Sundus Abdul Wadood Algazaeri

Abstract

Background: Cancer is a major health problem in Basrah. Oral cancer is an important component which deserves exploration. Objective: To study the incidence of oral malignancy in Basrah. Materials and Methods: Available data were obtained from the cancer registry in Basrah, a histopathological research facility of Al-Sadder Teaching Hospital, Al-Basrah General Hospital and College of Dentistry in Basrah. Results: In Basrah from 2005 to 2017, there were 304 cases identified of oral malignancy in various sources, 152 cases for both male and female. Squamous cell carcinoma accounted for 82.2%. The Tongue is the most frequent site followed by buccal mucosa, lower jaw then the upper jaw. Conclusion: No solid evidence exists regarding the incidence of oral malignancy in Basrah governorate and the present information represent only an attempt to measure the extent and characteristics of oral malignant diseases. Comprehensive cancer registration is highly required supported by accurate information on new cases and on cancer-related mortality. The current level of registered oral malignant diseases is likely to be underestimated. Keywords: Oral malignancy, Squamous cell carcinoma, Incidence, Basrah, 2005-2017.

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Abstract

Objective: The destinations of this examination were to direct a review of oral biopsied recorded to oral lesions in Basrah and compare with other studies. Materials and Methods: Between 2012 and 2017, 560 biopsies recorded for oral lesions from the histopathological laboratories of Basrah Dental College, Basrah General Hospital and Al-Sadder Teaching Hospital and data from Basrah Cancer Registry. The biopsy result classified into six types: reactionary lesions, benign lesions, malignant lesions, cystic lesions, salivary gland lesions and Immunologically mediated lesions. From the oral biopsy records, information gathered included age grouped as follow: under 20, 20-29, 30-39, 40-49, 50-59, 60-69 and above 69. Sex: male and female. The anatomical area includes buccal mucosa, the floor of the mouth, gingiva, lower and upper lips, lower and upper jaws and tongue. Results: The all outnumber of biopsy recorded was 560 report, about (n=283) 50.54% of the lesions taken from the male while (n=277) 49.46% were for females. The mean age at introduction was 38 years with the age range of 1 to 85 years. The peak age was ages underneath 20 years 124 (22.1%). The dominant part of the lesions has influenced the tongue 101 (18%) followed by buccal mucosa 89(15.9%)and gingiva 88(15.7%). Regular pathology discovered was reactionary injuries about 240(42.9%) biopsies, Malignant lesions accounted 107 (19.1%), Benigne lesions making up 91 (16.3%), Cyst 74(13.2%), Salivary gland lesions about 34(6.1%) biopsies and the Immunologically interceded lesions were 15 (2.9%) Conclusions: In this study the biopsies record were reactionary lesions and generally among young patients, that means to increase the education among those patients to improve their oral health since they did not seek treatment in primary dental care. Keywords: Biopsy, Oral lesions, Basrah.  

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