AI Article Synopsis

  • The study investigated the link between recurrent aphthous stomatitis (RAS), a common mouth condition, and the risk of developing various cancers using data from Taiwan's National Health Insurance Research Database.
  • Results showed that individuals with RAS had a 30% higher risk of developing cancer compared to those without it, with notable associations for cancers like head and neck, colon, liver, and breast.
  • The findings suggest that patients with RAS, especially men, should be actively screened for certain cancers due to their increased risk.

Article Abstract

Background: Recurrent aphthous stomatitis (RAS) is considered a prophase symptom in patients with specific cancers. This study assessed the association between RAS and subsequent onset of cancer based on a nationwide population-based database in Taiwan.

Materials And Methods: We selected study participants from the National Health Insurance Research Database from January 2000 to December 2008. Patients in the non-RAS cohort were matched to case study patients at a 1:1 ratio through frequency matching. All participants were followed up for at least 5 years, and those who received cancer diagnoses during follow-up were identified.

Results: Among 52 307 patients with and 52 304 patients without RAS, the combined hazard ratio (HR) of all subsequent cancer cases was 1.3 (95% confidence interval [CI]: 1.25-1.35, P = 0). RAS diagnosis was associated with risk for cancers of the head and neck (aHR = 2, 95% CI: 1.8-2.3), colon (aHR = 1.2, 95% CI: 1.1-1.4), liver (aHR = 1.1, 95% CI: 1-1.3), pancreas (aHR = 1.4, 95% CI: 1.1-1.7), skin (aHR = 1.4, 95% CI: 1.2-1.7), breast (aHR = 1.2, 95% CI: 1.1-1.4), and prostate (aHR = 1.5, 95% CI: 1.3-1.8), as well as hematologic cancers (aHR = 1.6, 95% CI: 1.3-1.9). A higher risk was observed for male patients (aHR = 1.35, 95% CI: 1.28-1.42) than for female patients (aHR = 1.25, 95% CI: 1.18-1.31) with RAS.

Conclusions: RAS was associated with specific cancers. Susceptible RAS patients should be screened for specific cancers.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089185PMC
http://dx.doi.org/10.1002/cam4.1685DOI Listing

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