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Serbia & Montenegro
Epidemiology. Education, Health economics, Staging and prognosis Results: Male to female ratio o f oral disease was 3:4. There was an increase incidence of turnout within 2nd and 3rd quarter of life. Out of 226, 86% were b e n i ~ in nature and 14% were malignant turnouts. Benign mesenchymal lesions constitute 41% of lesion being diagnosed. Further analysis shows that these tusnour comprise of fibroeplthehal polyp, granulomas and epulis. Odontogeinc ~ s t and tumour consist of 19% o f lesion diagnosed. Out of 14% of malignant tumour, 12% were squamous cell carcinoma and another 2% comprises of malignant sahvary gland tumour. Conclusion: Mesencymal turnouts were the most common benign tumo~r (41%). Odontogemc cyst and turnout was the 2nd most common turnout diagnosed (19%). Tins figure as three tames higher th;m previously reported (1984). Most alarming finding is the higher incidence o f tumour in the 2nd and 3rd decade of life combine with a worrying figure of higher incidence per cases of mallgna~lt tuniour (14°'o). Most o f the results obtained were comparable to international reported incidence of maxlllofaclal turnout. However, there is a worrying pattern of developing maxlllofaclal ~ m o u r m younger generation, parhcularly m 2nd and 3rd decade of hfe.
I•11
Epidemiology of oral carcinoma among adults in Belgrade/Serbia & Montenegro
I. Dzeletovlc-Mllosevlc, N. Mutavdzlc. ~Inst~tute for Pubhc Health, Belgrade, Yugosla~,ta, :Health Instttute of Mmtstry of Internal Affatrs, Belgrade, Yugoslac,~a Introduction: In last decade of prevaous century prevalence and incidence of oral carcinoma among adult CltlZei~s 111 Belgrade are m increasing trend. Well lmown circumstances m Serbia & Montenegro (bombing, radiation, atr, water and soft pollution) and tobacco use, alcohol and drug abuse, bad concept nutrition, stress are m correlation with increasing trend of prevalence and incidence of oral carcinoma. Materials and Methods: It is a social medicine epldemlologlcal retrospective evaluation study based on statistical analysis of routine statistical surveys extracted from National Population Register o f carcinoma and neoplasm. Material are all patients Registered 111 Belgrade with oral carcinoma diagnosis m period of five years ( 1 9 9 8 ~ 0 0 3 ) . The sample was stratified m three age group: - 1 9 years, 20 59 years and >~60 years. Results: In last five years prevalence end incidence of oral cavity carcinoma are m increasing trend. There were 719 new detected OCC. Three tames more among man than woman. Tile most predomlnaslt type among citizens in Belgrade o f OCC was Squamocellular Carcinoma (86%). The most predomlnaslt location of OCC were tongue and floor of the mouth (72%). The most number of OCC were detected m developed and terminal phases (64%). In period 2000-2002 year OCC had doubled tile number of appearance among citizens over 60 years vs period 1998-2000 year. Conclusion: High prevalence and incidence o f OCC among citizens of Belgrade are in correlation with circumstances m our country because o f higher intensity of ampact o f all OCC risk factors during viewed period, especially after 1999 year. Oral Carcinoma Screening had not accomplished at all among citizens in Belgrade, although it was part of National Preventwe Dental Health Program.
161
P.521 Metastatic tumor to the oral soft tissues and jaws: a retrospective analysis of 41 cases in Korean individuals J.-H. Yoon, S.-Y. Lim, J.-S. Kim, S.-A. Kiln, S.-G. Ahn.
