Oral squamous cell carcinoma among Yemenis: onset in young age and presentation at advanced stage
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Halboub, Esam; Al-Mohaya, Maha; Abdulhuq, Mahmoud; Al-Mandili, Ahmad; Al-Anazi, Yousef
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Aquest document és un/a article, creat/da en: 2012
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Objectives: Oral cancer represents a health burden worldwide. Up to 90% of oral cancer cases are squamous cell
carcinomas (SCC). The data on oral SCC in Yemen are lacking. The objective of this study therefore was to describe
and analyze the demographic, clinical and histological characteristics of Yemeni patients with oral SCC.
Study design: In this cross-sectional study, two sets of retrospective data for Yemeni cancer patients were obtained
officially by two different registries. Patients with oral SCC were included. Their ages were dichotomized using 40
and 45 years alternately as individual cut-points for young and old patients. The patients` demographic, clinical and
histological characteristics were statistically analyzed.
Results: There were 457 Yemenis with oral SCC; 253 patients (55.4%) were men. The overall mean age was
58.15'}14.11 years. The tongue was the most affected oral sub-site accounting for 53% of the reported cases. The
well and moderately differentiated oral SCC accounted for 55.5% and 25.6% of the total cases respectively. Noteworthy,
62 patients (14%) were affected by the age of .40; this increased to 105 patients (23%) aged .45 years.
Additionally, a high proportion of oral SCC patients (62%, 283) were diagnosed at advanced tumor stages (regional
extension or metastasized). The distributions of histological grades and tumor stages in young and old patients were
significantly different (P=0.006 and 0.026 respectively).
Conclusion: The relative frequency of oral SCC among Yemeni young people is high. Unfortunately, most of oral
SCC patients in Yemen were diagnosed at advanced stage.
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