Oral squamous cell carcinoma: a clinicopathological study of 342 Thai cases

J Contemp Dent Pract. 2009 Sep 1;10(5):E033-40.

Abstract

Aim: To conduct a clinicopathological review of oral squamous cell carcinoma (SCC) and to analyze it with respect to gender, age at diagnosis, clinical presentation, lesion location, and histological grading.

Methods and materials: Information on the clinicopathological characteristics of SCC was obtained from pathology reports of 342 cases.

Results: The male to female ratio was 1:1 and the incidence increased with age. Among the patients 4.7% were younger than 40 years and males were predominant in this subgroup. The alveolar ridge and gingiva were the most commonly affected sites (50%). The majority of the SCC cases presented as ulcers or masses. Swelling and/or pain were the first signs and/or symptoms in most patients (52.6%). The age at diagnosis in relation to the site of occurrence varied. Conventional SCC was the most common subtype (88%). Well-differentiated SCC was the most common histological grading (78.6%).

Conclusion: In the present study, the incidence of SCC was age-related and showed equal gender distribution.

Clinical significance: Routine examination of the oral cavity by dental practitioners and other health care providers aids in the early detection of premalignant and malignant oral disease. Dentists can play a significant role in disseminating information regarding oral cancer.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Alveolar Process / pathology
  • Carcinoma, Squamous Cell / epidemiology*
  • Carcinoma, Squamous Cell / pathology
  • Chi-Square Distribution
  • Female
  • Gingival Neoplasms / epidemiology*
  • Gingival Neoplasms / pathology
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Mouth Neoplasms / epidemiology*
  • Mouth Neoplasms / pathology
  • Sex Distribution
  • Thailand / epidemiology