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EVALUATION OF DIAGNOSTIC ACCURACY OF CLINICAL DIAGNOSIS OF PERIAPICAL LESIONS SUBMITTED TO HISTOPATHOLOGIC EVALUATION
ORAL AND MAXILLOFACIAL PATHOLOGY e152 Abstracts The aim of this study was to investigate the history of malignancies among first-grade relatives of patients with oral cancer. Study Design: A case-control study was conducted using the family medical history of oral cancer patients (study group - SG) comparing to another group of people with no personal history of malignancies and no familiar relations to first group (control group - CG). Results: The study group was composed by 13 patients (7 women, 6 men, mean age 58.23 years) with current or previous history of oral cancer, confirmed by pathologic anatomy report. The most common sites were the lower lip and tongue border (3 cases each - 23%), alveolar ridge and floor face (2 cases each 15.4%). The CG was composed by 13 people (7 women, 6 men; mean age 57.4 years). In SG, 4 patients (30.7%) reported first grade family members’ history of malignancies, being head and neck region and breast the most reported sites. In CG, 3 participants showed this relationship in 3 family members. Conclusions: Despite the small number of participants, this study showed a higher frequency of family members with history of malignancies among oral cancer patients.
RP130 - ACTIVE SCREENING FOR ORAL CANCER AT FAMILY HEALTH STRATEGY. DANIELLE LIÊDA CUNHA FRÓES, NATALI LEIDENS, ALLANA PIVOVAR, CASSIUS CARVALHO TORRESPEREIRA. Oral cancer is considered a major public health problem. The diagnosis occurs in advanced stages, causing high morbidity and mortality, therefore, prevention strategies should be advocated. This study aims to investigate screening of high-risk subjects in the Family Health Strategy’s (FHS) scenario. Study Design: Participants were men between 50 and 65 years, identified in an electronic database, registered at a primary care unit in one of the health districts with the lowest Human Development Index of Curitiba. With the support of an electronic map application, dentistry students visited subjects at their homes. Results: From the 981 registered subjects, 334 were excluded. A total of 233/608 (33%) individuals were identified as smokers and former smokers and 202 (87%) were examined. There was a prevalence of 56 (28%) of potentially malignant lesions and 1 case of squamous cell carcinoma. Conclusion: Active screening approach seems to be effective in locating subjects with suspicious lesions. The results suggest the identification of high risk individuals as a potential strategy for secondary prevention of oral cancer in the Family Health Strategy.
RP131 - EPIDEMIOLOGIC STUDY OF ODONTOGENIC CYSTS. BRENDO VINICIUS RODRIGUES LOUREDO, CAMILA TATYANNE SANTOS DE FREITAS, ISABELA DOS SANTOS MACEDO, JECONIAS CÂMARA, TATIANA NAYARA LIBÓRIOKIMURA. To establish the epidemiologic profile of odontogenic cysts. Study Design: It was a retrospective study using clinical records with the diagnosis of odontogenic cysts retrieved from oral lesions records of a pathology service between January/1999 and December/2014. Gender, age, race, anatomic location and histologic type were also analyzed. Results: Of 1370 records analyzed, 6.2% (n¼85) were odontogenic cysts. In relation to the gender, the lesions were slightly more prevalent in males (51.8%, n¼44). Regarding age, the peak incidence was found in the second and third decades of life, corresponding to 31.2% (n¼25) and 28.7% (n¼23), respectively.
OOOO August 2017 These lesions affected especially a mixed race called “pardo” (65.4%, n¼36) and white (18.1%, n¼10). The posterior mandible was the site most affected by these lesions in 50.7% (n¼35) of cases, followed by anterior maxilla with 28.9% (n¼20). The radicular cyst was the most prevalent variant with 47.1% (n¼40) of the cases followed by dentigerous cyst with 30.6% (n¼26). Conclusion: This pattern of distribution of odontogenic cysts is relatively similar to that found in other studies in the literature.
