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Remschmidt B, Gaessler J, Brcic L, Wallner J, Muallah D, Rieder M. The impact of COVID-19 on oral squamous cell carcinoma's diagnostic stage-A retrospective study. Oral Dis 2024; 30:216-222. [PMID: 36398463 DOI: 10.1111/odi.14441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 10/31/2022] [Accepted: 11/15/2022] [Indexed: 11/19/2022]
Abstract
OBJECTIVE The COVID-19 pandemic has had an impact on patients' access to primary care services. A timely diagnosis of oral squamosa cell carcinoma is paramount. This study aims to quantify the pandemic's effect on tumor volume at the time of initial diagnosis. MATERIALS AND METHODS In a retrospective study, all primarily diagnosed cancer patients between March 2018 and March 2022 were compiled; the TNM stage and the tumor volume were evaluated. Tumor volumes were calculated using pathology or radiology reports. RESULTS In total, 162 newly diagnosed tumor cases were included in this study. Of these, 76 (46.9%) cases were allocated in the "pre-COVID-19" group and 86 (53.1%) in the "COVID-19" group. Patients diagnosed during the "COVID-19" period showed a significantly advanced T stage (p < 0.001) and larger mean tumor volumes (53.16 ± 73.55 cm3 vs. 39.89 ± 102.42 cm3 ; p = 0.002) when compared to the control group. CONCLUSION Tumor volume and T stage were significantly advanced in the "COVID-19" group when compared to prepandemic data. We hypothesize that the postponement of routine dental check-ups may explain this finding. Hence, dentists and primary care providers are encouraged to place particular emphasis on screening during routine check-ups.
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Affiliation(s)
- Bernhard Remschmidt
- Department of Oral and Maxillofacial Surgery, University Clinic of Dental Medicine and Oral Health, Medical University of Graz, Graz, Austria
- University Clinic of Dental Medicine and Oral Health, Medical University of Graz, Graz, Austria
| | - Jan Gaessler
- Department of Oral and Maxillofacial Surgery, University Clinic of Dental Medicine and Oral Health, Medical University of Graz, Graz, Austria
- University Clinic of Dental Medicine and Oral Health, Medical University of Graz, Graz, Austria
| | - Luka Brcic
- Diagnostic and Research Institute of Pathology, Medical University of Graz, Graz, Austria
| | - Jürgen Wallner
- Department of Oral and Maxillofacial Surgery, University Clinic of Dental Medicine and Oral Health, Medical University of Graz, Graz, Austria
| | - David Muallah
- Department of Oral and Maxillofacial Surgery, Head and Neurocenter, University Clinic Hamburg-Eppendorf, Hamburg, Germany
| | - Marcus Rieder
- Department of Oral and Maxillofacial Surgery, University Clinic of Dental Medicine and Oral Health, Medical University of Graz, Graz, Austria
- University Clinic of Dental Medicine and Oral Health, Medical University of Graz, Graz, Austria
- Department of Oncology, University Clinic for Internal Medicine, Medical University of Graz, Graz, Austria
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Louredo BVR, Curado MP, Penafort PVM, de Arruda JAA, Abreu LG, Mesquita RA, Pinto-Júnior DDS, Abrahão AC, Andrade BABD, Agostini M, Moraes RM, Anbinder AL, Dourado PHS, Santos TCRBD, Pires FR, Bordignon NCT, Gondak RO, DE Oliveira MG, Carrard VC, Martins MD, Sousa-Neto SS, Arantes DAC, Mendonça EF, Cieslak-Sanches SR, Antunes DM, Amaral-Silva GKD, Manieri PR, Ramalho LMP, Dos Santos JN, Leonel ACLDS, Perez DEDC, Verheul HCCRS, Barroso KMA, Rodrigues FLS, Gonzaga AKG, Fernandes RR, DE Souza LB, Souza LLD, Pontes FSC, Pontes HAR, Silva CA, Câmara J, Libório-Kimura TN, Santos-Silva AR, Lopes MA, Almeida OPD, Romañach MJ, Vargas PA. Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil. Braz Oral Res 2023; 37:e126. [PMID: 38126470 DOI: 10.1590/1807-3107bor-2023.vol37.0126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 07/06/2023] [Indexed: 12/23/2023] Open
Abstract
This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients' histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil's Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System.
