Georgea Gabriela Barreto Miranda, Samuel de Carvalho Chaves-Junior, Matheus Paschoaletto Lopes, Talytha Barbosa da Rocha, Débora Frota Colares, F. A. Ito, I. L. Cavalcante, R. Cavalcante, Bruno Augusto Benevenuto de Andrade, C. Nonaka, P. Alves, R. Albuquerque-Júnior, J. Cunha
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引用次数: 1
摘要
摘要口腔粘液囊肿(OM)是最常见的小涎腺病变。本研究旨在报告大量OMs的临床和人口学特征,并确定与这些病变复发率相关的可能预测变量。进行回顾性描述性横断面研究。分析了来自巴西四个病理服务机构的43,754份活检记录。对所有OMs病例进行审查,并收集临床和人口统计数据。女性1002例(56.2%),男性782例(43.8%),平均年龄19.8±16.4岁(范围:01 ~ 87岁),男女比例为1.3:1。下唇(n=1,160;67.4%)和口腔底(n=172;10.0%),是最常见的受累部位,临床表现为结节(n=978;79.4%)光滑表面(n=428;77.5%)和正常颜色(n=768, 46.7%)。大多数病例的治疗方法是切除活检(n= 1392;78.0%)。复发性OMs占所有诊断病例的6.2% (n=117)。OMs在年轻患者(年龄<20岁)(p<0.0001)、病变直径大于2 cm (p<0.0001)和位于舌腹(p=0.0351)中复发率较高。此外,激光手术的复发率明显高于常规手术(p=0.0005)。OMs患者应仔细了解其复发的可能性,特别是当发现年轻患者的腹侧舌时。
Oral mucoceles: A Brazillian Multicenter Study of 1,901 Cases
Abstract Oral mucocele (OM) is the most common lesion of minor salivary glands. The present study aimed to report the clinical and demographic features of a large series of OMs and identify possible predictive variables associated with the recurrence rate of these lesions. A retrospective descriptive cross-sectional study was performed. A total of 43,754 biopsy records from four pathology services in Brazil were analyzed. All cases of OMs were reviewed, and clinical and demographic data were collected. The study comprised 1,002 females (56.2%) and 782 males (43.8%), with a mean age of 19.8±16.4 years (range: 01-87 years) and a 1.3:1 female-to-male ratio. The lower lip (n=1,160; 67.4%), and floor of the mouth (n=172; 10.0%), were the most common affected sites, presenting clinically as nodules (n=978; 79.4%) of smooth surface (n=428; 77.5%) and normal color (n=768, 46.7%). Excisional biopsy was the treatment in most cases (n=1,392; 78.0%). Recurrent OMs represented 6.2% of all diagnosed cases (n=117). OMs recurred more commonly in younger patients (aged<20 years) (p<0.0001), in lesions larger than 2 cm in diameter (p<0.0001), and in those located in the ventral tongue (p=0.0351). Also, recurrence rates were higher significantly in cases treated with laser surgery than in those with conventional surgery (p=0.0005). Patients with OMs should be carefully informed of its possible recurrence, especially when found on the ventral tongue of young patients.
期刊介绍:
Brazilian Dental Journal, publishes Full-Length Papers, Short Communications and Case Reports, dealing with dentistry or related disciplines and edited six times a year.