Recurrent aphthous stomatitis may be a precursor or risk factor for specific cancers: A case-control frequency-matched study.
Cancer Med
; 7(8): 4104-4114, 2018 08.
Article
em En
| MEDLINE
| ID: mdl-30009475
ABSTRACT
BACKGROUND:
Recurrent aphthous stomatitis (RAS) is considered a prophase symptom in patients with specific cancers. This study assessed the association between RAS and subsequent onset of cancer based on a nationwide population-based database in Taiwan. MATERIALS ANDMETHODS:
We selected study participants from the National Health Insurance Research Database from January 2000 to December 2008. Patients in the non-RAS cohort were matched to case study patients at a 11 ratio through frequency matching. All participants were followed up for at least 5 years, and those who received cancer diagnoses during follow-up were identified.RESULTS:
Among 52 307 patients with and 52 304 patients without RAS, the combined hazard ratio (HR) of all subsequent cancer cases was 1.3 (95% confidence interval [CI] 1.25-1.35, P = 0). RAS diagnosis was associated with risk for cancers of the head and neck (aHR = 2, 95% CI 1.8-2.3), colon (aHR = 1.2, 95% CI 1.1-1.4), liver (aHR = 1.1, 95% CI 1-1.3), pancreas (aHR = 1.4, 95% CI 1.1-1.7), skin (aHR = 1.4, 95% CI 1.2-1.7), breast (aHR = 1.2, 95% CI 1.1-1.4), and prostate (aHR = 1.5, 95% CI 1.3-1.8), as well as hematologic cancers (aHR = 1.6, 95% CI 1.3-1.9). A higher risk was observed for male patients (aHR = 1.35, 95% CI 1.28-1.42) than for female patients (aHR = 1.25, 95% CI 1.18-1.31) with RAS.CONCLUSIONS:
RAS was associated with specific cancers. Susceptible RAS patients should be screened for specific cancers.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Lesões Pré-Cancerosas
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Estomatite Aftosa
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Neoplasias
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article