Evaluation Of The Effect Of Smoking On Select Cytomorphometric Indices Of Buccal Mucosal Cell In Middle Aged Individuals
Evaluation of the Effect of Smoking On Select Cytomorphometric Indices
DOI:
https://doi.org/10.70284/njirm.v8i1.1173Keywords:
Oral exfoliative cytology, Light microscopy, Smokers and Non SmokersAbstract
Background: The aim of the present study was to evaluate the effect of smoking on select cytomorphometric indices of buccal mucosal cell in middle aged individuals. Selected measurements of cytomorphometric indices such as nuclear area (NA) (μm2), nuclear perimeter (NP) (μm), minimal nuclear diameter (Dmin) (μm) and maximal nuclear diameter (Dmax) (μm) were observed and assayed through light microscopy making use of digital image processing software TS view version 7.3.1.7. Methods: 60 smokers and an equal number of age and sex matched control in the age range of 40 - 50 years were recruited in the present study. On exfoliative buccal mucosal cytology average nuclear area (NA), nuclear perimeter (NP), minimal nuclear diameter (Dmin) and maximal nuclear diameter (Dmax) values of cell nuclei were measured using the software TS view version 7.3.1.7. Results: Statistically significant increased cytomorphometric mean values of nuclear i.e. measurements NDmax (μm) (P=0.000), NDmin (μm) (P=0.000), NA (μm2) (P=0.000), and NP (μm) (P=0.004) in smokers as compared to that seen in non-smokers. Conclusion: In the present study, statistically significant increase in the cytomorphometric nuclear parameters, namely minimum nuclear diameter (NDmin), maximum nuclear diameter (NDmax), nuclear area (NA) and nuclear perimeter (NP), could be appreciated in smokers as compared to that observed in non-smokers, underscoring the relevance of exfoliative cytology as a potential screening assay for the diagnosis of dysplastic changes in the oral mucosal cells. [Alka M NJIRM 2017; 8(1): 66-70]
References
2. WHO report: Tobacco could kill one billion by 2100. Science Daily 2008 Aug; 24:71.
3. The WHO Guidelines for controlling and monitoring the tobacco epidemic. WHO Geneva 1998; 76 -101.
4. World cancer report. In: Stewart BW, Kleihues P, editors. Lyon (France): IARC press; 2003. 3251pp.
5. Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin 2005; 55(2): 74 – 108.
6. IARC monographs on the evaluation of carcinogenic risks to humans. Vol.83. Tobacco smoke and involuntary smoking. Lyon (France): IARC; 2004. P.1452.
7. DeMarini MD. Genotoxicity of tobacco smoke and tobacco smoke condensate: a review. Mutat Res 2004; 567: 447 - 74.
8. Chen JK, Katz RV, Krutchkoff DJ. Intraoral squamous cell carcinoma. Epidemiologic patterns in Connecticut from 1935 to 1985. Cancer 1990; 66: 1288 - 96.
9. Llewellyn CD, Johnson NW, Warnakulasuriya KA. Risk factors for squamous cell carcinoma of the oral cavity in young people - a comprehensive literature review. Oral Oncol 2001; 37: 401 - 18.10. Schantz SP,Yu GP. Head and neck cancer incidence trends in young Americans, 1973-1997, with a special analysis for tongue cancer. Arch Otolaryngol Head Neck Surg 2002; 128: 268 – 74.
11. Diniz FM, Garcia GA, Crespo AA, Martins CJL, Gandara RJM. Applications of exfoliative cytology in the diagnosis of oral cancer. Med Oral 2004; 9: 355 - 61.
12. