Abstract

Aim: An epidemiological analysis of buccal cancer patients; with respect to their addiction habits and income, and its correlation with the overall outcome in these patients.

Materials and Methods: A total of 472 patients of buccal carcinoma diagnosed in the year 2015 were analysed retrospectively in our institute. These patients were then evaluated for alcohol and tobacco consumption and a detailed history of the nature of consumption (quantity and duration) was taken. Other factors studied were the socio-economic status of these patients. The patients were divided into 3 groups based on their annual total family income, These patients were then closely followed up to ascertain the stage of their disease, the treatment taken, their compliance to treatment as well as the outcome at two years.

Discussion: The study showed a greater incidence of tobacco usage in the male population, thus leading to a greater incidence of buccal carcinoma in the male population. Thus, ensues the possibility that 85% of buccal cancer patients arriving at our institute were males. Family income appears to play a role in the addiction patterns seen in the study. Close to 63% of patients belonging to the higher income strata had history of tobacco and/or alcohol consumption. This increased to almost 80% in the middle income group and to 88% in the low income group. Lower income groups also arrived at later stages of presentation to the institute as compared to the higher income groups.

Conclusion: Our study confirms the association of Tobacco consumption in the etio-pathogenesis of buccal cancer with close to 80% of males and 60% of females in our patient base consuming it. The increased usage of tobacco products in the lower socio-economic strata highlights the need for better education in this population against its usage. Better screening facilities and better referral centres are the need of the hour.

Keywords: Buccal Squamous Cell Carcinoma (OSCC); Buccal Cancer; Global Adult Tobacco Survey (GATS)

References

1. Kademani D. “Oral cancer”. Mayo Clinic Proceedings 82 (2007): 878-887.
2. Siegel R., et al. “Cancer statistics, 2012”. CA: A Cancer Journal for Clinicians 62 (2012): 10-29.
3. Neville BW and Day TA. “Oral cancer and precancerous lesions”. CA: A Cancer Journal for Clinicians 52 (2002): 195-215.
4. Parkin DM., et al. “Global cancer statistics, 2002”. CA: A Cancer Journal for Clinicians 55 (2005): 74-108.
5. Giovino GA., et al. “Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys”. Lancet 380 (2012): 668-679.
6. Organisation for Economic Cooperation and Development. “Drinking lives away. Alcohol, economics and public health policy”. Paris: OECD Publishing (2014).
7. Rehm J., et al. “The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease − An overview”. Addiction 98 (2003a): 1209-1228.
8. Rehm J., et al. “The global distribution of average volume of alcohol consumption and patterns of drinking”. European Addiction Research 9 (2003b): 147-156.
9. International Agency for Research on Cancer. Tobacco Smoke and Involuntary Smoking. Volume 83. Lyon: International Agency for Research on Cancer”. World Health Organization (2004).
10. Baan R., et al. “Carcinogenicity of alcoholic beverages”. The Lancet Oncology 8 (2007): 292-293.
11. Hecht SS., et al. “Applying tobacco carcinogen and toxicant biomarkers in product regulation and cancer prevention”. Chemical Research in Toxicology 23 (2010): 1001-1008.
12. Hecht SS. “Lung carcinogenesis by tobacco smoke”. International Journal of Cancer 131 (2012): 2724-2732.

Citation

Citation: Prasad U Kasbekar and Shashank J Pandya. “Epidemiological Analysis of Buccal Cancer Patients in Terms of Addictions and Socio-Economic Status and the Outcomes Associated with it". Acta Scientific Medical Sciences 4.10 (2020): 24-27.

Copyright

Copyright: © 2020 Prasad U Kasbekar and Shashank J Pandya. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.