Head and neck cancer: epidemiological aspects of two large Brazilian medical centers

Câncer de cabeça e pescoço: aspectos epidemiológicos de dois grandes hospitais brasileiros

Autores

Palavras-chave:

Oral cancer, Head and neck neoplasms, Radiotherapy

Resumo

Objective: To compare clinical and epidemiological aspects of Head and neck cancers (HNC) patients treated in hospitals in northeast and southeast regions of Brazil. Methodology: The study cross-sectional retrospective analyzed 519 medical records of patients treated between 2016 and 2021. The factors evaluated for HNC prevalence included demographic data, predisposing factors, tumor location, treatment type, and related oral manifestations. Qualitative variables were expressed in absolute and relative frequencies. The chi-square test assessed potential associations between these variables (p< 0.05). Results: 54.1% of patients were men and 45.9% were women. Hospitals significantly differed regarding sex, age, and tobacco use (p< 0.05). The accumulated percentage indicated that adults under 60 years old were the most affected (62.6%). The larynx/hypopharynx was the most prevalent location (51.8%), followed by the oral cavity (25.8%). The tongue was the most affected anatomical region in the oral cavity (11.0%). Conclusion: Patient profile showed possible changes, with both sexes being similarly affected in increasingly younger patients. Demographic and lifestyle factors suggest an association with HNC, representing information for consideration when screening more susceptible patients and tracking early-stage lesions.

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Biografia do Autor

Andressa Cardoso Amorim, Universidade Federal de Uberlândia –UFU, Brazil

Graduada em Odontologia pela Universidade Federal de Alfenas. Mestre em Ciências Odontológicas(área de concentração : Odontopediatria) pela Universidade Federal de Alfenas, bolsista CAPES. Pós-graduada em Saúde da Família pelo Instituto Prominas. Doutoranda em Odontologia (área de concentração : Propriedades Físicas e Biológicas dos materiais Odontológicos e das estruturas dentais) na Universidade Federal de Uberlândia, bolsista CAPES. Pós-graduanda em Odontopediatria pela Associação brasileira de Odontologia (ABO/Uberlândia).

Edna Lúcia Coutinho Silva , Universidade CEUMA -UNICEUMA, Brazil

Doutora em Odontologia Multiprofissional (Universidade CEUMA-UniCEUMA /Universidade Federal de Uberlândia-UFU). Mestre em Saúde Materno-Infantil (UFMA). Especialista em Psicopedagogia (UniCEUMA). Terapeuta Ocupacional graduada pela Universidade Estadual do Pará (UEPA). Atendimento a pacientes com dor crônica, idosos e outros déficits que interfiram no desempenho ocupacional na Clínica Assismed, Clínica TAU Medicina Integrativa, Home Care e Instituto Dra. Laianny Carvalho. Consultora na área da saúde no Centro Universitário UNDB. Tutora no Curso de Medicina no Centro Universitário UNDB

Isabela Félix Souza, Universidade Federal de Uberlândia –UFU, Brazil

Possui graduação em Odontologia pela Universidade Federal de Uberlândia.

Meire Coelho Ferreira , Universidade CEUMA -UNICEUMA, Brazil

Possui graduação em Odontologia pela Universidade Vale do Rio Doce (Univale); especialização em Odontopediatria pela Univale; mestrado e doutorado em Odontologia (área de concentração - Odontopediatria) pela Universidade Federal de Santa Catarina (UFSC), pós-doutorado em Epidemiologia pela Universidade Federal de Minas Gerais (UFMG) e pela Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM). Professora permanente do Programa de Mestrado e Doutorado em Odontologia da Universidade CEUMA, e Professora permanente do Programa de Mestrado em Gestão de Programas e Serviços de Saúde da Universidade CEUMA. Consultora Ad Hoc - FAPEMA (Fundação de Amparo à Pesquisa e ao Desenvolvimento Científico e Tecnológico do Maranhão). Tem experiência na área de Odontologia, com ênfase em Odontopediatria, Cariologia e Epidemiologia; testes laboratoriais (microdureza, rugosidade, microscopia eletrônica de varredura e microinfiltração); estudos epidemiológicos (observacionais e experimentais) e revisões sistemáticas. Desenvolve pesquisas voltadas para as seguintes temáticas: doenças/condições bucais, hipomineralização molar-incisivo, materiais bioativos, qualidade de vida relacionada à saúde bucal, e desordens congênitas.

