1. Oral and maxillofacial cancer in pediatric patients: 30 years experience from a Brazilian reference center.
- Author
-
Arboleda LPA, Hoffmann IL, Cardinalli IA, Gallagher KPD, Santos-Silva AR, and Mendonça RMH
- Subjects
- Adolescent, Adult, Age Factors, Aged, Brazil epidemiology, Carcinoma pathology, Child, Child, Preschool, Facial Neoplasms pathology, Female, Humans, Incidence, Infant, Lymphoma pathology, Male, Maxillary Neoplasms pathology, Middle Aged, Mouth Neoplasms pathology, Prevalence, Retrospective Studies, Sarcoma pathology, Survival Rate, Young Adult, Carcinoma epidemiology, Facial Neoplasms epidemiology, Lymphoma epidemiology, Maxillary Neoplasms epidemiology, Mouth Neoplasms epidemiology, Sarcoma embryology
- Abstract
Objective: The aim of this study is to determine the relative frequency, demographic distribution and clinicopathological features of pediatric oral and maxillofacial cancer (POMC)., Methods: Medical records were retrospectively reviewed for all cancer cases diagnosed from 1986 to 2016 affecting patients aged 19 years and younger. Demographic variables, anatomical site, and histopathological diagnoses were collected and analyzed by descriptive statistics., Results: Fifty-five (0.77%) POMCs were found among 7181 pediatric malignancies. Mean age at diagnosis was 8 years and patients aged 5-9 years presented the higher prevalence of malignant tumors (40%). White male patients were more frequently affected (78.18% and 65.45%, respectively). The most common cancer type was lymphomas (52.73%) followed by sarcomas (27.27%) and carcinomas (20%). Burkitt lymphoma (32.73%), rhabdomyosarcoma (14.55%), diffuse large B-cell lymphoma (9.09%), and mucoepidermoid carcinoma (9.09%) were the most common histopathological diagnoses. The main affected anatomical site was the oropharynx (38.18%), followed by salivary glands (30.91%), maxillofacial bone (20%), and oral cavity (10.91%)., Conclusion: POMC has a low incidence; however, highly aggressive tumors, such as lymphomas and sarcomas, are common in this scenario. A better knowledge about the clinicopathological distribution of POMC may contribute to early diagnosis and improve survival rates., Competing Interests: Declaration of competing interest The authors declared no conflict of interest with respect to this research, authorship, and/or publication of this article., (Copyright © 2020 Elsevier B.V. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF