EPR23-080: Oral Cancer Screening Among the Rural Indians—A Community Based Prospective Study

Tarun Chowdary Gogineni Rajahmundry, Andhra Pradesh, India

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Background: Indian is second country to second country reported the highest number of the oral cancer (OC) cases, oral squamous cell carcinoma (OSCC) is the predominant. Tobacco consumption as well as smokeless tobacco popularly known as reverse smoking was reported to be the leading cause of OC. With this, a community based study was conducted to diagnose OC among the smokers. Methods: This is a community based ongoing research, since 01 March 2021. The study protocol was approved by the institutional ethics committee. Adult male smokers were included in this research. With the support of primary health workers, door to door survey was conducted to create the awareness about OC. After getting consent, the oral cavity was examined and the findings were recorded. Biopsy specimen was collected from the lesions if present and the specimen was transported to the institutional laboratory as per the guidelines. Chi-square test was used to find the association between age, religion, education, occupation, parity and marital status with CC screening; P>0.05 was considered to be statistically significant. Results: This is ongoing research, so far 1024 members were screened. All the participants were having lesions; Soft tissue thickening (63%), lumps (54%), trouble in jaw movement (29%), chewing and swallowing (47%), soreness (26%), ear pain (42%), etc. are some of the common observations. Among the study members, OC was diagnosed in 34 (100%) members. Tongue was leading (16) site followed by buccal mucosa (9), palate (5) and gingiva (4); statistically there was significant difference. Conclusions: The prevalence of the OC is not high when compared to other cancers. However OC causes significant mortality and morbidity among those patients, when diagnosed late in the course. The treating specialist should pay attention not only teeth, but also oral mucosa which may help in the early diagnosis and treatment.

Corresponding Author: Tarun Chowdary Gogineni, MCh

Email: dr.tarunchowdary@hotmail.com
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