Risk group assessment of oral precancer attached to X‐ray lung‐screening examinations

Abstract

The mortality rate of oral tumours in Hungary, as in some other countries, is increasing. In order to assess risk groups for oral cancer and precancer, oral examinations were carried out as part of the X-ray screenings for lung cancer in the 3rd district of Budapest, Hungary. There were 5,034 adults who participated voluntarily in these investigations. After completing a questionnaire with 23 questions, a short oral examination was performed. Males comprised 57.7% of the group, and the age-distribution among men and women was similar. Oral precancerous lesions were found in 3.7% of the whole group, in 3.3% of those with leukoplakia, and in 0.4% of those with oral lichen planus. The prevalence of leukoplakia in men was 5.8%, and in women 1.5%, with significantly higher prevalences in men and women over 40. Among the examined persons there were 31% who were smokers, and 6% reported that they were regular consumers of alcohol. Fifty-four percent of those examined reported that they did not visit the dentist regularly. Oral complaints came mostly from those with lichen planus. The described model, where the oral screening examinations are done in conjunction with other examinations, in a so-called multiphasic screening system, seems to be a worthwhile approach for early diagnosis of oral cancer and precancer.

An appraisal of oral cancer and pre‐cancer screening programmes in Europe: a systematic review

“…A total of 16 OC/pre-cancer screening studies conducted in Europe over a span of three decades were retrieved from our searches (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34). The first of the screening programmes was conducted in 1973-1974 in Sweden (published in 1987 following a re-evaluation) and was the largest reported so far.…”

Oral mucosal lesions and their association with tobacco use and qat chewing among Yemeni dental patients

“…This finding is similar to the prevalence reported in Brazilians (1.01%) ( 29 ), whereas this rate is much lower than that found in studies conducted in Slovenia (3.1%) ( 4 ) and Thailand (4.8%) ( 22 ). The prevalence of leukoplakia based on epidemiological data from different countries over the last 30 years varies from 1% to 13% with a mean value of 3% ( 30 ). Lichen planus was seen in 0.5% of our study population, a figure consistent with many previous studies ( 2 , 6 ).…”

Risk factors and etiopathogenesis of potentially premalignant oral epithelial lesions

“…A Hungarian cross-sectional study performed during an oral screening program found that 3.7% of the individuals presented with PPOELs and that among these, 88% reported tobacco use. 18 In individuals residing in rural United States, smokeless tobacco was strongly associated with the presence of oral leukoplakia. 19 Individuals with tobacco-related lesions have an increased risk of OED.…”