Evidence map›Paper›PMID 32844258›Full record

ArticleClinical oral investigations2021

Oral submucous fibrosis transforming into squamous cell carcinoma: a prospective study over 31 years in mainland China.

Xinchun Jian, Yu Jian, Xiaoshan Wu, Feng Guo, Yanjia Hu, Xing Gao, Canhua Jiang, Ning Li, Yingfang Wu, Deyu Liu

Abstract read
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In one paragraph

Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 31 citations in OpenAlex.

  1. [Lip and oral cancers in East Asia from 1990 to 2035: trends of disease burden and future projections].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
    Article
  2. INHBABMC cancer · 2025
    Article
  3. Article
  4. Oral submucous fibrosis: pathogenesis and therapeutic approaches.International journal of oral science · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Xinchun JianDepartment of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China. drjianxinchun@163.com.ORCID http://orcid.org/0000-0003-0293-3755
Yu JianDepartment of Obstetrics and Gynecology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China.
Xiaoshan WuDepartment of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China.
Feng GuoDepartment of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China.
Yanjia HuDepartment of Oral and Maxillofacial Surgery, Xiangya Stomatological Hospital, Central South University, Changsha, Hunan, 410078, People's Republic of China.
Xing GaoDepartment of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China.
Canhua JiangDepartment of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China.
Ning LiDepartment of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People's Republic of China.
Yingfang WuCenter of Stomatology, Xiangya Hospital, Central South University, Changsha, Hainan, 410008, People's Republic of China.
Deyu LiuDepartment of Oral and Maxillofacial Surgery, People's Hospital of Haikou City, Central South University, Haikou, Hainan, 507208, People's Republic of China.
Central South University · CN

Funding

National Natural Science Foundation of China 81260166; 30572044
6 · The paper itself

Abstract

objectiveOral submucous fibrosis (OSF) is an oral mucous disease caused by betel quid chewing. It is controversial whether OSF can transform into oral squamous cell carcinoma (OSCC). MATERIALS AND

methodsIn this prospective study, a group of 567 patients with OSF were enrolled from 1986 to 2017 and followed-up until 2019. The cancerous information was collected and analyzed.

resultsOSF transformed into OSCC in 32 cases (32/567, 5.6%). The patient's age ranged from 20 to 69 years, and the average age was 52 years. The time taken for transformation ranged from 2 to 24 years, the average being 8.6 years. The cancerous transformation occurred in 18 patients (56%) from years 2 to 9, in 13 patients (41%) from years 10-19 and in 1 patient (3%) from 24 years. We analyzed the betel quid chewing habits and found all 32 patients with OSCC-chewed betel quid. Betel quid chewing was most prevalent in patients aged 40-69 years. Sixteen patients had chewed betel quid for 10-19 years (16/32, 50%) and 19 patients (60%) chewed 10-19 slices each day. The OSCC was located in the left or right buccal regions in 23 patients (23/32; 72%) and in the left or right lingual regions in 4 patients (4/32; 12%). Well, moderately and poorly differentiated squamous cell carcinoma was present in 23 patients (23/32; 72%), 4 patients (3/32; 9%), and 5 patients (5/32; 16%), respectively.

conclusionOur findings supported that OSF is a real oral premalignant disorder. CLINICAL RELEVANCE: The long duration of the transformation from the OSF to OSCC suggests more frequent examinations and corresponding treatments are necessary for OSF patients.

Indexed as

Carcinoma, Squamous CellMouth NeoplasmsOral Submucous FibrosisAdultAgedArecaChinaHumansMiddle AgedProspective StudiesYoung AdultCarcinogenesisOral cancerOral submucous fibrosis

Identifiers

PMID32844258
OpenAlexW3081482866

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.