Tobacco, alcohol and family history of cancer as risk factors of oral squamous cell carcinoma: case-control retrospective study

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Tenore Gianluca, Nuvoli Alessandro, Mohsen Ahmed Amir Mohamed, Cassoni Andrea, Battisti Andrea, Terenzi Valentina, Della Monaca Marco, Raponi Ingrid, Brauner Edoardo, De Felice Francesca, Musio Daniela, Di Gioia Cira Rosaria Tiziana, Messineo Daniela, Mezi Silvia, Di Carlo Stefano, Botticelli Andrea, Valentini Valentino, Marchetti Paolo, Tombolini Vincenzo, De Vincentiis Marco, Polimeni Antonella, Romeo Umberto
ISSN: 2076-3417

The aim of the study is to observe retrospectively the correlation between Oral
Squamous Cell Carcinoma (OSCC) and risk factors; including tobacco, alcohol and Family History
of Cancer (FHC). A total of 478 patients were included retrospectively from the database of the
Department of Oral Sciences and Maxillofacial Surgery, Sapienza University of Rome. A Test
Group (TG) consisted of 239 patients with a confirmed diagnosis of OSCC. A Control Group (CG)
consisted of 239 patients without history and/or diagnosis of oral cancer. The logistic regression
models were used to calculate the adjusted Odd Ratios (ORs) associated with alcohol, tobacco and
FHC; including the General Family History of Cancer (GFHC) and Family History of Head and
Neck Cancer (FHHNC) and their 95% Confidence Intervals (CI). The high rate of tobacco
consumption was associated with an OR of 1.035 (95% CI 1.001–1.070) and a statistical significance
(p = 0.041). Drinker patients showed a significant risk of developing OSCC (p = 0.05) and the OR
was 1.035 (95% CI 1.010–1.061). The GFHC was associated with a marginal risk of OSCC with an
OR of 1.095 (95% CI 0.953–1.259), without significance (p = 0.199). The FHHNC showed a notable
risk increase with an OR of 1.871 (95% CI 0.902–3.882), without significance (p = 0.092). Alcohol
and tobacco may be associated with an increase in the risk of OSCC.

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