A sialolitíase é uma doença não neoplásica mais comum que afeta as glândulas salivares, atribuída a obstrução de glândulas salivares ou seu ducto, pela formação de um ou mais cálculos. É uma doença que ocorre mais em glândulas salivares maiores, sendo a submandibular a mais acometida. A etiologia pode estar associada ao pH básico e a anatomia dos ductos bastante tortuosos e ascendentes. Descrever o caso clínico de um sialolito de extensa dimensão em glândula submandibular e o diagnóstico através de exames clínicos com auxílio de exames de imagem. Paciente gênero feminino, compareceu ao Serviço de diagnóstico bucal da extensão de estomatologia - SERPROBEM do Centro Universitário Cesmac para avaliação, queixando-se de lesão no assoalho bucal esquerdo. Foram solicitados exames complementares de imagem: ultrassonografia, telerradiografia lateral e radiografia convencional (panorâmica e oclusal), tendo a presença de massa mineralizada em região submandibular. Foi realizada excisão cirúrgica, com preservação da glândula submandibular. Com a associação de exames clínicos e de imagem, pode-se facilmente identificar casos de sialolitíase.
Purpose
Cancer of the mouth and oropharynx is associated with high morbidity and mortality despite new diagnostic and treatment technologies. The aim of this study was to describe a time series of oral and oropharyngeal cancer cases, as well as to evaluate risk factors for death and disease-specific survival (DSS).
Methods
This is a retrospective time series of cases diagnosed between 2017 and 2020 at a referral center in the state of Alagoas. Poisson regression with robust variance and disease-specific-survival (DSS) analysis were performed using “death” as outcome.
Results
The sample consisted of 115 cases of squamous cell carcinoma. The tongue was the most frequently affected site and 56 patients had died. Waiting time for treatment initiation longer than 60 days, presence of palpable lymph nodes, large tumor size, advanced tumor stage, and non-surgical treatment were associated with a higher risk of death.
Conclusion
This study provided insights into the behavior and characteristics of the population with oral and oropharyngeal cancer, as well as into the risk factors for death and factors affecting overall survival.
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