Keywords
Oral pathology
Oral mucosa
Epidemiology
Costa Rica
Biopsia
Patología bucal
Mucosa oral
Epidemiología.
Costa Rica
How to Cite
Abstract
Objective: to determine the frequency of the different lesions of the oral mucosa in the clinical internship of the Faculty of Dentistry of the University of Costa Rica (UCR). Methodology: retrospective study of 263 reports of oral lesions recovered from the biopsies file of the Faculty of Dentistry of the UCR from 2008 to 2015. Information on sex, age, location of the lesion and histopathological diagnosis was collected and evaluated in a descriptive and qualitative manner. Results: cases of oral mucosal lesions affected women preferentially (n = 144, 54.8 %), the average age was 48.8 years (16.4 SD) and with lesions predominantly located in tongue (n = 68, 25.9%), gum (n = 62, 23.6 %) and lip (n = 61, 23.2 %). Non-neoplastic proliferative lesions (n = 101, 38.7 %), potentially malignant lesions (n = 29, 11.1%) and benign and malignant epithelial lesions (n = 24, 9.1 %) were the most prevalent groups. The four most predominant lesions were fibrous hyperplasia, inflammatory fibrous hyperplasia, lichen planus and hyperkeratosis without atypia. Conclusions: non-neoplastic proliferative lesions were predominant, with the fibrous hyperplasia being the most prevalent lesion. These results may be useful to understand the distribution of oral diseases in a national sample.
References
Agrawal, R., Chauhan, A. y Kumar, P. (2015). Spectrum of Oral Lesions in A Tertiary Care Hospital. Journal of Clinical and Diagnostic Research : JCDR, 9(6), EC11-EC13. doi: 10.7860/JCDR/2015/13363.6121
Al-Khateeb, T. H. (2009). Benign oral masses in a Northern Jordanian population-a retrospective study. The Open Dentistry Journal, 3, 147–153. doi: 10.2174/1874210600903010147
Ali, M. y Sundaram, D. (2012). Biopsied oral soft tissue lesions in Kuwait: a six-year retrospective analysis. Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre, 21(6), 569–575. doi:10.1159/000339121
Bagan, J., Sarrion, G. y Jimenez, Y. (2010). Oral cancer: clinical features. Oral Oncology, 46(6), 414–417. doi: 10.1016/j.oraloncology.2010.03.009
Barboza, I., Camacho, A., Gutiérrez, G. y Tacsan, L. (1997). Epidemiología del cáncer bucal en Costa Rica en el período de 1981-1994. Facultad de Odontología, Universidad de Costa Rica, Costa Rica.
Boza, Y. V. (2017). Oral Carcinoma of Squamous Cells with Early Diagnosis : Case Report and Literature Review. Journal Dental Sc, 1(19), 43–50.
Caballero, M., Leyva-Flores, R., Ochoa-Marín, S. C., Zarco, Á. y Guerrero, C. (2008). Las mujeres que se quedan: Migración e implicación en los procesos de búsqueda de atención de servicios de salud. Salud Publica de Mexico, 50(3), 241–250. doi: 10.1590/S0036-36342008000300008
Carvalho, M. de V., Iglesias, D. P. P., do Nascimento, G. J. F. y Sobral, A. P. V. (2011). Epidemiological study of 534 biopsies of oral mucosal lesions in elderly Brazilian patients. Gerodontology, 28(2), 111–115. doi: 10.1111/j.1741-2358.2010.00370.x
Casnati, B., Alvarez, R., Massa, F., Lorenzo, S., Angulo, M. y Carzoglio, J. (2013). Prevalencia y factores de riesgo de las lesiones de la mucosa oral en la población urbana del Uruguay. Odontoestomatologia, 15(especial), 58–67.
Castellanos, J. L. y Diaz-Guzman, L. (2008). Lesions of the oral mucosa: an epidemiological study of 23785 Mexican patients. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 105(1), 79–85. doi: 10.1016/j.tripleo.2007.01.037
College of Dental Surgeons of British Columbia. (2008). Guideline for the Early Detection of Oral Cancer in British Columbia 2008. J Can Dent Assoc, 74(3), 245–253.
Correa, L., Frigerio, M. L. M. A., Sousa, S. C. O. M. y Novelli, M. D. (2006). Oral lesions in elderly population: a biopsy survey using 2250 histopathological records. Gerodontology, 23(1), 48–54. doi: 10.1111/j.1741-2358.2006.00090.x
Dost, F., Le Cao, K., Ford, P. J., Ades, C. y Farah, C. S. (2014). Malignant transformation of oral epithelial dysplasia: a real-world evaluation of histopathologic grading. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 117(3), 343–352. doi:10.1016/j.oooo.2013.09.017
Dovigi, E. A., Kwok, E. Y. L., Eversole, L. R. y Dovigi, A. J. (2016). A retrospective study of 51,781 adult oral and maxillofacial biopsies. Journal of the American Dental Association (1939), 147(3), 170–176. doi: 10.1016/j.adaj.2015.09.013
Effiom, O. A., Adeyemo, W. L. y Soyele, O. O. (2011). Focal Reactive lesions of the Gingiva: An Analysis of 314 cases at a tertiary Health Institution in Nigeria. Nigerian Medical Journal : Journal of the Nigeria Medical Association, 52(1), 35–40.