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Affiliation(s)
| | - Maria Paula Curado
- A. C. Camargo Cancer Center, International Research Center, Group of Epidemiology and Statistics on Cancer, São Paulo, SP, Brazil
| | - Paulo Victor Mendes Penafort
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - José Alcides Almeida de Arruda
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Oral Surgery and Pathology, Belo Horizonte, MG, Brazil
| | - Lucas Guimarães Abreu
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent Oral Health, Belo Horizonte, MG, Brazil
| | - Ricardo Alves Mesquita
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Oral Surgery and Pathology, Belo Horizonte, MG, Brazil
| | | | - Aline Corrêa Abrahão
- Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Oral Diagnosis and Pathology, Rio de Janeiro, RJ, Brazil
| | | | - Michelle Agostini
- Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Oral Diagnosis and Pathology, Rio de Janeiro, RJ, Brazil
| | - Renata Mendonça Moraes
- Universidade Estadual Paulista - Unesp, Institute of Science and Technology, Department of Bioscience and Oral Diagnosis, São José dos Campos, SP, Brazil
| | - Ana Lia Anbinder
- Universidade Estadual Paulista - Unesp, Institute of Science and Technology, Department of Bioscience and Oral Diagnosis, São José dos Campos, SP, Brazil
| | - Pedro Henrique Silva Dourado
- Universidade do Estado do Rio de Janeiro - UERJ, School of Dentistry, Department of Oral Pathology, Rio de Janeiro, RJ, Brazil
| | | | - Fábio Ramoa Pires
- Universidade do Estado do Rio de Janeiro - UERJ, School of Dentistry, Department of Oral Pathology, Rio de Janeiro, RJ, Brazil
| | | | - Rogério Oliveira Gondak
- Universidade Federal de Santa Catarina - UFSC, Department of Pathology, Florianópolis, SC, Brazil
| | - Marcia Gaiger DE Oliveira
- Universidade Federal do Rio Grande do Sul - UFRS, School of Dentistry, Department of Oral Pathology, Porto Alegre, RS, Brazil
| | - Vinicius Coelho Carrard
- Universidade Federal do Rio Grande do Sul - UFRS, School of Dentistry, Department of Oral Pathology, Porto Alegre, RS, Brazil
| | - Manoela Domingues Martins
- Universidade Federal do Rio Grande do Sul - UFRS, School of Dentistry, Department of Oral Pathology, Porto Alegre, RS, Brazil
| | | | - Diego Antônio Costa Arantes
- Universidade Federal de Goiás - UFG, School of Dentistry, Department of Stomatologic Sciences, Goiânia, GO, Brazil
| | - Elismauro Francisco Mendonça
- Universidade Federal de Goiás - UFG, School of Dentistry, Department of Stomatologic Sciences, Goiânia, GO, Brazil
| | | | - Daniella Moraes Antunes
- Universidade Federal de Mato Grosso do Sul - UFMS, Faculty of Dentistry, Campo Grande, MS, Brazil
| | | | - Patricia Rubia Manieri
- Universidade Federal da Bahia - UFBA, School of Dentistry, Laboratory of Oral and Maxillofacial Pathology, Salvador, BA, Brazil
| | - Luciana Maria Pedreira Ramalho
- Universidade Federal da Bahia - UFBA, School of Dentistry, Laboratory of Oral and Maxillofacial Pathology, Salvador, BA, Brazil
| | - Jean Nunes Dos Santos
- Universidade Federal da Bahia - UFBA, School of Dentistry, Laboratory of Oral and Maxillofacial Pathology, Salvador, BA, Brazil
| | | | - Danyel Elias da Cruz Perez
- Universidade Federal de Pernambuco - UFPE, Department of Clinic and Preventive Dentistry, Oral Pathology Unit, Recife, PE, Brazil
| | | | | | - Flávia Luiza Santos Rodrigues
- Universidade Federal do Rio Grande do Norte - UFRN, School of Dentistry, Department of Oral Pathology, Natal, RN, Brazil
| | - Amanda Katarinny Goes Gonzaga
- Universidade Federal do Rio Grande do Norte - UFRN, School of Dentistry, Department of Oral Pathology, Natal, RN, Brazil
| | - Romana Renery Fernandes
- Universidade Federal do Rio Grande do Norte - UFRN, School of Dentistry, Department of Oral Pathology, Natal, RN, Brazil
| | - Lélia Batista DE Souza
- Universidade Federal do Rio Grande do Norte - UFRN, School of Dentistry, Department of Oral Pathology, Natal, RN, Brazil
| | - Lucas Lacerda de Souza
- Universidade Federal do Pará - UFPA, João de Barros Barreto University Hospital, Service of Oral Pathology, Belém, PA, Brazil
| | - Flávia Sirotheau Corrêa Pontes
- Universidade Federal do Pará - UFPA, João de Barros Barreto University Hospital, Service of Oral Pathology, Belém, PA, Brazil
| | - Hélder Antônio Rebelo Pontes
- Universidade Federal do Pará - UFPA, João de Barros Barreto University Hospital, Service of Oral Pathology, Belém, PA, Brazil
| | - Caroline Alfaia Silva
- Universidade Federal do Amazonas - UFAM, School of Medicine, Department of Pathology and Legal Medicine, Manaus, AM, Brazil
| | - Jeconias Câmara
- Universidade Federal do Amazonas - UFAM, School of Medicine, Department of Pathology and Legal Medicine, Manaus, AM, Brazil
| | - Tatiana Nayara Libório-Kimura
- Universidade Federal do Amazonas - UFAM, School of Medicine, Department of Pathology and Legal Medicine, Manaus, AM, Brazil
| | - Alan Roger Santos-Silva
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Márcio Ajudarte Lopes
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Oslei Paes de Almeida
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Mário José Romañach
- Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Oral Diagnosis and Pathology, Rio de Janeiro, RJ, Brazil
| | - Pablo Agustin Vargas
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
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