativity/immunology , Herpesvirus 4, Human/immunology , Oral Ulcer/pathology , Mouth Mucosa/pathology
12.
Article in Spanish | LILACS (Americas) | ID: biblio-900284

ABSTRACT

RESUMEN: Las lesiones pigmentadas malignas en la mucosa oral son de escasa frecuencia, pero de altas tasas de morbilidad y mortalidad, siendo de mal pronóstico a pesar de agresivos tratamientos que pueden combinar grandes resecciones quirúrgicas con quimioterapia y radioterapia. Dado este escenario, la conducta clínica asociada a la pesquisa de lesiones pigmentadas es la biopsia inmediata para la confirmación o descarte de patología maligna y con ello un inicio temprano de tratamiento. Este artículo trata de una paciente recibida en un hospital público aproximadamente seis meses posteriores a las primeras manifestaciones de una lesión pigmentada en mucosa maxilar, que luego de confirmado el diagnóstico de una lesión maligna fue derivada y manejada por un equipo oncológico del mismo centro.


ABSTRACT: Pigmented malignant oral mucosa lesions are infrequent, but with high rates of morbidity and mortality, and have a poor prognosis despite aggressive treatments that can combine large surgical resection with chemotherapy and radiotherapy. Given this scenario, the clinical conduct associated with pigmented lesions is the immediate biopsy to confirm or rule out the disease and thus the early initiation of treatment. This article is about a patient attended in a public hospital about six months after the first signs of an injury to maxillary mucosa, which then confirmed the diagnosis of a malignant lesion, who was referred and treated by a cancer team of the same center.


Subject(s)
Humans , Female , Middle Aged , Mouth Neoplasms/diagnosis , Melanoma/diagnosis , Mouth Neoplasms/pathology , Early Diagnosis , Melanoma/pathology , Mouth Mucosa/pathology
13.
Braz. dent. j ; 28(3): 405-412, May-June 2017. graf
Article in English | LILACS (Americas) | ID: biblio-888641

ABSTRACT

Abstract Sjögren's syndrome (SS) is a systemic chronic autoimmune disorder affecting the lacrimal and salivary glands. SS may manifest as primary SS (pSS) or secondary SS (sSS), the latter occurring in the context of another autoimmune disorder. In both cases, the dry eyes and mouth affect the patient's quality of life. Late complications may include blindness, dental tissue destruction, oral candidiasis and lymphoma. This paper reports two cases of SS, each of them presenting unusual oral nodular lesion diagnosed as relapsed MALT lymphoma and mucocele. The importance of the diagnosis, treatment and management of the oral lesions by a dentist during the care of SS patients is emphasized, as the oral manifestations of SS may compromise the patient's quality of life.


Resumo A síndrome de Sjögren (SS) é uma doença autoimune crônica sistêmica que afeta as glândulas lacrimal e salivar. A SS pode se manifestar como SS primária (SSp) ou SS secundária (SSs), a última ocorrendo em conjunto com outra desordem autoimune. Em ambos os casos, os olhos secos e a boca seca afetam a qualidade de vida do paciente. As complicações tardias podem incluir cegueira, destruição dos tecidos dentários, candidíase oral e linfoma. Este artigo relata dois casos de SS, cada um apresentando lesão nodular oral incomum diagnosticada como linfoma MALT reincidente e mucocele. A importância do diagnóstico, tratamento e manejo das lesões orais por um cirurgião-dentista durante o atendimento de pacientes com SS é enfatizada, pois as manifestações orais da SS podem comprometer a qualidade de vida do paciente.


