CC BY-NC-ND 4.0 · Eur J Dent 2020; 14(03): 435-439
DOI: 10.1055/s-0040-1713296
Original Article

A Multicenter Study of Tongue Lesions from Thailand

Kittipong Dhanuthai
1   Department of Oral Pathology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
,
Sompid Kintarak
2   Department of Stomatology, Faculty of Dentistry, Prince of Songkla University, Hatyai, Songkhla, Thailand
,
Ajiravudh Subarnbhesaj
3   Department of Oral Diagnosis, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
,
Nutchapon Chamusri
4   Department of Oral Biology and Oral Diagnostic Sciences, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand
› Author Affiliations

Abstract

Objective Tongue lesions constitute a considerable proportion of the oral lesions. Previous studies on tongue lesions were based on clinical studies. There has been a scarcity of the studies which are based on histopathological examination. This study aimed to determine the prevalence, demographic, and pathologic features of tongue lesions from Thailand.

Materials and Methods Biopsy records of the participating institutions were reviewed for lesions on the tongue diagnosed during 1998 to 2017. Demographic data were collected from the biopsy records. Locations were arbitrarily classified as dorsal, lateral, and ventral surfaces, tip of the tongue, and the combination of sites. Lesions of the tongue were classified as reactive/inflammatory, developmental, immune-mediated, cystic, benign, premalignant, malignant, infectious, and miscellaneous categories.

Statistical Analysis Data were analyzed by descriptive statistics using SPSS version 20.0.

Results Of the 44,188 accessioned cases, 2,153 cases (4.87%) were diagnosed from the tongue. The age of the patients ranged from 3 to 93 years with the mean ± standard deviation = 45.26 ± 20.48 years. The female-to-male ratio was 1.49:1. The majority of the tongue lesions were encountered at the lateral border of the tongue (47.66%). Most of the tongue lesions in the present study (53.74%) fell into the reactive/inflammatory category. Irritation fibroma was the most prevalent lesion (18.99%) followed by squamous cell carcinoma (16.91%), and mucus extravasation phenomenon (14.26%), respectively.

Conclusions This study offers new perspective into the study of tongue lesions apart from the clinically based studies. It also demonstrates the difference between the pediatric and the elderly patients. This study provides invaluable database for clinicians when formulating the clinical diagnosis of tongue lesions.



Publication History

Article published online:
15 June 2020

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Thieme Medical and Scientific Publishers Private Ltd.
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  • References

