Skip to main content
Erschienen in: Oral and Maxillofacial Surgery 4/2010

01.12.2010 | Review Article

Oral leukoplakia in China: a review

verfasst von: Xiaolin Zhang, Chengjie Li, Yi Song, Peter A. Reichart

Erschienen in: Oral and Maxillofacial Surgery | Ausgabe 4/2010

Einloggen, um Zugang zu erhalten

Abstract

Background

Most prevalence studies on oral leukoplakia (OL) in China have been published in the Chinese language. The present review on the literature in Chinese aimed at making the data available to colleagues who are not familiar with the Chinese language.

Methods

The overall rate and 95% confidence interval of OL were calculated using Excel 2003.

Results

Overall prevalence of OL was 9.18% (95%CI = 9.06-9.30%). Gender ratio of prevalence was 8.03:1 (males/females). Prevalence was high in age groups over 40 years with the highest in the group aged 60-69 years (21.04%, 95%CI = 19.95-22.13%). The buccal mucosa was most commonly affected (47.08%, 95%CI = 46.52-47.64%), followed by lip (39.09%), palate (9.85%), gingiva (1.80%), and tongue (1.46%). The prevalence in smokers was 23.43% and in non-smokers 1.93%. Among three variants of smoking, the traditional Hanyan pipe smoking carried the highest risk for the development of OL followed by cigarette and Shuiyan water pipe smoking. The rate of alcohol drinkers with OL was 54.50% and 22.21% in individuals without OL. No case of oral cancer was found in six surveys.

