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Perspectives on oral squamous cell carcinoma prevention—proliferation, position, progression and prediction
Author(s) -
Thomson P. J.
Publication year - 2018
Publication title -
journal of oral pathology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.887
H-Index - 83
eISSN - 1600-0714
pISSN - 0904-2512
DOI - 10.1111/jop.12733
Subject(s) - medicine , carcinogenesis , metastasis , basal cell , cancer , lesion , pathology , carcinoma , incidence (geometry) , disease , oncology , cancer research , physics , optics
Squamous cell carcinoma arising from oral mucosal epithelium remains a lethal and deforming disease due to tumour invasion, oro‐facial destruction, cervical lymph node metastasis and ultimate blood‐borne dissemination. Worldwide, 300 000 new cases are seen each year, with a recent and significant rise in incidence affecting particularly the young. To rationalize perspectives on preventive strategies in oral cancer management, this study addresses a number of fundamental questions regarding carcinogenesis: proliferation—what epithelial cell changes precede tumour development? Position—why are certain oral sites so predisposed to cancer? Progression—why do some precursor lesions progress to invasive carcinoma and others do not? Prediction—how can we predict individual patient and/or lesion behaviour to prevent disease progression? By improving our understanding of oral carcinogenesis, can we thereby facilitate more effective primary, secondary and tertiary preventive strategies and ultimately reduce the global burden of oral squamous cell carcinoma ( OSCC )?