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Authors
Abstract(s)
Introdução: diferentes patologias de tecidos moles e duros podem acometer
a cavidade oral e, apesar do exame clínico e radiográfico ser uma mais valia na
obtenção de um diagnóstico clínico, por vezes, torna-se necessária a realização do
procedimento cirúrgico de biópsia. O exame anatomopatológico auxilia no diagnóstico
da maior parte das lesões orais, tendo particular importância nas lesões
potencialmente malignas uma vez que estas podem evoluir para cancro oral.
Objetivos: avaliar a prevalência das lesões de tecidos moles e duros
diagnosticadas através do exame anatomopatológico, nos pacientes da Clínica
Dentária Universitária; analisar os fatores de risco e determinantes clínicos
associados a estas lesões; determinar a concordância entre diagnóstico clínico e
anatomopatológico; bem como a prevalência de neoplasias malignas.
Material e métodos: foi realizado um estudo retrospetivo observacional
descritivo das lesões de tecidos moles e duros dos pacientes da Clínica Dentária
Universitária de Viseu, onde foram efetuadas análises estatísticas descritivas e
inferenciais de 52 biópsias.
Resultados: o género mais afetado foi o feminino com 59,62% e idade média
de 59,97 anos. A técnica de biópsia mais realizada foi a excisional convencional,
representando 63,46% da amostra. A localização anatómica mais biopsada foi a
mucosa jugal e a patologia mais diagnosticada foi o fibroma. O uso de prótese mal
adaptada e o hábito nocivo do tabaco, foram os fatores de risco mais presentes entre
os pacientes estudados. Em 89,6% dos casos os diagnósticos clínicos e
anatomopatológicos foram concordantes. A prevalência das neoplasias malignas
neste estudo foi de 5,77%, com maior incidência no género feminino (3,85%) e na
faixa etária entre os 71-80 anos de idade (3,85%).
Conclusão: as várias lesões diagnosticadas nos pacientes deste estudo
confirmam que a biópsia seguida do exame anatomopatológico é um procedimento
de grande relevância, juntamente com o exame clínico e a anamnese para a obtenção
de um diagnóstico preciso e definitivo das lesões da cavidade oral.
Introduction: different pathologies of soft and hard tissues can affect the oral cavity and, despite the clinical and radiographic examination being an asset in obtaining a clinical diagnosis, sometimes it becomes necessary to perform the surgical biopsy procedure. The anatomopathological examination helps in the diagnosis of most oral lesions, being particularly important in potentially malignant lesions as they can progress to oral cancer. Objectives: to evaluate the prevalence of soft and hard tissue injuries diagnosed through anatomopathological examination in patients at the University Dental Clinic; to analyze the risk factors and clinical determinants associated with these injuries; to determine the agreement between clinical and anatomopathological diagnosis; as well as the prevalence of malignant neoplasms. Material and methods: a retrospective observational descriptive study of soft and hard tissue injuries of patients at the University Dental Clinic of Viseu was carried out, where descriptive and inferential statistical analyzes of 52 biopsies were performed. Results: the most affected gender was female with 59.62% and mean age of 59.97 years. The most performed biopsy technique was the conventional excisional one, representing 63.46% of the sample. The most biopsied anatomical location was the cheek mucosa and the most diagnosed pathology was fibroma. The use of ill-fitting dentures and the harmful habit of tobacco were the most common risk factors among the patients studied. In 89.6% of the cases, the clinical and anatomopathological diagnoses were in agreement. The prevalence of malignant neoplasms in this study was 5.77%, with a higher incidence in females (3.85%) and in the age group between 71-80 years old (3.85%). Conclusion: the various lesions diagnosed in the patients in this study confirm that biopsy followed by anatomopathological examination is a highly relevant procedure, together with clinical examination and anamnesis to obtain an accurate and definitive diagnosis of oral cavity lesions.
Introduction: different pathologies of soft and hard tissues can affect the oral cavity and, despite the clinical and radiographic examination being an asset in obtaining a clinical diagnosis, sometimes it becomes necessary to perform the surgical biopsy procedure. The anatomopathological examination helps in the diagnosis of most oral lesions, being particularly important in potentially malignant lesions as they can progress to oral cancer. Objectives: to evaluate the prevalence of soft and hard tissue injuries diagnosed through anatomopathological examination in patients at the University Dental Clinic; to analyze the risk factors and clinical determinants associated with these injuries; to determine the agreement between clinical and anatomopathological diagnosis; as well as the prevalence of malignant neoplasms. Material and methods: a retrospective observational descriptive study of soft and hard tissue injuries of patients at the University Dental Clinic of Viseu was carried out, where descriptive and inferential statistical analyzes of 52 biopsies were performed. Results: the most affected gender was female with 59.62% and mean age of 59.97 years. The most performed biopsy technique was the conventional excisional one, representing 63.46% of the sample. The most biopsied anatomical location was the cheek mucosa and the most diagnosed pathology was fibroma. The use of ill-fitting dentures and the harmful habit of tobacco were the most common risk factors among the patients studied. In 89.6% of the cases, the clinical and anatomopathological diagnoses were in agreement. The prevalence of malignant neoplasms in this study was 5.77%, with a higher incidence in females (3.85%) and in the age group between 71-80 years old (3.85%). Conclusion: the various lesions diagnosed in the patients in this study confirm that biopsy followed by anatomopathological examination is a highly relevant procedure, together with clinical examination and anamnesis to obtain an accurate and definitive diagnosis of oral cavity lesions.
Description
Keywords
Patologia oral Manifestações orais Cirurgia oral Biópsias Neoplasias orais Oral pathology Oral manifestations Oral surgery Biopsies Mouth neoplasms