The range of diagnoses for oral soft-tissue biopsies of geriatric patients in a Saudi Arabian teaching hospital

Qannam, Ahmed; Bello, Ibrahim O.

doi:10.1016/j.sdentj.2016.01.001

Cited by 10 publications

(23 citation statements)

References 20 publications

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“…[7,9,10] However, other studies reported higher prevalence rate among males. [11,12] The mean age of the patients with OMLs was 43.6; this in accordance with that of other study among neighbor Saudi population. [5] Most of the reports were of patients their age from 4 th -6 th decade of age.…”

Section: Discussionsupporting

confidence: 89%

Histopathological Findings of Oral and Maxillofacial Biopsies from a Sample of Yemeni Patients

Al-Wesabi

Al-Matari

Jawfi

2019

Preprint

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Background: Epidemiologic studies of Oral and Maxillofacial lesions (OMLs) are rare compared with the studies of caries and periodontal diseases. It is fundamental to promote early diagnosis and provide appropriate health programs. This study was to investigate the prevalence and distribution of histologically confirmed OMLs in Sana’a.Methodology: The documented records of all patients with OMLs were recovered from the biggest histopathology laboratories that provide biopsy analysis in Sana'a Yemen, for a period of six years (2013 to 2018). This multicenter retrospective study was conducted on 1376 oral and maxillofacial biopsied lesions. The clinico-pathologic data were extracted from the histopathology reports which included age, gender, nature of specimen, site of lesion, clinical appearance and histopathological diagnosis. Descriptive analysis, Chi squared test, and binary logistic regression were performed.Results: Regarding malignant lesions, the most prevalent lesions among males and females was squamous cell carcinoma; OSCC (226; 33.0% and 214; 30.9%; respectively). Followed by undifferentiated pleomorphic sarcoma which were five cases (0.7%) for males and 6 cases (0.9%) for females. Most of the cases (43.8%) diagnosed as OSCC were in the age group older than 40 years old. At this age group, the second most prevalent lesions were Adenocarcinoma and Adenoid cystic carcinoma (0.7% and 0.6%; respectively). The results of the regression analysis show that the site of the lesion (OR; 0.6, CI; 0.51-0.81; P= 0.00) and age of the patient (OR; 4.17, CI; 5.22-5.41; P=0.00) were the independent factors of malignancy of oral lesions.Conclusion: The present study showed high prevalence of malignant and premalignant oral mucosal lesions. The data from this study highlighted the need for dental public health intervention programs for early detection of oral cancer among Yemeni population by dental practitioners. As well as the importance of education of the general population in regards to risk factors of OMLs.

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Section: Discussionsupporting

confidence: 89%

Histopathological Findings of Oral and Maxillofacial Biopsies from a Sample of Yemeni Patients

Al-Wesabi

Al-Matari

Jawfi

2019

Preprint

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“…[7][8][9]15 In the elderly patients, the most common tongue lesion in the present was squamous cell carcinoma which is in accordance with previous studies on geriatric oral lesions based on histopathological examination. [10][11][12][13]…”

Section: Discussionmentioning

confidence: 99%

“…There have been several epidemiological studies on oral mucosal lesions and tongue lesions constitute a considerable proportion of the oral lesions, [5][6][7][8][9][10][11][12][13] but information specific to the tongue lesions is difficult or impossible to extract from those studies. Prevalence of tongue lesions varies in different parts of the world due to demographic and/or geographic differences of the sample studied, as well as differences in the diagnostic criteria, study methodology, and sampling process 14 ; hence conducting studies on the prevalence of tongue lesions in different geographic regions seems imperative.…”

Section: Introductionmentioning

confidence: 99%

“…Prevalence of tongue lesions varies in different parts of the world due to demographic and/or geographic differences of the sample studied, as well as differences in the diagnostic criteria, study methodology, and sampling process 14 ; hence conducting studies on the prevalence of tongue lesions in different geographic regions seems imperative. Pediatric and geriatric patients are special groups of general population which elicit distinctive oral mucosal lesions, [7][8][9][10][11][12][13]15 so it is interesting to know whether tongue as a subsite of the oral mucosa does the same thing. Most of the previous studies were based on clinical observations without histopathological examination.…”