Department of Oral Pathology, BK 21 Project, School of Dentistry, Chosun Universit); Gwan~u, Korea Introduction: Metastatic neoplasms to the oral and mxxfllofacial region from distant sites are rare and only 1o6 o f all oral malignant minors. In the oral and maxlllofaclal region, metastatic tumors typically originate in the breast, followed by the lungs, kidneys, thyroid gland, intestines, prostate gland, stomach, testes, and bladder m western countries. The purpose o f fins study was to analyze the data o f metastatic oral tumors in Korea and to compare with the western countries. Materials and Methods: We revaewed 41 cases of metastatic oral tuinors which had been confirmed h~stopatholog~cally. These data, which tins review based on, has been retrieved from published case reports an Korean dental and medical hterature between tile years 1983 and 2004. Results: The mean age was 55.2 years and the male to female ratio was 1.9:1. The most common prllnary site was hver followed by lung and thyroid. For female thyroad and for male hver and lung were tile most common pramary sites. There were more jawbone metastases than m oral soft tissues: 27 jawbone metastases and 14 soft tissue metastases. The lung is the most conamon primary site for tumors metastasazmg to the j awbones, whereas the hver is the most common source for metastases to the oral soft tassues. In the jawbones, the common location o f the metastatac lemons was the molar area of mandable. In the oral soft tissues, the buccal mucosa was tile most common affected site. About 22°,'o (9 cases) of oral metastasis was diagnosed before discovery of tile primary mahgnancles. Conclusion: In thas analysis, we found that contrary to the western reviews that the breast was the most conmlon prm~ary sites, the hver was the most common pramary site m Korea. These differences might be attributed to tile high incidence o f hepatocellular carcinoma m Korea.
IP•
The impact of HIPAA regulations on a case-control study of oral precancer in Puerto Rico
D.E. Morse, R.V Katz. New York Untverstty College of
Denttstry, USA Introduction: The 1996 Health Insurance Portability and Accousltablllty Act (HIPAA) mandated that the US Department o f Health and Human Services establish regulations for tile use and disclosure of protected health reformation (PHI) by covered entitles (the Privacy Rule). Penalties included fines and jail terms of up to $250,000 and 10 years, respectwely: the enforcement date was April 14, 2003. Tins abstract describes the mapact of HIPAA and tile Prwacy Rule on subject identification and enrollment m a case-control study o f oral precaslcer m Puerto Rico (PR). Materials and Methods: The IRB-approved study protocol called for tile zdenhficahon of study subjects by searching pathology reports generated via partxclpatulg PR pathology laboratories. SubJect identification began m April, 2002, one year before the enforcement date. Results: Questions and concerns about HIPAA were widespread in PR during 2002. In April 2002, three o f five laboratories, winch had earher agreed to assist wzth the project, cited HIPAA-related concerns and refused to allow the zdenhficahon of study subjects m thetr laboratories. Additionally, most surgeons whose patients were identified as eligible for the
I•11
Epidemiology of oral carcinoma among adults in Belgrade/Serbia & Montenegro
I. Dzeletovlc-Mllosevlc, N. Mutavdzlc. ~Inst~tute for Pubhc Health, Belgrade, Yugosla~,ta, :Health Instttute of Mmtstry of Internal Affatrs, Belgrade, Yugoslac,~a Introduction: In last decade of prevaous century prevalence and incidence of oral carcinoma among adult CltlZei~s 111 Belgrade are m increasing trend. Well lmown circumstances m Serbia & Montenegro (bombing, radiation, atr, water and soft pollution) and tobacco use, alcohol and drug abuse, bad concept nutrition, stress are m correlation with increasing trend of prevalence and incidence of oral carcinoma. Materials and Methods: It is a social medicine epldemlologlcal retrospective evaluation study based on statistical analysis of routine statistical surveys extracted from National Population Register o f carcinoma and neoplasm. Material are all patients Registered 111 Belgrade with oral carcinoma diagnosis m period of five years ( 1 9 9 8 ~ 0 0 3 ) . The sample was stratified m three age group: - 1 9 years, 20 59 years and >~60 years. Results: In last five years prevalence end incidence of oral cavity carcinoma are m increasing trend. There were 719 new detected OCC. Three tames more among man than woman. Tile most predomlnaslt type among citizens in Belgrade o f OCC was Squamocellular Carcinoma (86%). The most predomlnaslt location of OCC were tongue and floor of the mouth (72%). The most number of OCC were detected m developed and terminal phases (64%). In period 2000-2002 year OCC had doubled tile number of appearance among citizens over 60 years vs period 1998-2000 year. Conclusion: High prevalence and incidence o f OCC among citizens of Belgrade are in correlation with circumstances m our country because o f higher intensity of ampact o f all OCC risk factors during viewed period, especially after 1999 year. Oral Carcinoma Screening had not accomplished at all among citizens in Belgrade, although it was part of National Preventwe Dental Health Program.
