Is oral squamous cell carcinoma arising in the background of oral submucous fibrosis a distinct entity? A systematic review and meta-analysis of clinicopathological and prognostic outcomes.
A R Gadbail, M Yuwanati, M Chaudhary et al.
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In 30 seconds
This systematic review and meta-analysis evaluated clinicopathological and survival outcomes of oral squamous cell carcinoma (OSCC) arising in the context of oral submucous fibrosis (OSCC-OSMF) compared to non-OSMF-OSCC. The analysis included twelve observational studies, revealing that OSCC-OSMF patients had a 5-year overall survival rate of 2.35 times better than their non-OSMF counterparts.
Key findings
- OSCC-OSMF patients were younger and predominantly male, with the buccal mucosa as the most common site.
- OSCC-OSMF presented at earlier stages with an odds ratio of 2.19.
- Nodal metastasis was significantly less common in OSCC-OSMF, with an odds ratio of 0.53.
- The 5-year overall survival rate for OSCC-OSMF was 2.35 times better than for non-OSMF-OSCC.
Why it matters
Understanding the distinct characteristics of OSCC-OSMF can inform clinicians about its lower metastatic potential and better survival outcomes, which may influence surveillance strategies and treatment approaches.