FREQUENCY AND UNDERLYING RISK FACTORS OF ORAL SQUAMOUS CELL CARCINOMA
Main Article Content
Keywords
Alcohol consumption, Betel quid, HPV exposure, Oral squamous cell carcinoma, Risk factors, Tobacco use
Abstract
Background: Oral squamous cell carcinoma (OSCC) is one of the most common malignancies in the head and neck region, with risk factors such as tobacco use, alcohol consumption, and betel quid chewing being strongly associated with its development.
Objective: The aim of this study was to evaluate the frequency and underlying risk factors contributing to the development of OSCC among patients, with a focus on their demographic characteristics and tumor grading.
Study Design and Setting: This was a retrospective cross-sectional study conducted at a tertiary care hospital over a 12-month period.
Methodology: A total of 130 OSCC patients were included, and data regarding their demographic characteristics, lesion location, tumor grade, and potential risk factors (such as tobacco use, alcohol consumption, and HPV exposure) were collected. Tumor grade was assessed using histopathological examination. Statistical analysis was performed to identify associations between risk factors and tumor grade.
Results: Tobacco use (73.1%) and alcohol consumption (46.1%) were the most prevalent risk factors. The study found significant associations between tobacco use, alcohol consumption, and tumor grade, with well-differentiated tumors more commonly observed in patients with these habits.
Conclusion: Tobacco and alcohol use are key risk factors for the development of OSCC, highlighting the need for targeted prevention strategies. Early detection and lifestyle modification are critical in reducing the burden of OSCC.
References
2. Kumar SA, Indu S, Gautami D, VarRuchi S. Oral squamous cell carcinoma (OSCC) in humans: Etiological Factors, diagnostic and therapeutic relevance. Research Journal of Biotechnology Vol. 2020 Oct;15:10.
3. Ferreira e Costa R, Leão ML, Sant’Ana MS, Mesquita RA, Gomez RS, Santos-Silva AR, Khurram SA, Tailor A, Schouwstra CM, Robinson L, van Heerden WF. Oral squamous cell carcinoma frequency in young patients from referral centers around the world. Head and Neck Pathology. 2022 Sep;16(3):755-62.
4. Howard A, Agrawal N, Gooi Z. Lip and oral cavity squamous cell carcinoma. Hematology/Oncology Clinics. 2021 Oct 1;35(5):895-911.
5. Melo BA, Vilar LG, Oliveira NR, Lima PO, Pinheiro MD, Domingueti CP, Pereira MC. Human papillomavirus infection and oral squamous cell carcinoma-a systematic review. Brazilian journal of otorhinolaryngology. 2021 Jul 5;87:346-52.
6. Zhang SZ, Xie L, Shang ZJ. Burden of oral cancer on the 10 most populous countries from 1990 to 2019: estimates from the global burden of disease study 2019. International journal of environmental research and public health. 2022 Jan 13;19(2):875.
7. Zhang SZ, Xie L, Shang ZJ. Burden of oral cancer on the 10 most populous countries from 1990 to 2019: estimates from the global burden of disease study 2019. International journal of environmental research and public health. 2022 Jan 13;19(2):875.
8. Abati S, Bramati C, Bondi S, Lissoni A, Trimarchi M. Oral cancer and precancer: a narrative review on the relevance of early diagnosis. International journal of environmental research and public health. 2020 Dec;17(24):9160.
9. He S, Chakraborty R, Ranganathan S. Proliferation and apoptosis pathways and factors in oral squamous cell carcinoma. International journal of molecular sciences. 2022 Jan 29;23(3):1562.
10. Gormley M, Gray E, Richards C, Gormley A, Richmond RC, Vincent EE, Dudding T, Ness AR, Thomas SJ. An update on oral cavity cancer: epidemiological trends, prevention strategies and novel approaches in diagnosis and prognosis. Community Dental Health Journal. 2022 Sep 30;39(3):197-205.
11. Gormley M, Gray E, Richards C, Gormley A, Richmond RC, Vincent EE, Dudding T, Ness AR, Thomas SJ. An update on oral cavity cancer: epidemiological trends, prevention strategies and novel approaches in diagnosis and prognosis. Community Dental Health Journal. 2022 Sep 30;39(3):197-205.
12. Nethan ST, Ravi P, Gupta PC. Epidemiology of oral squamous cell carcinoma in Indian scenario. InMicrobes and oral squamous cell carcinoma: a network spanning infection and inflammation 2022 May 31 (pp. 1-7). Singapore: Springer Nature Singapore.
13. Kujan O, van Schaijik B, Farah CS. Immune checkpoint inhibitors in oral cavity squamous cell carcinoma and oral potentially malignant disorders: a systematic review. Cancers. 2020 Jul 17;12(7):1937.
14. Anwar N, Pervez S, Chundriger Q, Awan S, Moatter T, Ali TS. Oral cancer: Clinicopathological features and associated risk factors in a high risk population presenting to a major tertiary care center in Pakistan. Plos one. 2020 Aug 6;15(8):e0236359.
15. Nokovitch L, Maquet C, Crampon F, Taihi I, Roussel LM, Obongo R, Virard F, Fervers B, Deneuve S. Oral cavity squamous cell carcinoma risk factors: state of the art. Journal of clinical medicine. 2022 May 3;12(9):3264.
16. Zaman SU, Adeel M, Suhail A. Squamous cell carcinoma of oral tongue in young patients—a 10 years tertiary care experience. JPMA: Journal of Pakistan Medical Association. 2016;66(2):155.
17. AQEEL R, ASLAM Z, AMJAD A. Examine the Prevalenceof Oral Squamous Cell Carcinoma also Determine the Risk Factors and Causes of Improper Diagnosis. Methods. 2017 Jan.
18. Zaccone R, Renzi A, Chalfon C, Lenzi J, Bellei E, Marconato L, Ros E, Rigillo A, Bettini G, Faroni E, Guerra D. Environmental risk factors for the development of oral squamous cell carcinoma in cats. Journal of Veterinary Internal Medicine. 2022 Jul;36(4):1398-408.
19. Usman N, Ch AN, Khaliq F, Kiran S, Ahmad MA, Chauhdry W, Ashraf MS, Akhtar MU. Risk factors of oral squamous cell carcinoma in old versus young patients. Pakistan Oral & Dental Journal. 2018;38(4):423-7.
20. Zahra T, Jawa Z, Zahra T, Nazeer A, Raza H, Batool U. Frequency and Pattern of presentation of Oral Squamous Cell Carcinoma and its predisposing Factors in patients presented to Nishtar Institute of Dentistry. Pakistan Journal of Medical & Health Sciences. 2022 Oct 15;16(09):170-75.