Section: Introductionmentioning

confidence: 99%

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A Multicenter Study of Tongue Lesions from Thailand

et al. 2020

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Objective Tongue lesions constitute a considerable proportion of the oral lesions. Previous studies on tongue lesions were based on clinical studies. There has been a scarcity of the studies which are based on histopathological examination. This study aimed to determine the prevalence, demographic, and pathologic features of tongue lesions from Thailand. Materials and Methods Biopsy records of the participating institutions were reviewed for lesions on the tongue diagnosed during 1998 to 2017. Demographic data were collected from the biopsy records. Locations were arbitrarily classified as dorsal, lateral, and ventral surfaces, tip of the tongue, and the combination of sites. Lesions of the tongue were classified as reactive/inflammatory, developmental, immune-mediated, cystic, benign, premalignant, malignant, infectious, and miscellaneous categories.Statistical Analysis Data were analyzed by descriptive statistics using SPSS version 20.0. Results Of the 44,188 accessioned cases, 2,153 cases (4.87%) were diagnosed from the tongue. The age of the patients ranged from 3 to 93 years with the mean ± standard deviation = 45.26 ± 20.48 years. The female-to-male ratio was 1.49:1. The majority of the tongue lesions were encountered at the lateral border of the tongue (47.66%). Most of the tongue lesions in the present study (53.74%) fell into the reactive/inflammatory category. Irritation fibroma was the most prevalent lesion (18.99%) followed by squamous cell carcinoma (16.91%), and mucus extravasation phenomenon (14.26%), respectively. Conclusions This study offers new perspective into the study of tongue lesions apart from the clinically based studies. It also demonstrates the difference between the pediatric and the elderly patients. This study provides invaluable database for clinicians when formulating the clinical diagnosis of tongue lesions.

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“…There is a lack of public awareness about and organised efforts to mobilise resources and deal with dementia and the provision of proper care. How older people view and experience their health has a significant impact on wellbeing (Benamer, de Silva, Siddiqui & Grosset, 2008;Qannam & Bello, 2016), which includes perceived health and especially psychological wellbeing, the impacts of long term conditions and functional impacts of impairments (Benamer et al, 2008;Almodeer et al, 2013;Amr, El-Gilany, Sallam & Shams, 2014;Ullah, Qamar, Qureshi & Niaz, 2016). To promote wellbeing, people need to be able to access the right support.…”

Section: Discussion and Recommendation For Future Studiesmentioning

confidence: 99%

Dementia in Eastern Mediterranean countries: A systematic review

2018

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Globally, there is an increase in the older population, whose lives are affected by local cultural norms. In Eastern Mediterranean countries, dementia is conventionally hidden from view with few dedicated services or recognition for diagnosis. The aim of this systematic review is to explore the limited literature on dementia and cognitive impairment among older people in Eastern Mediterranean countries to present an evaluation of current practices and to consolidate knowledge for future planning. Thirty-three studies were identified for inclusion in the review, and four themes were apparent. Firstly, prevalence, comorbidity and gender: In Eastern Mediterranean countries, many studies identify that the prevalence of dementia is high. As is the case elsewhere, many older adults in Eastern Mediterranean countries have at least one coexisting long-term condition, and some experience low life-satisfaction. Secondly, culture: In Eastern Mediterranean countries, the older adult is highly respected, and placement outside of the family home is considered an abandonment of family duty. The term dementia carries stigma, and it is widely believed that dementia is caused by 'fate'. Thirdly, recognition and tools: There is a lack of verified assessment instruments to assess for dementia. Despite concerns about the cultural appropriateness of the Mini-Mental State Exam, particularly for people who have low literacy levels, and low literacy being the norm in Eastern Mediterranean countries, the Mini-Mental State Examination is the main assessment instrument. Translation and transition of non-Arabic assessment instruments and tools with psychometric properties presents a challenge for clinicians. Finally, workforce issues: health care workers lack knowledge about dementia, as dementia care is a relatively recent addition to the nursing and medical syllabi. While there were some inconsistencies in the papers published, many of the articles call for increasing educational programmes and health and social care policies to promote improved and practical gerontological nursing and medicine. Health care professionals need education about sociocultural, religious, and language needs to deliver improved culturally sensitive care.

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The range of diagnoses for oral soft-tissue biopsies of geriatric patients in a Saudi Arabian teaching hospital

Cited by 10 publications

References 20 publications

Histopathological Findings of Oral and Maxillofacial Biopsies from a Sample of Yemeni Patients

Histopathological Findings of Oral and Maxillofacial Biopsies from a Sample of Yemeni Patients

A Multicenter Study of Tongue Lesions from Thailand

Dementia in Eastern Mediterranean countries: A systematic review

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