RP132 - EXPLORING THE PATIENT’S FEELINGS RELATED TO DELAY IN HEAD AND NECK CANCER DIAGNOSIS. INGRID DA SILVA SANTOS, KARINA ANDRADE CARVALHO, BRUNA AMÉLIA SARAFIM DA SILVA, GABRIELLE DIAS DUARTE, GISLENE MARIA GONÇALVES, GLAUCO ISSAMU MIYAHARA, DANIEL GALERA BERNABÉ. To evaluate the reasons according to patient’s point of view for the delay in seeking treatment after their perception of the first disease signs. Study Design: 82 head and neck cancer (HNC) patients registered in a specialized oncology center, before the start of treatment, were submitted to a semi-open questionnaire to evaluate the time taken to seek care and feelings related to delay. The Collective Subject Discourse was used for data analysis. Results: The mean time took by patients to visit the first health professional after the perception of the tumor-related first sign was 4 months and 58% of the patients delayed over 1 month to seek help. Among the reasons for the delay: 84% said it was “nothing serious”, 10% reported “lack of time” and 6% responded that the delay was because of some fear-related feeling. When asked what they have felt after perceiving the first disease sign, most patients (51%) reported sadness, fear, anxiety, worry or nervousness. Conclusion: This study suggests that part of HNC patients report some fear-related feelings after perception of the first disease signs, but they do not correlate these feelings as the cause for delay in seeking the first care.
RP133 - EVALUATION OF DIAGNOSTIC ACCURACY OF CLINICAL DIAGNOSIS OF PERIAPICAL LESIONS SUBMITTED TO HISTOPATHOLOGIC EVALUATION. JESSICA KARLA PINHEIRO DE FREITAS, TIAGO NOVAES PINHEIRO. The present study investigated a series of 66 cases of lesions located in the periapical region to verify diagnostic accuracy of clinical diagnosis compared with histopathologic as gold standard. Methods: The cases were selected from a single Oral Pathology service among 2012-2016 year interval that met the inclusion criteria of the periapical region location. Results: Sample comprise 36 male and 30 female patients; the cases were classified according to the dental region, with the maxillary anterior region (21) as the most affected, followed by mandibular molars (19), mandibular and maxillary premolars (7) and maxillary molars and anterior mandibular (6). Diagnostic accuracy test was applied and revealed 47.4% specificity and 40.4% sensitivity. Conclusion: These findings reinforce the importance of histopathologic examinations of lesions located in the periapical region during procedures of dental extraction and parendodontic surgery.
RP130 - ACTIVE SCREENING FOR ORAL CANCER AT FAMILY HEALTH STRATEGY. DANIELLE LIÊDA CUNHA FRÓES, NATALI LEIDENS, ALLANA PIVOVAR, CASSIUS CARVALHO TORRESPEREIRA. Oral cancer is considered a major public health problem. The diagnosis occurs in advanced stages, causing high morbidity and mortality, therefore, prevention strategies should be advocated. This study aims to investigate screening of high-risk subjects in the Family Health Strategy’s (FHS) scenario. Study Design: Participants were men between 50 and 65 years, identified in an electronic database, registered at a primary care unit in one of the health districts with the lowest Human Development Index of Curitiba. With the support of an electronic map application, dentistry students visited subjects at their homes. Results: From the 981 registered subjects, 334 were excluded. A total of 233/608 (33%) individuals were identified as smokers and former smokers and 202 (87%) were examined. There was a prevalence of 56 (28%) of potentially malignant lesions and 1 case of squamous cell carcinoma. Conclusion: Active screening approach seems to be effective in locating subjects with suspicious lesions. The results suggest the identification of high risk individuals as a potential strategy for secondary prevention of oral cancer in the Family Health Strategy.