Guedes, M.-M., Albuquerque, R., Monteiro, M., Lopes, C.-A., do Amaral, J.-B., Pacheco, J.-J. y Monteiro, L.-S. (2015). Oral soft tissue biopsies in Oporto, Portugal: An eight year retrospective analysis. Journal of Clinical and Experimental Dentistry, 7(5), e640–e648. doi: 10.4317/jced.52677
Kadeh, H., Saravani, S. y Tajik, M. (2015). Reactive hyperplastic lesions of the oral cavity. Iranian Journal of Otorhinolaryngology, 27(79), 137–144.
Kelloway, E., Ha, W. N., Dost, F. y Farah, C. S. (2014). A retrospective analysis of oral and maxillofacial pathology in an Australian adult population. Australian Dental Journal, 59(2), 215–220. doi:10.1111/adj.12175
Lao Gallardo, W., Melendez Bolaños, R. y Herrera Jiménez, A. (2010). Estudio descriptivo de cáncer bucal. en los egresos hospitalarios de la Caja Costararricense de Seguro Social en los años 2001 a 2008. Rev. Cient. Odontol., 6(2), 52–58.
Lao Gallardo, W. y Sobalvarro Mojica, K. (2018). Egresos hospitalarios debidos a enfermedades de las glándulas salivales, CCSS, Costa Rica, 1997 al 2015. Odontología Vital, 28, 41–50.
Ley Constitutiva de la Caja Costarricense de Seguro Social (1943). San José, Costa Rica.
Maia, H. C. de M., Pinto, N. A. S., Pereira, J. D. S., de Medeiros, A. M. C., da Silveira, E. J. D. y Miguel, M. C. da C. (2016). Potentially malignant oral lesions: clinicopathological correlations. Einstein (Sao Paulo, Brazil), 14(1), 35–40. doi:10.1590/S1679-45082016AO3578
Maturana-Ramirez, A., Adorno-Farias, D., Reyes-Rojas, M., Farias-Vergara, M. y Aitken-Saavedra, J. (2015). A retrospective analysis of reactive hyperplastic lesions of the oral cavity: study of 1149 cases diagnosed between 2000 and 2011, Chile. Acta Odontologica Latinoamericana : AOL, 28(2), 103–107. doi:10.1590/S1852-48342015000200002
Naderi, N. J., Eshghyar, N. y Esfehanian, H. (2012). Reactive lesions of the oral cavity: A retrospective study on 2068 cases. Dental Research Journal, 9(3), 251–255.
Neville, B. W. y Day, T. A. (2002). Oral cancer and precancerous lesions. CA: A Cancer Journal for Clinicians, 52(4), 195–215.
Palmeira, A. ., Florencio, A. ., Silva Filho, J. ., Silva, U. H. y Araújo, N. (2013). Non neoplastic proliferative lesions:a ten-year retrospective study. Rev Gaúcha Odonto, 61(4), 543–547.
Shukla, P., Dahiya, V., Kataria, P. y Sabharwal, S. (2014). Inflammatory hyperplasia: From diagnosis to treatment. Journal of Indian Society of Periodontology, 18(1), 92–94. doi:10.4103/0972-124X.128252
Shulman, J. D., Beach, M. M. y Rivera-Hidalgo, F. (2004). The prevalence of oral mucosal lesions in U.S. adults: data from the Third National Health and Nutrition Examination Survey, 1988-1994. Journal of the American Dental Association (1939), 135(9), 1279–1286.
Sixto-Requeijo, R., Diniz-Freitas, M., Torreira-Lorenzo, J.-C., García-García, A. y Gándara-Rey, J. M. (2012). An analysis of oral biopsies extracted from 1995 to 2009, in an oral medicine and surgery unit in Galicia (Spain). Medicina Oral, Patología Oral Y Cirugía Bucal, 17(1), e16–e22. doi:10.4317/medoral.17143
Sperandio, M., Brown, A. L., Lock, C., Morgan, P. R., Coupland, V. H., Madden, P. B., … Odell, E. W. (2013). Predictive value of dysplasia grading and DNA ploidy in malignant transformation of oral potentially malignant disorders. Cancer Prevention Research (Philadelphia, Pa.), 6(8), 822–831. doi:10.1158/1940-6207.CAPR-13-0001
Warnakulasuriya, S., Reibel, J., Bouquot, J. y Dabelsteen, E. (2008). Oral epithelial dysplasia classification systems: predictive value, utility, weaknesses and scope for improvement. Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 37(3), 127–133. doi:10.1111/j.1600-0714.2007.00584.x