Trabalho

Rev Bras Otorrinolaringol.
V.70, n.1, 35-40, jan./fev. 2004

ARTIGO ORIGINAL

««

ORIGINAL ARTICLE

Características clínicoepidemiológicas no carcinoma espinocelular de boca e orofaringe Clinic and epidemiologic characteristics in the with squamous cell carcinoma of the mouth and oropharynx

Rogério A. Dedivitis1, Cristiane M. França2,
Ana Claudia B. Mafra3, Fernanda T. Guimarães3,
André V. Guimarães4

Palavras-chave: carcinoma espinocelular, câncer bucal, boca, orofaringe, epidemiologia.
Key words: squamous cell carcinoma, oral cancer, mouth, oropharynx, epidemiology.

Resumo / Summary

C

O

ancer of the oral cavity and oropharynx is aggressive. It is one of the commonest cancers in Brazil and may be considered as the commonest in the head and neck. Aim: The objective of this paper is to evaluate clinical and epidemiological factors and the outcome.
Study design: Clinical retrospective. Material and Methods: In a descriptive retrospective study, the charts of 43 cases of oral and 25 of oropharyngeal squamous cell carcinoma (SCC) in the period 19972000 have been reviewed from the Departments of Head and Neck
Surgery of Santa Casa de Misericórdia de Santos and Hospital Ana
Costa. This was analyzed with emphasis on age, gender, profession, ethnic aspects, tobacco and alcohol use, dental prosthesis, referement origin, site of the lesion, clinical staging, histologic grade, treatment methods, survival and second cancer presence in the study group.
The data were analysed by Exact Test of Fischer. Results: In the oral cavity cancer patients, a male female ratio of 3.35:1 was observed, the median age was 62 years (ranging 46 to 91 years), 90.7% were
Caucasian, 81% were referred from medical professionals, tobacco use was identified in 76.8%, alcohol intake in 74%, 79% were not dental prosthesis users, tongue was the commonest site identified
(51.1%), 53% were staged as III and IV clinical stages, 72.1% were
moderately