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Malignancy Risk Models for Oral Lesions

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Malignancy Risk Models for Oral Lesions

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dc.contributor.author Zarate, Ana María es
dc.contributor.author Brezzo, María Magdalena es
dc.contributor.author Secchi, Dante Gustavo es
dc.contributor.author Barra, José Luis es
dc.contributor.author Brunotto, Mabel es
dc.date.accessioned 2014-05-29T07:14:35Z
dc.date.available 2014-05-29T07:14:35Z
dc.date.issued 2013 es
dc.identifier.citation Zarate, Ana María ; Brezzo, María Magdalena ; Secchi, Dante Gustavo ; Barra, José Luis ; Brunotto, Mabel. Malignancy Risk Models for Oral Lesions. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2013, Vol. 18, No. 5: 759-765 es
dc.identifier.uri http://hdl.handle.net/10550/35669
dc.description.abstract Objectives: The aim of this work was to assess risk habits, clinical and cellular phenotypes and TP53 DNA changes in oral mucosa samples from patients with Oral Potentially Malignant Disorders (OPMD), in order to create models that enable genotypic and phenotypic patterns to be obtained that determine the risk of lesions becoming malignant. Study Design: Clinical phenotypes, family history of cancer and risk habits were collected in clinical histories. TP53 gene mutation and morphometric-morphological features were studied, and multivariate models were applied. Three groups were estabished: a) oral cancer (OC) group (n=10), b) OPMD group (n=10), and c) control group (n=8). Results: An average of 50% of patients with malignancy were found to have smoking and drinking habits. A high percentage of TP53 mutations were observed in OC (30%) and OPMD (average 20%) lesions (p=0.000). The majority of these mutations were GC ? TA transversion mutations (60%). However, patients with OC presented mutations in all the exons and introns studied. Highest diagnostic accuracy (p=0.0001) was observed when incorporating alcohol and tobacco habits variables with TP53 mutations. Conclusions: Our results prove to be statistically reliable, with parameter estimates that are nearly unbiased even for small sample sizes. Models 2 and 3 were the most accurate for assessing the risk of an OPMD becoming cancerous. However, in a public health context, model 3 is the most recommended because the characteristics considered are easier and less costly to evaluate. en_US
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Malignancy Risk Models for Oral Lesions es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES

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