Spectrum of the Oral Lesions in a Rural-based Tertiary Care Teaching Hospital in Central India

Authors

  • Mamta Gupta
  • Abhiraj Ramchandani
  • Monika Singh Parihar
  • Mahendra Singh Hora

DOI:

https://doi.org/10.37506/w4md6920

Keywords:

Oral lesion, neoplastic, non-neoplastic, histopathology, Central India.

Abstract

Background: The oral cavity is a common site for pathological lesion with a wide spectrum of neoplastic and nonneoplastic lesions. They are either symptomatic or asymptomatic. Some lesions may prove to be premalignant and may be a cause of malignancy in future. Histopathological reporting is very important and essential part because the core finding we provide in reporting significantly influences the treatment part.
Material and Methods: This study was carried out in the Department of Pathology, Amaltas Institute of Medical Sciences, Dewas (Madhya Pradesh) from May 2021 to March 2023. The study included all the patients admitted in ENT, Surgery and Oncology wards of hospital presenting with oral pathology and given written informed consent. A total 80 cases were taken in to account and were studied, in relation with age, sex, site predilection.
All biopsy specimens and resected tissues/organs were received in 10% formalin solution and were processed as per standard protocol and slides of standard thickness were prepared for histopathological examination. After thorough microscopic study, the diagnosis was made and categorized into major groups (non-neoplastic, benign, borderline and malignant) and subgroups according to type of lesion on histopathological examination.
Results: The site of involvement of various lesions shows maximum involvement of buccal mucosa 43(53.75%),followed by tongue 19(23.75%), tonsil 7(8.75%), alveolus 4(5%) , floor of mouth 3(3.75%) and least involvement of lip and palate with 2(2.5%) cases in each. Of the inflammatory lesions tonsils were the commonest site of involvement.
Conclusion: We conclude our study with the findings that lesions of buccal mucosa is commonest site and
squamous cell carcinoma was the commonest entity with diversity in lesions and a wide age group of presentation. This emphasizes the role of histopathological study and diagnosis in oral lesions and provides us with valuable information of the lesion being neoplastic or non-neoplastic and timely intervention could be planned.

Author Biographies

  • Mamta Gupta

    Associate Professor, Department of Pathology, Amaltas Institute of Medical Sciences, Dewas, Madhya Pradesh, India

  • Abhiraj Ramchandani

    Associate Professor, Department of Pathology, Amaltas Institute of Medical Sciences, Dewas, Madhya Pradesh, India

  • Monika Singh Parihar

    Assistant Professor Department of Pathology, Amaltas Institute of Medical Sciences, Dewas, Madhya Pradesh, India

  • Mahendra Singh Hora

    Associate Professor, Department of Pathology, Amaltas Institute of Medical Sciences, Dewas, Madhya Pradesh, India.

References

Global Adult Tobacco Survey Gates, Manipur

Factsheet: 2009-10. Available from:http://www.

manipur.org/news/2013/01/31/manipur-in-5thposition-

intobacco-usage-in-India [Last accessed on

Mar 18].

Gangane N, Chawla S, Anshu, Gupta SS, Sharma SM.

Reassessment of risk factors for oral cancer. Asian Pac

J Cancer Prev. 2007 Apr-Jun;8(2):243-8.

Wallace ML, Neville BW. Squamous cell carcinoma of

the gingiva with an atypical appearance. J Periodontol.

Nov;67(11):1245-8.

Abraham S, Mallika B, Reshma A, Kassim RM. An

Atypical Case of Oral Squamous Cell Carcinoma

of Mandibular Alveolus. Case Rep Dent. 2019 Nov

;2019:2521685.

GLOBOCAN. Latest global cancer data: Cancer burden

rises to 18.1 million new case & 9.6 million cancer

deaths in 2018 [internet]. Available at https://www.

iarc.who.int/featured-news/latest-global-cancerdata-

cancer-burden-rises-to-18-1-million-new-casesand-

-6-million-cancer-deaths-in-2018/ [Last accessed

on 2023 Mar 18]

Satorres Nieto M, Faura Solé M, Brescó Salinas M,

Berini Aytés L, Gay Escoda C. Prevalence of biopsied

oral lesions in a service of oral surgery. Med Oral. 2001

Aug-Oct;6(4):296-305.

Malaovalla AM, Silverman S, Mani NJ, Bilimoria KF,

Smith LW. Oral cancer in 57,518 industrial workers

of Gujarat, India: A prevalence and follow-up study.

Cancer 1976;37:1882-6.

Misra V, Singh PA, Lal N, Agarwal P, Singh M.

Changing pattern of oral cavity lesions and personal

habits over a decade: Hospital based record

analysis from Allahabad. Indian J Community Med

;34:321-5

Rooban T, Rao A, Joshua E, Ranganathan K. The

prevalence of oral mucosal lesions in alcohol misusers

in Chennai, south India. Indian J Dent Res 2009;20:41-6.

Jasotharan V, Beumy Saluja N, Fathima Nahthiya

FH, Arulanandem K, Pirasath S. Descriptive study on

socio-demographic and risk factors associated with

the oral cancers, Batticaloa district. J Blood Disorders

Transf. 2014;5(6):1000216.

Agrawal R, Chauhan A, Kumar P. Spectrum of

Oral Lesions in A Tertiary Care Hospital. J Clin

Diagn Res. 2015 Jun;9(6):EC11-3. doi: 10.7860/

JCDR/2015/13363.6121.

Modi D, Laishram RS, Sharma LD, Debnath K. Pattern

of oral cavity lesions in a tertiary care hospital in

Manipur, India. J Med Soc 2013;27:199-202.

Iype EM, Pandey M, Mathew A, Thomas G, Sebastian

P, Nair MK. Oral cancer among patients under the age

of 35 years. J Postgrad Med 1995;47:171-6. 15. Bastakoti

S, Shrestha G, Kumar Gautam D, Dhungana I, Jha N,

Pandey G, Upreti S, Shrestha A, Raj Bhatta R. Clinicopathological

Spectrum of Oral Cavity Lesions at a

Tertiary Care Center in Central Nepal: A Descriptive

Cross-sectional Study. JNMA J Nepal Med Assoc. 2021

Feb 28;59(234):124-127.

Parikh S, Prajapati H, Parikh B, Shah CK, Shah

NR. Histopathological study of oral cavity lesions.

International Journal of Scientific Research 2012;

(11):430-32.

Wahi PN, Kapur VL, Luthra UK, Srivastava MC.

Submucous fibrosis of the oral cavity: 2 Studies

on epidemiological. Bull World Health Organ

;35:793-9.

Patro P, Lad P, Mithila KB. A Histopathological study of

oral cavity lesions. Int J Health Sci Res. 2020;10(3):17-2.

Naga SN, Gundamaraju KK, Bujunuru SR, Navakoti P,

Kantheti LP, Poosarla C. Prevalence of oral potentially

malignant and malignant lesions at a tertiary level

hospital in Hyderabad, India. J NTR Univ Health Sci.

;3(Supplement-1):S13-6.

Downloads

Published

2024-04-05

How to Cite

Spectrum of the Oral Lesions in a Rural-based Tertiary Care Teaching Hospital in Central India. (2024). Indian Journal of Public Health Research & Development, 15(2), 193-198. https://doi.org/10.37506/w4md6920