RP131 - EPIDEMIOLOGIC STUDY OF ODONTOGENIC CYSTS. BRENDO VINICIUS RODRIGUES LOUREDO, CAMILA TATYANNE SANTOS DE FREITAS, ISABELA DOS SANTOS MACEDO, JECONIAS CÂMARA, TATIANA NAYARA LIBÓRIOKIMURA. To establish the epidemiologic profile of odontogenic cysts. Study Design: It was a retrospective study using clinical records with the diagnosis of odontogenic cysts retrieved from oral lesions records of a pathology service between January/1999 and December/2014. Gender, age, race, anatomic location and histologic type were also analyzed. Results: Of 1370 records analyzed, 6.2% (n¼85) were odontogenic cysts. In relation to the gender, the lesions were slightly more prevalent in males (51.8%, n¼44). Regarding age, the peak incidence was found in the second and third decades of life, corresponding to 31.2% (n¼25) and 28.7% (n¼23), respectively.
OOOO August 2017 These lesions affected especially a mixed race called “pardo” (65.4%, n¼36) and white (18.1%, n¼10). The posterior mandible was the site most affected by these lesions in 50.7% (n¼35) of cases, followed by anterior maxilla with 28.9% (n¼20). The radicular cyst was the most prevalent variant with 47.1% (n¼40) of the cases followed by dentigerous cyst with 30.6% (n¼26). Conclusion: This pattern of distribution of odontogenic cysts is relatively similar to that found in other studies in the literature.
RP132 - EXPLORING THE PATIENT’S FEELINGS RELATED TO DELAY IN HEAD AND NECK CANCER DIAGNOSIS. INGRID DA SILVA SANTOS, KARINA ANDRADE CARVALHO, BRUNA AMÉLIA SARAFIM DA SILVA, GABRIELLE DIAS DUARTE, GISLENE MARIA GONÇALVES, GLAUCO ISSAMU MIYAHARA, DANIEL GALERA BERNABÉ. To evaluate the reasons according to patient’s point of view for the delay in seeking treatment after their perception of the first disease signs. Study Design: 82 head and neck cancer (HNC) patients registered in a specialized oncology center, before the start of treatment, were submitted to a semi-open questionnaire to evaluate the time taken to seek care and feelings related to delay. The Collective Subject Discourse was used for data analysis. Results: The mean time took by patients to visit the first health professional after the perception of the tumor-related first sign was 4 months and 58% of the patients delayed over 1 month to seek help. Among the reasons for the delay: 84% said it was “nothing serious”, 10% reported “lack of time” and 6% responded that the delay was because of some fear-related feeling. When asked what they have felt after perceiving the first disease sign, most patients (51%) reported sadness, fear, anxiety, worry or nervousness. Conclusion: This study suggests that part of HNC patients report some fear-related feelings after perception of the first disease signs, but they do not correlate these feelings as the cause for delay in seeking the first care.
RP133 - EVALUATION OF DIAGNOSTIC ACCURACY OF CLINICAL DIAGNOSIS OF PERIAPICAL LESIONS SUBMITTED TO HISTOPATHOLOGIC EVALUATION. JESSICA KARLA PINHEIRO DE FREITAS, TIAGO NOVAES PINHEIRO. The present study investigated a series of 66 cases of lesions located in the periapical region to verify diagnostic accuracy of clinical diagnosis compared with histopathologic as gold standard. Methods: The cases were selected from a single Oral Pathology service among 2012-2016 year interval that met the inclusion criteria of the periapical region location. Results: Sample comprise 36 male and 30 female patients; the cases were classified according to the dental region, with the maxillary anterior region (21) as the most affected, followed by mandibular molars (19), mandibular and maxillary premolars (7) and maxillary molars and anterior mandibular (6). Diagnostic accuracy test was applied and revealed 47.4% specificity and 40.4% sensitivity. Conclusion: These findings reinforce the importance of histopathologic examinations of lesions located in the periapical region during procedures of dental extraction and parendodontic surgery.