The Correlation of Oral Mucosa Lesions with Dermatological Preliminary Diagnosis and Epidemiological Properties

Özet

Objective: Our study aims to determine the prevalenceand distribution characteristics of oral mucosal lesions(OML), which are frequently encountered in clinical practice, and determine the correlation between dermatological pre-diagnoses and definite histopathological diagnoses.Methods: The clinical data of 361 individuals who wereconsulted by Dermatology to the Otolaryngology Clinicof Sakarya University Faculty of Medicine Training andResearch Hospital for oral mucosal lesions and underwent excision biopsy were included in the study. Eachpatient’s data, such as gender, age, and smoking history,were scanned and recorded. Regarding the lesions, localization of the lesions, duration of their presence, clinicalpre-diagnoses, and definite diagnoses were recorded.Accordingly, the diagnostic distribution characteristics ofthe lesions and the correlation between diagnoses wereevaluated.Results: When the age and gender distribution of the patients included in the study were examined, 152 (42.1%)were male, and 209 (57.9%) were female. The averageage was 49.72 ± 1.21. While 134 patients (57,37,1%)were ≥65 years old, 227 patients (62,9%) were under 65years old. 185 (51.2%) of the lesions were localized inthe buccal mucosa. The most common ones were chronic inflammatory lesions (21.1%) and lesions of traumaticorigin (13.3%). A statistically significant correlation wasobserved between clinical presuppositions and definitehistopathological diagnoses (p <0.05). When we evaluated histopathological diagnoses according to gender andage distribution, no difference was observed in genderdistribution. At the same time, premalignant and malignant lesions were statistically significantly higher inelderly individuals (65 years and over) seen. In terms ofsmoking habits, it was seen that smoking was significantly associated with premalignant and malignant diseases(p <0.05).Conclusion: This study on oral mucosal lesions, whichconcern a significant part of the society, will be critical interms of its contribution to epidemiological data as wellas evaluating the reliability of preliminary dermatological diagnoses.