Subject(s)
Humans , Male , Female , Adult , Lymphoma, B-Cell, Marginal Zone/diagnosis , Mouth Diseases/pathology , Mouth Neoplasms/diagnosis , Mucocele/diagnosis , Sjogren's Syndrome/pathology , Mucocele/pathology , Quality of Life , Recurrence , Sjogren's Syndrome/complications
14.
Ciênc. saúde coletiva ; 22(5): 1579-1587, maio 2017. tab, graf
Article in English | LILACS (Americas) | ID: biblio-839960

ABSTRACT

Abstract The aim of this study was to understand the performance of dentists in public health about mouth cancer. A cross-sectional study was performed whit 121 dentists from Fortaleza Health Department, interviewed through a semi-structured questionnaire. The study did not identify statistically significant difference regarding the ability to perform biopsy by gender, year of graduation, expertise or time of public service. Only 22 professionals (18.2%) reported being able to perform biopsies and 13 (10.7%) would do so at the Family Health Unit. The reference and counter-reference system, by including another stage in patient care, increase the possibility of absenteeism from patient to health service. Although clearly identify the relevance of oral cancer mortality in the population, the vast majority of dentists is not equipped to perform the biopsy as a routine activity. Whereas the vast majority of biopsies of the oral tissues is performed as an outpatient, low technological complexity to perform the procedure and the effectiveness of biopsy in the early diagnosis of oral cancer, it is essential to hold this procedure in primary care, what can effectively contribute to decreasing mortality from oral cancer.


Resumo O objetivo do presente estudo foi analisar a atuação dos cirurgiões-dentistas da rede pública de saúde frente ao câncer de boca. Foi realizado estudo transversal no qual foram entrevistados 121 dentistas a partir de questionário semiestruturado. O estudo não identificou diferença estatisticamente significativa em relação à capacidade de realizar biópsia por sexo, ano de graduação, especialização ou tempo de serviço público. Apenas 22 profissionais (18,2%) relataram ser capazes de realizar biópsias, e 13 (10,7%) poderiam fazê-la na Unidade de Saúde da Família. O sistema de referência e contrarreferência, por meio da inclusão de mais de uma etapa na assistência, aumenta a possibilidade de absenteísmo do paciente ao serviço de saúde. Embora identifique claramente a relevância da mortalidade do câncer bucal na população, a grande maioria dos dentistas não está preparada para realizar a biópsia como uma atividade de rotina. Considerando que a grande maioria das biópsias dos tecidos orais é realizada em ambulatório, a baixa complexidade tecnológica para realizar o procedimento e sua eficácia para o diagnóstico precoce do câncer de boca, é essencial a realização deste procedimento na atenção primária, o que pode efetivamente contribuir para a diminuição da mortalidade por câncer oral.


Subject(s)
Humans , Male , Female , Biopsy/methods , Dentists/statistics & numerical data , Mouth Neoplasms/diagnosis , Practice Patterns, Dentists'/statistics & numerical data , Brazil , Clinical Competence , Cross-Sectional Studies , Early Detection of Cancer , Primary Health Care , Surveys and Questionnaires
16.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e2831, 13/01/2017. tab, graf
Article in English | LILACS (Americas), BBO | ID: biblio-914301

ABSTRACT

Objective: To describe and explore analytically the trends of oral cancer positive cases incidence during nine-year screenings campaign of Sao Paulo´s State (Brazil) and to show other countries and health services an option for tracking at-risk population. Material and Methods: Secondary official data were tabulated and analysed using the Excel and STATA statistical 10.0 software packages. After descriptive statistics, the trend curves were calculated by moving average for each variable (type moving average of two samples centred) to attenuate the random variability of the series, and trends classified: stable, ascending and descending. Results: The trend of municipalities numbers remained stable; the number of examined people, the screening coverage and the absolute number of patients referred to secondary health care showed an increasing trend; and the percentage of suspected cases showed a decreasing trend during the nineyear period. A decrease in the number of suspicious lesions and confirmed cases of oral cancer among the volunteers was observed, and the reorganization of secondary and tertiary levels of oral care helped to modify these numbers. Conclusion: We believe this experience was more important to help health services organization than for the oral cancer diagnosis itself, and it might be used to inspire other countries and oral health services.