Veridiana Resende Novais Simamoto, Universidade Federal de Uberlândia –UFU, Brazil

É professora Associada da Faculdade de Odontologia da Universidade federal de Uberlândia, na área de Dentística e Materiais Odontológicos. Professora permanente do Programa de Pós-graduação em Odontologia - PGO-UFU nota 6 CAPES. Possui graduação em Odontologia pela Universidade Federal de Uberlândia (2003), especilalização em Dentística Restauradora pela Universidade Federal de Uberlândia (2004), mestrado em Odontologia pela Universidade Federal de Uberlândia (2007), e doutorado em Materiais Dentários pela Faculdade de Odontologia da Universidade Estadual de Campinas - UNICAMP (2010). É lider do Grupo de Pesquisa cadastrado no CNPq e referendado pela UFU (DGP): Grupo de Pesquisa Suporte Odontológico Preventivo e Restaurador ao Paciente Oncológico - SOPRO. Tem experiência na área de Odontologia, com ênfase em Materiais Odontológicos e Dentística Restauradora, atuando principalmente nos seguintes temas: influência do tratamento de radioterapia na cavidade oral e na cárie relacionada à radiação, tratamento e prevenção.

Referências

ANDERSON, E. M. et al. Variations in the association of grade with survival across the head and neck cancer landscape. Head & neck, v. 43, n. 4, p. 1105–1115, 2021.

BAST, R. C. (ED.). Neoplasms of the head and neck: in Holland-Frei cancer medicine. Hoboken, New Jersey: John Wiley & Sons, Inc, 2016. v. 1.

BRAGA, S. F. M.; DE SOUZA, M. C.; CHERCHIGLIA, M. L. Time trends for prostate cancer mortality in Brazil and its geographic regions: An age–period–cohort analysis. Cancer epidemiology, v. 50, p. 53–59, 2017.

Brazil Collaborators. Burden of disease in Brazil, 1990-2016: a systematic subnational analysis for the Global Burden of Disease Study 2016. GBD 2016 Brazil Collaborators. Burden of disease in Brazil, v. 392, p. 760–775, 1990.

Brazil. Ministry of Health. Secretariat of Health Care. National Cancer Institute. 2020 estimate: incidence of cancer in Brazil. p. 38–39, 2020. Available at: https://www.inca.gov.br/publicacoes/livros/estimativa-2020-incidencia-decancer-no brasil. [Accessed September 2023].

BRENNAN, M. T. et al. Epidemiologic factors in patients with advanced head and neck cancer treated with radiation therapy. Head & neck, v. 43, n. 1, p. 164–172, 2021.

BOUVARD, V. et al. A review of human carcinogens--Part B: biological agents. The lancet oncology, v. 10, n. 4, p. 321–322, 2009.

BUGTER, O. et al. Survival of patients with head and neck cancer with metachronous multiple primary tumors is surprisingly favorable. Head & neck, v. 41, n. 6, p. 1648–1655, 2019.

COGLIANO, V. J. et al. Meeting report: summary of IARC monographs on formaldehyde, 2-butoxyethanol, and 1-tert-butoxy-2-propanol. Environmental health perspectives, v. 113, n. 9, p. 1205–1208, 2005.

CONWAY, D. I. et al. Estimating and explaining the effect of education and income on head and neck cancer risk: INHANCE consortium pooled analysis of 31 case-control studies from 27 countries: INHANCE consortium pooled analysis. International journal of cancer. Journal international du cancer, v. 136, n. 5, p. 1125–1139, 2015.

DANTAS, T. S. et al. Influence of educational level, stage, and histological type on survival of oral cancer in a Brazilian population: A retrospective study of 10 years observation: A retrospective study of 10 years observation. Medicine, v. 95, n. 3, p. e2314, 2016.

DE MORAIS, E. F. et al. Prognostic factors of oral squamous cell carcinoma in young patients: A systematic review. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, v. 75, n. 7, p. 1555–1566, 2017.

DIETZ, A. et al. Exposure to cement dust, related occupational groups and laryngeal cancer risk: results of a population based case-control study. International journal of cancer. Journal international du cancer, v. 108, n. 6, p. 907–911, 2004.

GISLON, L. C. et al. Risk factors associated with head and neck cancer in former smokers: A Brazilian multicentric study. Cancer epidemiology, v. 78, n. 102143, p. 102143, 2022.

GLEHN, M. DE P. VON et al. Human papillomavirus vaccination coverage in Northeast Brazil, 2013-2021: a descriptive study. Epidemiologia e servicos de saude: revista do Sistema Unico de Saude do Brasil, v. 32, n. 2, p. e2022790, 2023.

