ArticleCancer detection and prevention2009
A deficit in biopsying potentially premalignant oral lesions in Puerto Rico.
Article in Cancer detection and prevention, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 13 citations in OpenAlex.
- Increasing opportunistic oral cancer screening examinations: findings from focus groups with general dentists in Puerto Rico.Journal of cancer education : the official journal of the American Association for Cancer Education · 2015Article
- Correlation of clinical, cytological and histological findings in oral squamous cell carcinomas.Oncology letters · 2014Article
- Cytokines and tumor metastasis gene variants in oral cancer and precancer in Puerto Rico.PloS one · 2013Article
- Smoking and drinking in relation to oral potentially malignant disorders in Puerto Rico: a case-control study.BMC cancer · 2011Article
- Perspectives of San Juan healthcare practitioners on the detection deficit in oral premalignant and early cancers in Puerto Rico: a qualitative research study.BMC public health · 2011Article
- Self-reported ethnicity and genetic ancestry in relation to oral cancer and pre-cancer in Puerto Rico.PloS one · 2011Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundIntraoral lesions clinically suspicious for cancer/precancer should be biopsied and diagnosed histopathologically. We evaluated whether the frequency of oral cancer (OC) cases diagnosed in Puerto Rico (PR) is disproportionately high relative to the frequency of persons with histopathologic diagnoses that would have appeared clinically suspicious for OC/precancer at biopsy.
methodsAll pathology reports for oral (ICD-O-3 C01-C06) soft tissue biopsies generated during 1/2004-5/2005 by seven PR and two New York City (NYC) pathology laboratories were reviewed. The analysis was restricted to persons diagnosed with invasive oral squamous cell carcinoma (OSCC), epithelial dysplasia, or hyperkeratosis/epithelial hyperplasia (HK/EH), i.e., diagnoses associated with lesions clinically suspicious for OC/precancer. The OC relative frequency measured the percentage of persons diagnosed with OSCC among persons with OSCC, dysplasia, or HK/EH. OC relative frequencies for PR and NYC laboratories were compared.
resultsOverall, the OC relative frequency was 67% in PR and 40% and 4% in the NYC general and oral pathology laboratories, respectively (each p<0.001). In PR, the OC relative frequency was highest for males (80%). When OC relative frequencies were stratified by pathology laboratory type (general/oral) and compared across PR and NYC, age/gender-specific OC relative frequencies were always higher in PR; however, differences were consistently statistically significant for males only.
conclusionA disparity in the OC relative frequency exists in PR vs. NYC indicating a shortfall in biopsying potentially precancerous oral lesions in PR. PR residents with intraoral lesions suspicious for oral cancer/precancer are most likely to be biopsied only after developing an invasive OC.
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