双层和三层口腔上皮质发育不良的分级系统和恶性转变
Riikka Ellonen1,2, Jetta Kelppe3, Jaana Hagström2,3,4
1Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland.
Oral diseases
|April 15, 2025
概括
口腔上皮质质变形 (OED) 分级系统,无论是二进制还是三层,都显示出类似的预后价值,用于预测恶性转变. 这项研究比较了两种OED口腔癌风险分类方法.
科学领域:
- 口腔病理学 口腔病理学
- 在瘤学瘤学.
- 组织病理学 组织病理学
背景情况:
- 口腔上皮质质变形症 (OED) 是一种癌前疾病.
- 组织病理学分级系统用于评估OED风险.
- 二元和三层系统是常见的OED分类方法.
研究的目的:
- 为了比较OED的二进制与三层分级系统的预测值.
- 分析OED分级的预测准确性,用于恶性转变为口腔状细胞癌 (OSCC).
主要方法:
- 在29年的时间里,对612个OED病例进行了回顾性分析.
- 对OED样本进行组织病理性再评估.
- 与口腔状细胞癌 (OSCC) 发展的相关性,使用芬兰癌症注册表.
主要成果:
- 在研究队列中,恶性转变率为7.8%.
- 在预测OSCC发展的二进制和三层分级系统之间没有发现统计学上显著的差异 (p=0.060).
- 这两种系统在恶性病变的进展方面表现出相似的预后值.
结论:
- 二元和三层OED分级系统对恶性转变具有类似的预测能力.
- 选择分级系统不会显著影响口腔癌风险的预测.
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