Retrospective Analysis of Prevalence of Tobacco Related Dysplasias and Carcinomas in the Oral Cavity in Kadapa, Andhra Pradesh-An Institutional Observational Study Lavanya Sirigala1,*, Suresh Peddengatagari2, Prasanna P Lakshmi3 1Incharge Professor, Department of Oral Pathology, Government Dental College and Hospital, RIMS, Kadapa 2Associate Professor, Department of Periodontics, Government Dental College and Hospital, Kadapa 3I Year Post Graduate Student, Department of Paedodontia, CKS College of Dental Sciences, Tirupathi *Corresponding author: Dr. Sirigala Lavanya Incharge Professor, Department of Oral Pathology, Government Dental College and Hospital, RIMS, Kadapa, Email-slavanyamds@yahoo.co.in Contact No-09490077019
Online published on 15 February, 2017. Abstract Introduction Ninety percent of all oral cancers in India can be attributed to specific etiologic agents and it is known that the single greatest factor for oral cancer is the usage of tobacco. The tobacco is used mainly in two forms, smoking (eg.cigarettes, bidis, and cigars) and nonsmoking (eg., khaini, snuff). 65% of all cancers in men and 33% of all cancers in women are tobacco-related.1 Study Aim This is a retrospective study done to determine the tobacco related prevalence of dysplasias and carcinomas in the oral cavity in kadapa, Andhrapradesh. Materials and Method All the biopsies received in the Department of Oral pathology, Government Dental college and Hospital during the year 2015 between July to December (for a period of six months) were screened and histopathologically confirmed cases of dysplasias, squamous cell carcinomas and verrucous carcinomas were noted and tabulated along with other criteria. Results Our study results showed a total prevalence of tobacco related 35.55% premalignancies and malignancies in the oral cavity. Dysplasias were 15.62%, well differentiated squamous cell carcinomas were 80.5%, poorly differentiated carcinomas were 3.25% and verrucous carcinomas were 3.125% All the patients were 100% tobbacco users. Duration of the habit ranged from 5yrs to 50yrs. Cases between 20-30yrs were 9.4%, 31-40yrs were 25%, 45-50yrs were 28.12%yrs, 51-60yrs were 15.62%, 60–70 yrs were 18.77% and 71-80yrs were 3.13%. Among the sites of occurrence vestibular alveolar mucosa was 56.25%, buccal mucosa was 25%, angle of the mouth was 15.62% and mandibular anterior gingiva was 3.125%. Conclusion Thus, this high prevalence of oral cancers in Kadapa in all age groups from productive to old ages once again alarm us, the health professionals, the necessary steps to bring the awareness for discontinuance of the habit by educating the public about the ill effects of tobacco usage through various programmes. Top Keywords Oral cancers, Dysplasias. Squamous cell carcinoma, Verrucous carcinoma, Tobacco, Kadapa. Top |