Subject(s)
Public Policy , Brazil/ethnology , Aged , Mouth Neoplasms/diagnosis , Early Diagnosis , Data Interpretation, Statistical , Statistics, Nonparametric , Dental Health Services
17.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3734, 13/01/2017. tab
Article in English | LILACS (Americas), BBO | ID: biblio-914447

ABSTRACT

Objective: To describe the epidemiological profile of patients with oral and oropharyngeal cancer treated at a referral hospital in Salvador, Brazil. Material and Methods: A cross-sectional study was carried out at Aristides Maltez Hospital (HAM), analyzing the medical records of patients treated between 2008 and 2015. Of the 722 medical records analyzed, 154 were included, considering the following variables: gender, age, occupation and educational level; type of lesion of the mouth/oropharynx cancer, its location and stage. The data were presented using descriptive statistics. Results: There was a greater occurrence of squamous cell carcinoma (88.3%), with a higher prevalence for males (72.73) and age between 60-69 years (42%), with a predominance of farmers (38.31%). As for the educational level, 59% had only completed elementary school. The most common location for cancer was the tongue, 25.15% of the cases, and the professional responsible for the diagnosis was predominantly a doctor (94%). Prevalence of T3 and T4 size tumors (53.25%). Conclusion: Patients with oral and oropharyngeal cancer are mostly male, older than 60 years, with low educational level, and working as farmers. The most common location was the tongue, and T3 and T4 tumors were predominant.


Subject(s)
Humans , Male , Middle Aged , Aged , Health Profile , Brazil , Mouth Neoplasms/diagnosis , Carcinoma, Squamous Cell/pathology , Oropharyngeal Neoplasms/diagnosis , Clinical Diagnosis , Medical Records , Cross-Sectional Studies/methods , Data Interpretation, Statistical , Age and Sex Distribution
18.
Rev. Salusvita (Online) ; 36(1): 91-98, 2017. ilus
Article in Portuguese | LILACS (Americas) | ID: biblio-876189

ABSTRACT

Introdução: as lesões metastáticas em boca são raras e representam menos de 1% de todas as neoplasias malignas. A mandíbula é a região mais afetada e, os tecidos moles, menos comumente, sendo a gengiva e a língua os sítios mais acometidos. Objetivo: relatar um caso clínico de um paciente portador de adenocarcinoma de cólon avançado sob cuidados paliativos, e que apresentou uma lesão metastática bucal. Método: relado de caso. Resultado e Discussão: O diagnóstico precoce de lesões metastáticas bucais é bastante desafiador para o cirurgião-dentista, uma vez que essas lesões podem manifestar-se clinicamente como lesões reacionais ou neoplasias benignas, que podem dificultar o diagnóstico precoce e seu imediato tratamento. Ressaltamos que o exame físico da boca deve ser realizado em pacientes oncológicos, que apresentam metástases em outros órgãos, no intuito de investigar a existência de lesões bucais e proporcionar um diagnóstico precoce, que possibilite melhor chance de tratamento e reabilitação mais favorável, quando o prognóstico do câncer é bom. Conclusão: nos casos avançados, o tratamento paliativo deve ser realizado para que haja melhor qualidade de vida ao paciente.


Introduction: metastatic lesions in the mouth are rare and account for less than 1% of all malignancies. The jaw is the most affected region, and the soft tissues are less commonly, with the gingiva and tongue being the most affected sites. Objective: the objective of this study is to report a case of a patient with advanced colon adenocarcinoma under palliative care and who presented with an oral metastatic lesion. Method: it is proposed a standard vase report. Result and Discussion: early diagnosis of oral metastatic lesions is quite challenging for the dental surgeon, since these lesions may manifest clinically as reactional lesions or benign neoplasms, which may make early diagnosis and immediate treatment. We emphasize that the physical examination of the mouth should be performed in cancer patients, who have metastases in other organs, in order to investigate the presence of oral lesions and provide an early diagnosis, which allows a better chance of treatment and more favorable rehabilitation, when the prognosis of cancer is good. Conclusion: in advanced cases, palliative treatment should be performed in order to have a better quality of life for the patient.


