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Unmet Needs and Perspectives in Oral Cancer Prevention

  • Jebrane Bouaoud*
  • , Paolo Bossi
  • , Moshe Elkabets
  • , Sandra Schmitz
  • , L. on C. van Kempen
  • , Pierre Martinez
  • , Sankar Jagadeeshan
  • , Ingrid Breuskin
  • , Gerwin J. Puppels
  • , Caroline Hoffmann
  • , Keith D. Hunter
  • , Christian Simon
  • , Jean-Pascal Machiels
  • , Vincent Grégoire
  • , Chloé Bertolus
  • , Ruud H. Brakenhoff
  • , Senada Koljenović
  • , Pierre Saintigny*
  • *Corresponding author for this work
  • Universite Claude Bernard Lyon 1
  • Sorbonne Université
  • Brescia Civil Hospital
  • University of Brescia
  • Ben-Gurion University of the Negev
  • Université catholique de Louvain
  • University of Groningen
  • Institut Gustave Roussy
  • Erasmus University Rotterdam
  • Université PSL
  • University of Sheffield
  • Centre Hospitalier Universitaire Vaudois

Research output: Contribution to journalReview articleAcademicpeer-review

26 Downloads (Pure)

Abstract

Oral potentially malignant disorders (OPMD) may precede oral squamous cell carcinoma (OSCC). Reported rates of malignant transformation of OPMD range from 3 to 50%. While some clinical, histological, and molecular factors have been associated with a high-risk OPMD, they are, to date, insufficiently accurate for treatment decision-making. Moreover, this range highlights differences in the clinical definition of OPMD, variation in follow-up periods, and molecular and biological heterogeneity of OPMD. Finally, while treatment of OPMD may improve outcome, standard therapy has been shown to be ineffective to prevent OSCC development in patients with OPMD. In this perspective paper, several experts discuss the main challenges in oral cancer prevention, in particular the need to (i) to define an OPMD classification system by integrating new pathological and molecular characteristics, aiming (ii) to better identify OPMD at high risk of malignant transformation, and (iii) to develop treatment strategies to eradicate OPMD or prevent malignant transformation.
Original languageEnglish
Article number1815
JournalCancers
Volume14
Issue number7
DOIs
Publication statusPublished - 1 Apr 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • diagnosis
  • oral cancer
  • oral potentially malignant disorders
  • oral preneoplasia
  • prevention

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