GUERRA, M. R. et al. Magnitude and variation of the burden of cancer mortality in Brazil and Federation Units, 1990 and 2015. Revista brasileira de epidemiologia [Brazilian journal of epidemiology], v. 20Suppl 01, n. Suppl 01, p. 102–115, 2017.

HARDER, T. et al. Efficacy, effectiveness and safety of vaccination against human papillomavirus in males: a systematic review. BMC medicine, v. 16, n. 1, 2018.

HASHIM, D. et al. Hormone factors play a favorable role in female head and neck cancer risk. Cancer medicine, v. 6, n. 8, p. 1998–2007, 2017.

HAYAT, M. J. et al. Cancer statistics, trends, and multiple primary cancer analyses from the Surveillance, Epidemiology, and End Results (SEER) Program. The oncologist, v. 12, n. 1, p. 20–37, 2007.

KREIMER, A. R. et al. Human papillomavirus types in head and neck squamous cell carcinomas worldwide: a systematic review. Cancer epidemiology, biomarkers & prevention: a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, v. 14, n. 2, p. 467–475, 2005.

KREWSKI, D. et al. Key characteristics of 86 agents known to cause cancer in humans. Journal of toxicology and environmental health. Part B, Critical reviews, v. 22, n. 7–8, p. 244–263, 2019.

LAMM, R. et al. Socioeconomic status and gastric cancer surgical outcomes: A National Cancer Database study. The Journal of surgical research, v. 275, p. 318–326, 2022.

LEBO, N. L. et al. Influence of socioeconomic status on stage at presentation of laryngeal cancer in the United States. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery, v. 161, n. 5, p. 800–806, 2019.

MAASLAND, D. H. E. et al. Alcohol consumption, cigarette smoking and the risk of subtypes of head-neck cancer: results from the Netherlands Cohort Study. BMC cancer, v. 14, p. 187, 2014.

MARKS, M. A. et al. Association of marijuana smoking with oropharyngeal and oral tongue cancers: pooled analysis from the INHANCE consortium. Cancer epidemiology, biomarkers & prevention: a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, v. 23, n. 1, p. 160–171, 2014.

MARUR, S.; FORASTIERE, A. A. Head and neck cancer: changing epidemiology, diagnosis, and treatment. Mayo Clinic proceedings. Mayo Clinic, v. 83, n. 4, p. 489–501, 2008.

MIRANDA-FILHO, A.; BRAY, F. Global patterns and trends in cancers of the lip, tongue and mouth. Oral oncology, v. 102, n. 104551, p. 104551, 2020.

MOORE, C. et al. Dental caries following radiotherapy for head and neck cancer: A systematic review. Oral oncology, v. 100, n. 104484, p. 104484, 2020.

NA’ARA, S. et al. Outcome of patients undergoing salvage surgery for recurrent nasopharyngeal carcinoma: A meta-analysis. Annals of surgical oncology, v. 21, n. 9, p. 3056–3062, 2014.

OLSSON, A.; KROMHOUT, H. Occupational cancer burden: the contribution of exposure to process-generated substances at the workplace. Molecular oncology, v. 15, n. 3, p. 753–763, 2021.

PALMIER, N. R. et al. Radiation-related caries: current diagnostic, prognostic, and management paradigms. Oral surgery, oral medicine, oral pathology and oral radiology, v. 130, n. 1, p. 52–62, 2020.

PUKKALA, E. et al. Occupation and cancer - follow-up of 15 million people in five Nordic countries. Acta oncologica (Stockholm, Sweden), v. 48, n. 5, p. 646–790, 2009.

RODRÍGUEZ-MOLINERO, J. et al. Association between oral cancer and diet: An update. Nutrients, v. 13, n. 4, p. 1299, 2021.

SARODE, G. et al. Epidemiologic aspects of oral cancer. Disease-a-month: DM, v. 66, n. 12, p. 100988, 2020.

SANKARANARAYANAN, R. et al. A case-control investigation of cancer of the oral tongue and the floor of the mouth in southern India. International journal of cancer. Journal international du cancer, v. 44, n. 4, p. 617–621, 1989.

SUNG, H. et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians, v. 71, n. 3, p. 209–249, 2021.

STRAIF, K. et al. Carcinogenicity of shift-work, painting, and fire-fighting. The lancet oncology, v. 8, n. 12, p. 1065–1066, 2007.

WANG, S.-S. et al. The maintenance of an oral epithelial barrier. Life sciences, v. 227, p. 129–136, 2019.

World Health Organization. WHO global report on trends in prevalence of tobacco smoking. [Internet]; 2015. Available from:http://apps.who.int/iris/bitstream/10665/156262/1/9789241564922_eng.pdf.

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2024-04-06

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