对口腔潜在恶性疾病转化为恶性病的纵向分析
Benjamin Palatnik1, Lindsey Mortensen1, Aleksandr Palatnik2
1University of Minnesota Medical School-Twin Cities, Minneapolis, Minnesota, USA.
The Laryngoscope
|October 21, 2025
概括
口腔潜在恶性疾病 (OPMDs) 可以成为口腔癌. 这项研究发现,即使在5年后,恶性转化也会发生,这表明OPMDs需要长期监测以早期检测癌症.
科学领域:
- 口服药是一种口服药.
- 在瘤学瘤学.
- 公共卫生监督是对公共卫生的监督.
背景情况:
- 口腔潜在恶性疾病 (OPMDs) 是可能发展为口腔恶性瘤的疾病.
- 一个长期存在的OPMD监测计划,最近的进展使电子健康记录 (EHR) 的分析成为可能.
研究的目的:
- 使用EHR数据分析OPMD的恶性转化率.
- 评估大量患者队列中恶性转变的时间进程和频率.
主要方法:
- 使用国际疾病分类 (ICD) 9和10码对OPMD进行查询的EHR数据.
- 交叉引用OPMD患者表与口腔和口腔癌的代码.
- 评估了恶性转换的时间模式和速率.
主要成果:
- 在1535名符合条件的患者中,72名 (4.69%) 患有恶性转化.
- 转换发生在5年 (3.58%) 之前和5年 (1.11%) 后的监测.
- 白血病和口腔平坦 (OLP) 是常见的前体,但其他口腔病变也转化;舌头癌最常见.
结论:
- 恶性转化率与现有文献一致,突出显示了OPMD进展的变化.
- 电子病历数据集允许进行持续的长期监测,以识别显著的恶性转变.
- 晚期转换的发生表明OPMD可能需要延长的监测期,类似于其他癌症.
相关概念视频
Longitudinal Research
13.1K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.1K
Assessment of the Mouth
1.1K
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
1.1K
Tumor Progression
7.2K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
7.2K
Cancer Survival Analysis
645
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
645


