Refereed journal article or data article (A1)
Malignant transformation of oral epithelial dysplasia in Southwest Finland
List of Authors: Nevanpää Toni T., Terävä Antti E., Laine Hanna K., Rautava Jaana
Publisher: NATURE PORTFOLIO
Publication year: 2022
Journal: Scientific Reports
Journal name in source: SCIENTIFIC REPORTS
Journal acronym: SCI REP-UK
Article number: 8261
Volume number: 12
Number of pages: 7
ISSN: 2045-2322
eISSN: 2045-2322
DOI: http://dx.doi.org/10.1038/s41598-022-12441-9
URL: https://www.nature.com/articles/s41598-022-12441-9
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/175541147
Oral epithelial dysplasia (OED) is considered a risk for oral squamous cell carcinoma (OSCC). A meta-analysis estimated a mean malignant transformation rate of 12.1% (95% CI 8.1-17.9). The main target of this study was to define how many OED patients develop OSCC in the hospital district of Southwest Finland. A total of 571 patients diagnosed with OED were identified. Their potential subsequent diagnosis of OSCC was derived from the Finnish Cancer Registry. The risk of OSCC development in OED patients was compared with that of the general population without OED. During a mean follow-up of 5.5 (range 0.1-29.0) years 10.9% of OED patients developed OSCC. OED patients had a 44.7-fold higher risk (95% CI 34.4-56.7) of developing OSCC than the general population. The risk was at its highest within two years of OED diagnosis. OED patients in Southwest Finland have a significantly increased risk of developing OSCC relative to the general population, especially within the first two years of dysplasia diagnosis.
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