Subject(s)
Humans , Male , Adult , Mouth Neoplasms/diagnosis , Colorectal Neoplasms/complications , Diagnosis, Oral , Neoplasm Metastasis , Adenocarcinoma/complications
19.
Rev. Ciênc. Plur ; 3(1): 51-62, 2017. graf
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-848593

ABSTRACT

Introdução: O câncer de boca está entre o sexto e o oitavo tipo de câncer mais comum em todo o mundo. Dentre os principais fatores de risco relacionados aos tumores malignos orais encontram-se o tabaco, álcool e a radiação solar ultravioleta. A prevenção destes fatores de risco está entre os mais importantes desafios de saúde pública da atualidade. Objetivo: Analisar o conhecimento dos trabalhadores rurais, grupo de risco para câncer de boca, acerca da prevenção e diagnóstico precoce da neoplasia. Métodos: A amostra contou com 100 participantes, sendo os dados coletados através de questionário estruturado com perguntas relativas ao conhecimento sobre o câncer de boca, fatores de risco, diagnóstico precoce e prevenção. Resultados: Os resultados evidenciaram prevalência de indivíduos do sexo feminino, residentes na zona rural, expostos ao sol de 5 a 8 horas por dia. Sobre o conhecimento de câncer de boca, 40% relacionou-o com algum tipo de doença, 54% que o principal fator de risco seria a falta de higiene, e 44% respondeu que a forma de prevenir seria com cuidados de higiene. 29% dos participantes fazem uso de bebida alcoólica e 14% de cigarro. Dos entrevistados que utilizam formas de proteção, 71,27% utilizam apenas chapéu ou boné. Entre os participantes da pesquisa, 91% nunca realizou o autoexame. Conclusão: Os trabalhadores apresentam desconhecimento a respeito do câncer de boca e fatores de risco associados ao desenvolvimento desta neoplasia. Torna-se indispensável instituir um programa de prevenção e diagnóstico precoce desta doença em populações de risco (AU).


Introduction: Mouth cancer is between the sixth and the eighth most common type of cancer worldwide. Among the main risk factors related to oral malignant tumors are tobacco, alcohol and ultraviolet solar radiation. Prevention of these risk factors is among the most important public health challenges nowadays. Objectives: Analyze the level of knowledge of rural workers, risk group for oral cancer, about prevention and early diagnosis of this neoplasm. Material and Methods: The sample consisted of 100 rural workers, and the data were collected through structured questionnaire with questions regarding knowledge about oral cancer, its risk factors, early diagnosis and prevention of malignancy. Results: The results showed prevalence of females (52%), living in rural areas (86%), 44% exposed to the sun 5-8 hours daily. With respect to knowledge to oral cancer, 40% associated with some kind of disease, 54% answered that the main risk factor was the lack of hygiene, and 44% responded that the way to prevent it would be with hygiene care. It was detected that 29% of participants consume alcohol and 14% tobacco. Of the 94% of participants who use some form of protection, 71.27% only use hat or cap to protect from the sun. 91% had never conducted selfexamination. Conclusion: The results showed that rural workers present no knowledge about oral cancer and the risk factors associated with the development of this malignancy. Thus, it becomes essential to establish a program of prevention and early diagnosis of this disease in the risk population (AU).


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Brazil , Carcinoma, Squamous Cell/diagnosis , Early Diagnosis , Mouth Neoplasms/diagnosis , Mouth Neoplasms/prevention & control , Rural Workers , Cross-Sectional Studies/methods , Disease Prevention , Risk Factors
20.
Rio de Janeiro; s.n; 2017. 111 f p. graf, tab, il.
Thesis in Portuguese | LILACS (Americas) | ID: biblio-966561

