[Screening and diagnosis of epidermoid carcinoma of the oral mucosa. What conclusions are possible today concerning the respective roles of cytologic smear and biopsy?].
Oral malignancies are a major problem in France where the consumption of alcoholic drinks is a traditional habit, often associated with heavy smoking. Contrary to other malignancies, at least in France mass screening has never been used to detect oral carcinoma. Preventive steps are very difficult to implement due to different economic reasons but mass screening in patients with records of heavy drinking/smoking, and/or pre-epitheliomatous lesions is an easy method after a short training of doctors in different specialties and cyto-pathologists. The mass screening is based upon the exfoliative character of the oral carcinomas which enables very easy and risk-free cytological smears and their classification in four grades. The reliability is more than 96%. However, Biopsy preserves its major importance for an accurate diagnosis but is most properly executed in cancer departments. This could bring oral cancer patients in adequate centers at a very early stage of the disease, and improve both prognosis and sequellae.
Clinique de chirurgie maxillo-faciale et stomatologie, Groupe Hospitalier Pitié-Salpêtrière, C.H.U Pitié-Salpêtrière, Université Pierre et Marie Curie, Paris.
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JM
Vaillant
D001706:Biopsy; D002294:Carcinoma, Squamous Cell / Q000473:pathology*; D003581:Cytodiagnosis; D005602:France; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D009061:Mouth Mucosa / Q000473:pathology*; D009062:Mouth Neoplasms / Q000473:pathology*
Dépistage et diagnostic des carcinomes épidermoïdes de la muqueuse buccale (CB). Que peut-on conclure aujourd'hui du rôle respectif du frottis cytologique et de la biopsie?