Prevalence of oral cancer and pre-cancerous lesions and the association with numerous risk factors in North India: A hospital based study

Gupta, Shalini; Rajender, Singh; Op, Gupta

doi:10.4103/0975-5950.154816

Cited by 34 publications

(40 citation statements)

References 14 publications

(13 reference statements)

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“…These findings in turn are related with traditional risk factors showing presence of malignant and premalignant lesions in older age groups, males, lower socioeconomic strata and adverse oral habits like tobacco-chewing, gutkha or pan-masala use for prolonged periods. 7,18,19 The findings of present study presented the spectrum of premalignant and oral lesions from a rural centre in Lucknow, the profile of premalignant lesions in present study showed a slight variability from a other study conducted in mixed rural-urban population in our city, thus showing that profile of premalignant lesions depends on the environment and level of exposure to different risk factors. Cross-sectional community based studies with inclusion of patients with normal oral mucosa are recommended to measure the weight of different risk factors.…”

Section: Discussionsupporting

confidence: 50%

Spectrum of premalignant oral lesions in rural North Indian population at a tertiary care hospital

Faiz

Agarwal

Bhargava

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: The objective of the study was to study the spectrum of premalignant oral lesions in rural North Indian population at a tertiary care hospital.Methods: A total of 340 patients with oral lesions for more than 2 weeks were enrolled in the study. Patients with proven malignancy, white patch in the oral cavity which can be scrapped off, e.g. oral candidiasis and urban patients were excluded. Biopsy specimen was obtained from all the patients and evaluated histopathologically. Site, nature and type of oral lesion were determined. Demographic data and exposure to different risk factors was also noted. Findings were correlated using Chi-square test. Results: Premalignant lesions were seen in 191 (56.18%) cases. They included leukoplakia (n=87; 45.5%), OSMF (n=62; 32.5%), Erythroplakia (n=18; 9.4%), lichen planus (n=15; 7.9%), melanoplakia/ melanosis (n=8; 4.2%) and DLE (n=1; 0.5%) respectively. Most common sites affected by premalignant lesions were buccal mucosa (n=173; 90.6%), retromolar area (n=42; 22%). Majority of patients with premalignant lesions were aged 26-50 years (78.5%), males (62.8%), farmers/labourers (56%) and illiterate/educated upto primary level (57.1%). Almost all the patients had two or more adverse oral habits with areca nut chewing being most common (69.6%) followed by tobacco chewing (66%) and smoking (60.2%) respectively. Majority had these addictions for >5 years (66%).Conclusions: Leukoplakia and OSMF dominated the premalignant lesions in rural patients having low education and high prevalence of adverse oral habits for prolonged duration.

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Section: Discussionsupporting

confidence: 50%

Spectrum of premalignant oral lesions in rural North Indian population at a tertiary care hospital

Faiz

Agarwal

Bhargava

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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“…6 According to the statistics, in 2012 the incidence of oral cancer in India is 53842 in males and 23161 in females. 7 Agrawal S et al Int J Community Med Public Health. 2020 Jan;7 (1): [367][368][369][370][371][372][373][374][375][376] International Journal of Community Medicine and Public Health | January 2020 | Vol 7 | Issue 1 Page 369…”

Section: Epidemiology Of Oral Cancermentioning

confidence: 99%

Early detection and prevention of oral cancer: an appraisal

Agrawal

Saxena

Jain

et al. 2019

Int J Community Med Public Health

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Oral cancers (OC) represent the majority of head and neck cancers with more than half million patients being affected each year worldwide. Oral squamous cell carcinoma is the sixth commonest cancer worldwide, accounting for approximately 4% of all cancers. Therefore, an improvement in the prevention and control of oral cancer is of critical importance. This may be achieved by reducing the risk through avoidance of tobacco and alcohol, recognizing and treating premalignant lesions and detecting developed OC at an early stage. Data search for the present review was done electronically. Electronic search was conducted using databases such as Pubmed and Medline, Cochrane library, articles published in peer-reviewed journals, text books, grey literature and from sites of World Health Organization, Centre For Diseases Control Report, Global Adult Tobacco Survey and Global Youth Tobacco Survey reports. This review ruled out web of causation and web of prevention including early detection and prevention to be an ideal strategy to reduce the prevalence of oral cancer and its impact on quality of life. Screening and early detection in population at risk have been proposed to decrease both morbidity and mortality associated with the oral cancer.

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“…However, the National Cancer Registry Program provides population-based data from a selected network of 28 cancer registries located across the country. 5 Oral cancer is among the top three types of cancers in India. 6 Severe alcoholism, use of tobacco in the form of cigarettes, smokeless tobacco, and betel nut chewing are the most common risk factors for oral cancer.…”

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confidence: 99%

“…12 Over 5 people in India die every hour everyday because of oral cancer and the same number of people die from cancer in oropharynx and hypopharynx. 5 The health care fraternity, chiefly the dentists, oncologists, ENT specialists and even physicians also have in depth knowledge of oral cancer. However general population remains largely unaware about the oral cancer.…”

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confidence: 99%

Oral cancer awareness among students from Mumbai University

Limaye

Bhatkhande

Sabu

et al. 2018

Int J Basic Clin Pharmacol

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Background: Oral cancer is among the top three types of cancers in India. Severe alcoholism, use of tobacco in the form of cigarettes, smokeless tobacco, and betel nut chewing are the most common risk factors for oral cancer. Often individuals with pre cancer even notice the alterations, such as reduced mouth opening in oral submucous fibrosis (OSMF), but they are not aware about the causes and consequences of these changes. Awareness about causes and features of oral cancers can be very helpful in prevention, control and early diagnosis of oral cancer.Methods: A cross-sectional study was carried out among students from Mumbai University, India during May-June 2017. Five hundred students were approached to participate in the study of which 400 agreed to participate. Pretested questionnaire was distributed and collected data was analyzed using IBM SPSS version 23.Results: There were 199 (49%) males and 201 (50%) females in the study and response rate was (80%). Respondents had good knowledge about oral cancer. Seventy four percent (268/362) respondents correctly identified smoking, and tobacco chewing as possible causes of oral cancer. Almost all (96%; 348/362) respondents correctly responded that oral cancer does not spread from person to person through touch or speaking. Seventy two percent (260/362) respondents believed that oral cancer is curable. Significantly higher number of male (98%) compared to female participants answered correctly to questions regarding spread of disease and occurrence of oral cancer in AIDS patients.Conclusions: Participants showed good knowledge about oral cancer. Female participants showed lesser knowledge compared to male counterparts. Details about oral cancer should be incorporated in the undergraduate curriculum and periodic awareness programs should be organized for students.

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Prevalence of oral cancer and pre-cancerous lesions and the association with numerous risk factors in North India: A hospital based study

Cited by 34 publications

References 14 publications

Spectrum of premalignant oral lesions in rural North Indian population at a tertiary care hospital

Spectrum of premalignant oral lesions in rural North Indian population at a tertiary care hospital

Early detection and prevention of oral cancer: an appraisal

Oral cancer awareness among students from Mumbai University

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