ABSTRACT

Esta pesquisa tem por objetivo analisar a recidiva, a sobrevida e fatores prognósticos em pacientes com câncer de cavidade oral (CCO), diagnosticados e atendidos no Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA), no período de 1999 a 2009. A tese é apresentada em dois artigos que abordam: (i) sobrevida global e fatores prognósticos clínicos em pacientes com CCO (ii) sobrevida específica e livre de doença segundo características histopatológicas em casos de CCO que apresentaram recidiva. O estudo foi aprovado pelo Comitê de Ética em Pesquisa do INCA. Como fontes de dados foram consultados os registros do Departamento de Anatomia Patológica, Registro Hospitalar de Câncer e prontuários de pacientes. Foram elegíveis 3838 casos de CCO do tipo escamoso. Foram incluídos 996 pacientes livres de tratamento prévio e sem histórico de câncer. Para estimar a sobrevida global,específica e o tempo livre de doença foi empregado o método de Kaplan- Meier. Para analisar os fatores prognósticos, Hazard Ratios (HR) e intervalos de confiança de 95% (IC 95%), utilizou-se modelo de riscos proporcionais de Cox.. No estudo 1, entre os homens, o comprometimento de linfonodos ao exame clínico associou-se a um pior prognóstico (HR:1,30; IC 95%: 1,04;1,62). Em relação a variável "tratamento", a radioterapia exclusiva mostrou pior prognóstico para ambos os sexos, comparando com tratamento cirúrgico exclusivo. Entre homens a HR foi de 2,07 (IC 95%: 1,54; 2,78) e entre mulheres a HR foi de 1,96 (IC 95%: 1,02;3,75). No estudo 2, foram incluídos 93 pacientes que apresentaram recidiva comprovada histopatologicamente após terem sido submetidos a tratamento cirúrgico (exclusivo ou associado a radioterapia) com intenção curativa. Nas recidivas, os pacientes classificados como recorrência apresentaram menor tempo livre de doença (mediana 15 meses) quando comparados aos pacientes com segundo tumor primário (mediana 50 meses). Estes achados sugerem que o diagnóstico da doença em fases iniciais ainda é a melhor forma de minimizar óbitos pelo CCO


The aim of this study was to analyze the time of relapse, survival and prognostic factors in patients who were affected by oral cancer, treated at Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA) between 1999- 2009.This thesis implies on two articles: (i) specific survival and clinical prognostic factors in cancer patients in the oral cavity and (ii) disease-free survival, specific survival and histopathological prognostic factors in oral cancer that presented relapse. The study was approved by the Research Ethics Committee of the National Cancer Institute (INCA) and financial support granted by Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro. Registries of Department of Pathological Anatomy of INCA (DIPAT), Hospital Cancer Registry (RHC) and medical records of patients were used as sources of data. The study included 996 patients who met the eligibility criteria: oral cavity lesion, squamous cell carcinoma type tumor, curative treatment and without previous treatment or tumor. To estimate disease free and specific survival was used Kaplan-Meier method. To analyze prognostic factors was used Cox risk model. Among men, lymph node involvement at clinical examination associated with prognosis (HR: 1.30, 95% CI:1.04;1.62); Radiotherapy showed a worse prognosis for both sexes (HR: 2.07, 95% CI: 1.54;2.78 in men and HR: 1.96, 95% CI:1.02;3.75 in women) compared to patients whom were treated with salvage surgery, surgery plus adjuvant therapy or radiotherapy with adjuvant therapy. In article two, 93 patients were included who met the inclusion criteria: histopathologicaly proven relapse, surgical or surgical treatment associated with radiotherapy and surgical block availability. Patients classified as recurrence had less time to failure when compared to second primary tumors (mean survival 15 and 50 months, respectively). Histopathological features (invasion pattern, lymphocytic infiltrate and perineural invasion of the primary tumor) are not associated with disease-free nor specific survival. These findings suggest that the diagnosis of the disease in stages is even better in order to minimize deaths from oral cancer


Subject(s)
Humans , Prognosis , Recurrence , Mouth Neoplasms/diagnosis , Mouth Neoplasms/epidemiology , Survival Analysis
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