Conclusions

The present data on the prevalence of OL in China are comparable to those in other parts of the world. Some traditional smoking habits, however, are particular to certain regions of China.
Literatur
1.
Zurück zum Zitat Dai CA, Fu GC (1964) Oral leukoplakia: etiological analysis, clinical pathology, prevention and therapy. Chin J Stomatol 10:316–319 (in Chinese) Dai CA, Fu GC (1964) Oral leukoplakia: etiological analysis, clinical pathology, prevention and therapy. Chin J Stomatol 10:316–319 (in Chinese)
2.
Zurück zum Zitat Kramer IRH, Lucas RB, Pindborg JJ, Sobin LH (1978) WHO collaborating center for oral precancerous lesions; definitions of leukoplakia and related lesions: an aid to studies on oral precancer. Oral Surg, Oral Med, Oral Pathol 46:518–539CrossRef Kramer IRH, Lucas RB, Pindborg JJ, Sobin LH (1978) WHO collaborating center for oral precancerous lesions; definitions of leukoplakia and related lesions: an aid to studies on oral precancer. Oral Surg, Oral Med, Oral Pathol 46:518–539CrossRef
3.
Zurück zum Zitat Xu GQ, Li BQ, Li HF (1992) Oral precancerous lesions—oral leukoplakia and oral lichen planus proposed. Chin Med Sci Technol Press, Beijing, p 2, 17 (in Chinese) Xu GQ, Li BQ, Li HF (1992) Oral precancerous lesions—oral leukoplakia and oral lichen planus proposed. Chin Med Sci Technol Press, Beijing, p 2, 17 (in Chinese)
4.
Zurück zum Zitat Su QM, Performing to write for the Collaborating Group for Oral Diseases of Henan Province (1985) An epidemiologic study of oral leukoplakia in 16,909 rural and urban individuals. J Stomatol 5:34–37 (in Chinese) Su QM, Performing to write for the Collaborating Group for Oral Diseases of Henan Province (1985) An epidemiologic study of oral leukoplakia in 16,909 rural and urban individuals. J Stomatol 5:34–37 (in Chinese)
5.
Zurück zum Zitat Fang XZ, Performing to write for the National Chinese Collaborating Center for Oral Leukoplakia and Oral Lichen Planus (1986) An epidemiological survey on oral leukoplakias in 134,492 people from some regions in China. J Clin Stomatol 2:1–5 (in Chinese) Fang XZ, Performing to write for the National Chinese Collaborating Center for Oral Leukoplakia and Oral Lichen Planus (1986) An epidemiological survey on oral leukoplakias in 134,492 people from some regions in China. J Clin Stomatol 2:1–5 (in Chinese)
6.
Zurück zum Zitat Lin FX, Kong QR, Lin TC (1985) An epidemiologic study of oral leukoplakia in Hainan Island. Chin J Stomatol 20:180–182 (in Chinese) Lin FX, Kong QR, Lin TC (1985) An epidemiologic study of oral leukoplakia in Hainan Island. Chin J Stomatol 20:180–182 (in Chinese)
7.
Zurück zum Zitat Zhang RP, Zhong ZM, Zhao RL, Liang MG (1981) Survey on oral leukoplakia in 5,400 people. Chin J Stomatol 16:168–169 (in Chinese) Zhang RP, Zhong ZM, Zhao RL, Liang MG (1981) Survey on oral leukoplakia in 5,400 people. Chin J Stomatol 16:168–169 (in Chinese)
8.
Zurück zum Zitat Wang CY (1983) Survey on prevalence of oral leukoplakia. J Stomatol 3:120–123 (in Chinese) Wang CY (1983) Survey on prevalence of oral leukoplakia. J Stomatol 3:120–123 (in Chinese)
9.
Zurück zum Zitat Chen Z, Chen XW, Ma QY, Wang ZH, Jiang YC (1983) An epidemiological survey on oral leukoplakia in 58,850 people from Tianjin. Chin J Stomatol 18:170–172 (in Chinese) Chen Z, Chen XW, Ma QY, Wang ZH, Jiang YC (1983) An epidemiological survey on oral leukoplakia in 58,850 people from Tianjin. Chin J Stomatol 18:170–172 (in Chinese)
10.
Zurück zum Zitat Yu ZR (1985) Survey and follow-up on oral leukoplakia. Chin J Stomatol 20:261–262 (in Chinese) Yu ZR (1985) Survey and follow-up on oral leukoplakia. Chin J Stomatol 20:261–262 (in Chinese)
11.
Zurück zum Zitat Guli AS, Cui LF, Zhi KL, Yan CA (2009) Clinical analysis of 150 cases with oral leukoplakia. Med J Shaanxi 38:710–711 (in Chinese) Guli AS, Cui LF, Zhi KL, Yan CA (2009) Clinical analysis of 150 cases with oral leukoplakia. Med J Shaanxi 38:710–711 (in Chinese)
12.
Zurück zum Zitat Ge HB, Sun Z, Shen SL (1999) Clinical analysis in 211 cases with oral leukoplakia. J Stomatol Beijing 7:117–118 (in Chinese) Ge HB, Sun Z, Shen SL (1999) Clinical analysis in 211 cases with oral leukoplakia. J Stomatol Beijing 7:117–118 (in Chinese)
13.
Zurück zum Zitat Pang LJ, Chen XH, Li RY, Qin RH, Ma L (2007) Clinico-pathological features of oral leukoplakia. Guangzhou Med J 38:19–22 (in Chinese) Pang LJ, Chen XH, Li RY, Qin RH, Ma L (2007) Clinico-pathological features of oral leukoplakia. Guangzhou Med J 38:19–22 (in Chinese)
