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Recurrent aphthous stomatitis may be a precursor or risk factor for specific cancers: A case-control

Lei Qin1, Yi-Wei Kao2, Yueh-Lung Lin3

  • 1School of Statistics, University of International Business and Economics, Beijing, China.

Cancer Medicine
|July 17, 2018
PubMed
Summary

Recurrent aphthous stomatitis (RAS) is linked to a higher risk of developing various cancers, including head and neck, colon, and liver cancers. Early screening for susceptible RAS patients is recommended to detect these associated cancers.

Keywords:
cancercase-controlgenderrecurrent aphthous stomatitisrisk factor

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Area of Science:

  • Oncology
  • Dermatology
  • Epidemiology

Background:

  • Recurrent aphthous stomatitis (RAS) is recognized as a potential early indicator for certain cancers.
  • This study investigates the association between RAS and the subsequent development of cancer.

Purpose of the Study:

  • To assess the correlation between recurrent aphthous stomatitis and the risk of developing various cancers.
  • To identify specific cancer types associated with RAS.

Main Methods:

  • Utilized Taiwan's National Health Insurance Research Database (2000-2008).
  • Matched 52,307 RAS patients with 52,304 non-RAS controls (1:1 ratio).
  • Followed participants for at least 5 years to identify cancer diagnoses.

Main Results:

  • RAS diagnosis was associated with a 1.3-fold increased risk of all subsequent cancers (P < 0.001).
  • Significant associations were found for head and neck, colon, liver, pancreas, skin, breast, prostate, and hematologic cancers.
  • Male patients with RAS showed a higher cancer risk (aHR=1.35) compared to female patients (aHR=1.25).

Conclusions:

  • Recurrent aphthous stomatitis is linked to an increased risk of specific cancer types.
  • Individuals diagnosed with RAS should undergo screening for associated cancers.