  • 1 du Toit DF. The tongue: structure and function relevant to disease and oral health. SADJ 2003; 58 (09) 375-376, 380–383
  • 2 Alaeddini M, Barghammadi R, Eshghyar N, Etemad-Moghadam S. An analysis of biopsy-proven tongue lesions among 8,105 dental outpatients. J Contemp Dent Pract 2014; 15 (01) 1-7
  • 3 Nagaraj V, Sashykumar S, Viswanathan S, Kumar S. Multiple oral ulcers leading to diagnosis of pulmonary tuberculosis. Eur J Dent 2013; 7 (02) 243-245
  • 4 Suvirya S, Gandhi R, Agarwal J, Patil R. Erythematous candidiasis leading to systemic manifestations of human immunodeficiency virus co-infection with secondary syphilis: a diagnostic and therapeutic dilemma. Eur J Dent 2015; 9 (03) 449-452
  • 5 Darwazeh AM, Pillai K. Prevalence of tongue lesions in 1013 Jordanian dental outpatients. Community Dent Oral Epidemiol 1993; 21 (05) 323-324
  • 6 Lin HC, Corbet EF, Lo EC. Oral mucosal lesions in adult Chinese. J Dent Res 2001; 80 (05) 1486-1490
  • 7 Hong CHL, Dean DR, Hull K. et al. World Workshop on Oral Medicine VII: relative frequency of oral mucosal lesions in children, a scoping review. Oral Dis 2019; 25 (Suppl. 01) 193-203
  • 8 Silva LVO, Arruda JAA, Martelli SJ. et al. A multicenter study of biopsied oral and maxillofacial lesions in a Brazilian pediatric population. Braz Oral Res 2018; 32: e20-e28
  • 9 Cavalcante RB, Turatti E, Daniel AP. de Alencar GF, Chen Z. Retrospective review of oral and maxillofacial pathology in a Brazilian paediatric population. Eur Arch Paediatr Dent 2016; 17 (02) 115-122
  • 10 Dhanuthai K, Rojanawatsirivej S, Somkotra T. et al. Geriatric oral lesions: a multicentric study. Geriatr Gerontol Int 2016; 16 (02) 237-243
  • 11 Qannam A, Bello IO. The range of diagnoses for oral soft-tissue biopsies of geriatric patients in a Saudi Arabian teaching hospital. Saudi Dent J 2016; 28 (02) 96-101
  • 12 Mohan BC, Angadi PV, Hallikerimath S, Kale AD. Diagnoses of 964 oral biopsies from people aged over 50 years in Karnataka State, India. Gerodontology 2016; 33 (02) 217-224
  • 13 Lei F, Chen JY, Wang WC. et al. Retrospective study of oral and maxillofacial lesions in older Taiwanese patients. Gerodontology 2015; 32 (04) 281-287
  • 14 Avcu N, Kanli A. The prevalence of tongue lesions in 5150 Turkish dental outpatients. Oral Dis 2003; 9 (04) 188-195
  • 15 Martins-Filho PR, de Santana Santos T, Piva MR. et al. A multicenter retrospective cohort study on pediatric oral lesions. J Dent Child (Chic) 2015; 82 (02) 84-90
  • 16 Al-Wesabi MA, Al-Hajri M, Shamala A, Al-Sanaani S. Tongue lesions and anomalies in a sample of Yemeni dental patients: a cross-sectional study. J Oral Res 2017; 6: 121-126
  • 17 Bánóczy J, Rigó O, Albrecht M. Prevalence study of tongue lesions in a Hungarian population. Community Dent Oral Epidemiol 1993; 21 (04) 224-226
  • 18 Vörös-Balog T, Vincze N, Bánóczy J. Prevalence of tongue lesions in Hungarian children. Oral Dis 2003; 9 (02) 84-87
  • 19 Byahatti SM, Ingafou MSH. The prevalence of tongue lesions in Libyan adult patients. J Clin Exp Dent 2010; 2: e163-e168
  • 20 Koay CL, Lim JA, Siar CH. The prevalence of tongue lesions in Malaysian dental outpatients from the Klang Valley area. Oral Dis 2011; 17 (02) 210-216
  • 21 Mushatat SF, Salih MF, Othman AA. Prevalence of common nonmalignant tongue lesions. Int J Res Pharm Sci 2017; 8: 804-808
  • 22 Jainkittivong A, Langlais RP. Geographic tongue: clinical characteristics of 188 cases. J Contemp Dent Pract 2005; 6 (01) 123-135
  • 23 Aittiwarapoj A, Juengsomjit R, Kitkumthorn N, Lapthanasupkul P. Oral potentially malignant disorders and squamous cell carcinoma at the tongue: clinicopathological analysis in a Thai population. Eur J Dent 2019; 13 (03) 376-382
  • 24 Shamloo N, Motazedian HR, Lotfi A. Study on prevalence of pathologic tongue lesions in patients of Tehran capital city of Iran, during a twenty years period. Int J Oral Health Dent 2016; 2: 217-219
  • 25 Lasisi TJ, Abimbola TA. Clinico-pathologic review of biopsied tongue lesions in a Nigerian tertiary hospital. Ann Ib Postgrad Med 2017; 15 (02) 109-113
  • 26 Costa FW, Osterne RL, Mota MR, Alves AP, Soares EC, Sousa FB. Tongue lesions. J Craniofac Surg 2012; 23 (06) e548-e551
  • 27 Gambino A, Carbone M, Arduino PG. et al. Clinical features and histological description of tongue lesions in a large Northern Italian population. Med Oral Patol Oral Cir Bucal 2015; 20 (05) e560-e565
  • 28 Miyake Y, Shinozuka K, Ueki K. et al. Retrospective clinical study of 296 patients with mass lesions of the tongue. J Oral Sci 2018; 60 (04) 574-578
  • 29 Ion Ciucă Mărăşescu FI, Marasescu PC, Matei M. et al. Epidemiological and histopathological aspects of tongue squamous cell carcinomas-retrospective study. Curr Health Sci J 2018; 44 (03) 211-224
  • 30 García-Kass AI, Herrero-Sánchez A, Esparza-Gómez G. Oral tongue cancer in public hospitals in Madrid, Spain (1990-2008). Med Oral Patol Oral Cir Bucal 2016; 21 (06) e658-e664
  • 31 Ryu MH, Kim BL, Kim HS, Kim J. Expression of TGF-β1, MMP-1 and TIMP-1 in irritation fibroma. Kor J Oral Maxillofac Pathol 2009; 33: 61-68