14.
Zurück zum Zitat Wang SZ, Su QQ (1985) Histopathological study in 313 cases with oral leukoplakia. J Oral Sci Res 1:128–131 (in Chinese) Wang SZ, Su QQ (1985) Histopathological study in 313 cases with oral leukoplakia. J Oral Sci Res 1:128–131 (in Chinese)
15.
Zurück zum Zitat Zhang XL, Wu QG, Zheng LF (1983) Histopathological analysis in 300 cases with oral leukoplakia. Natl Med J China 63:430–434 (in Chinese) Zhang XL, Wu QG, Zheng LF (1983) Histopathological analysis in 300 cases with oral leukoplakia. Natl Med J China 63:430–434 (in Chinese)
16.
Zurück zum Zitat Barnes L, Eveson JW, Reichart PA, Sidransky (eds) (2005) Pathology and genetics. Head and Neck Tumours. Lyon: WHO, IARC Press. pp 111–117, 177–179 Barnes L, Eveson JW, Reichart PA, Sidransky (eds) (2005) Pathology and genetics. Head and Neck Tumours. Lyon: WHO, IARC Press. pp 111–117, 177–179
17.
Zurück zum Zitat van der Waal I, Schepman KP, van der Meij EH, Smeele LE (1997) Oral leukoplakia: a clinicopathological review. Oral Oncol 33:291–301CrossRefPubMed van der Waal I, Schepman KP, van der Meij EH, Smeele LE (1997) Oral leukoplakia: a clinicopathological review. Oral Oncol 33:291–301CrossRefPubMed
18.
Zurück zum Zitat Smith LW, Bhargava K, Mani NJ, Malaowalla AM, Silverman S (1975) Oral cancer and precancerous lesions in 57,518 industrial workers of Gujarat, India. Ind J Cancer 12:118–123 Smith LW, Bhargava K, Mani NJ, Malaowalla AM, Silverman S (1975) Oral cancer and precancerous lesions in 57,518 industrial workers of Gujarat, India. Ind J Cancer 12:118–123
19.
Zurück zum Zitat Mehta FS, Gupta PC, Daftary DK, Pindborg JJ, Chokso SK (1972) An epidemiologic study of oral cancer and precancerous conditions among 101,761 villagers in Maharashtra, India. Int J Cancer 10:134–141CrossRefPubMed Mehta FS, Gupta PC, Daftary DK, Pindborg JJ, Chokso SK (1972) An epidemiologic study of oral cancer and precancerous conditions among 101,761 villagers in Maharashtra, India. Int J Cancer 10:134–141CrossRefPubMed
20.
Zurück zum Zitat Zaridze DG (1986) The effect of nass use and smoking on the risk of oral leukoplakia. Cancer Detect Prev 9:435–40PubMed Zaridze DG (1986) The effect of nass use and smoking on the risk of oral leukoplakia. Cancer Detect Prev 9:435–40PubMed
21.
Zurück zum Zitat Axéll T (1976) A prevalence study of oral mucosal lesions in an adult Swedish population. Odontol Revy Suppl 36:1–103PubMed Axéll T (1976) A prevalence study of oral mucosal lesions in an adult Swedish population. Odontol Revy Suppl 36:1–103PubMed
22.
Zurück zum Zitat Reichart PA, Kohn H (1996) Prevalence of oral leukoplakia in 1,000 Berliners. Oral Dis 2:291–294CrossRefPubMed Reichart PA, Kohn H (1996) Prevalence of oral leukoplakia in 1,000 Berliners. Oral Dis 2:291–294CrossRefPubMed
23.
Zurück zum Zitat Schepman KP, van der MeiJ EH, Smeele LE, van der Waal I (1996) Prevalence study of oral white lesions with special reference to a new definition of oral leukoplakia. Oral Oncol 32B:416–9 Schepman KP, van der MeiJ EH, Smeele LE, van der Waal I (1996) Prevalence study of oral white lesions with special reference to a new definition of oral leukoplakia. Oral Oncol 32B:416–9
24.
Zurück zum Zitat Waldron CA, Shafer WG (1975) Leukoplakia revisited. A clinicopathologic study of 3,256 oral leukoplkias. Cancer 36:1386–1392CrossRefPubMed Waldron CA, Shafer WG (1975) Leukoplakia revisited. A clinicopathologic study of 3,256 oral leukoplkias. Cancer 36:1386–1392CrossRefPubMed
25.
Zurück zum Zitat Scheifele C, Reichart PA, Dietrich T (2003) Low prevalence of oral leukoplakia in a representative sample of the US population. Oral Oncol 39:619–625CrossRefPubMed Scheifele C, Reichart PA, Dietrich T (2003) Low prevalence of oral leukoplakia in a representative sample of the US population. Oral Oncol 39:619–625CrossRefPubMed
Metadaten
Titel
Oral leukoplakia in China: a review
verfasst von
Xiaolin Zhang
Chengjie Li
Yi Song
Peter A. Reichart
Publikationsdatum
01.12.2010
Verlag
Springer-Verlag
Erschienen in
Oral and Maxillofacial Surgery / Ausgabe 4/2010
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-010-0214-0

Weitere Artikel der Ausgabe 4/2010

Oral and Maxillofacial Surgery 4/2010 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.