A.E. Orlov1,2, O.I. Kaganov1,2, A.G. Gabrielian1, M.A. Postnikov1
1Samara State Medical University, Samara
2Samara Regional Clinical Oncology Dispensary, Samara
Kaganov Oleg I. ― MD, Professor of the oncology department of the Samara State Medical University; Deputy chief physician for scientific work of the Samara Regional Clinical Oncology Dispensary
89 Chapaevskaya Str., Samara, Russian Federation, 443099, tel. +7-905-017-52-33, e-mail okaganov@yandex.ru, SPIN-code: 2705-4187
Abstract. Early diagnosis of oral cancer is a priority for practical health care. The mainrole in this is assigned to primary care physicians [7]. According to modern publications, early diagnosis is largely associated with untimely treatment of patients and insufficient cancer care of primary contact doctors [5, 6]. The lack of logistics and a clear algorithm for examining patients with neoplasms of the oral mucosa leads to both Hyper-and under-diagnosis of precancerous and cancer of this localization [3]. The use of non-invasive autofluorescent diagnostic methods in addition to clinical examination is currently a promising direction [8]. This article presents the results of a study of 28 outpatient records of patients sent to the Samara Regional Clinical Oncology Dispensary in the period from 2017 to 2019 to an oncologist with exophytic formations of the oral mucosa, who underwent autofluorescence stomatoscopy to determine the foci of luminescence and subsequent incisional biopsy to verify the diagnosis. The analysis matches the light glow and histological findings after biopsy with evaluation of the effectiveness of somatoscope autofluorescence in the diagnosis of tumors of the mucosa of the oral cavity.
Key words: mucous membrane of oral cavity (MOC), autofluorescence dentoscope (AFD), precancer, incision biopsy.