161
P.521 Metastatic tumor to the oral soft tissues and jaws: a retrospective analysis of 41 cases in Korean individuals J.-H. Yoon, S.-Y. Lim, J.-S. Kim, S.-A. Kiln, S.-G. Ahn.
Department of Oral Pathology, BK 21 Project, School of Dentistry, Chosun Universit); Gwan~u, Korea Introduction: Metastatic neoplasms to the oral and mxxfllofacial region from distant sites are rare and only 1o6 o f all oral malignant minors. In the oral and maxlllofaclal region, metastatic tumors typically originate in the breast, followed by the lungs, kidneys, thyroid gland, intestines, prostate gland, stomach, testes, and bladder m western countries. The purpose o f fins study was to analyze the data o f metastatic oral tumors in Korea and to compare with the western countries. Materials and Methods: We revaewed 41 cases of metastatic oral tuinors which had been confirmed h~stopatholog~cally. These data, which tins review based on, has been retrieved from published case reports an Korean dental and medical hterature between tile years 1983 and 2004. Results: The mean age was 55.2 years and the male to female ratio was 1.9:1. The most common prllnary site was hver followed by lung and thyroid. For female thyroad and for male hver and lung were tile most common pramary sites. There were more jawbone metastases than m oral soft tissues: 27 jawbone metastases and 14 soft tissue metastases. The lung is the most conamon primary site for tumors metastasazmg to the j awbones, whereas the hver is the most common source for metastases to the oral soft tassues. In the jawbones, the common location o f the metastatac lemons was the molar area of mandable. In the oral soft tissues, the buccal mucosa was tile most common affected site. About 22°,'o (9 cases) of oral metastasis was diagnosed before discovery of tile primary mahgnancles. Conclusion: In thas analysis, we found that contrary to the western reviews that the breast was the most conmlon prm~ary sites, the hver was the most common pramary site m Korea. These differences might be attributed to tile high incidence o f hepatocellular carcinoma m Korea.
IP•
The impact of HIPAA regulations on a case-control study of oral precancer in Puerto Rico
D.E. Morse, R.V Katz. New York Untverstty College of
Denttstry, USA Introduction: The 1996 Health Insurance Portability and Accousltablllty Act (HIPAA) mandated that the US Department o f Health and Human Services establish regulations for tile use and disclosure of protected health reformation (PHI) by covered entitles (the Privacy Rule). Penalties included fines and jail terms of up to $250,000 and 10 years, respectwely: the enforcement date was April 14, 2003. Tins abstract describes the mapact of HIPAA and tile Prwacy Rule on subject identification and enrollment m a case-control study o f oral precaslcer m Puerto Rico (PR). Materials and Methods: The IRB-approved study protocol called for tile zdenhficahon of study subjects by searching pathology reports generated via partxclpatulg PR pathology laboratories. SubJect identification began m April, 2002, one year before the enforcement date. Results: Questions and concerns about HIPAA were widespread in PR during 2002. In April 2002, three o f five laboratories, winch had earher agreed to assist wzth the project, cited HIPAA-related concerns and refused to allow the zdenhficahon of study subjects m thetr laboratories. Additionally, most surgeons whose patients were identified as eligible for the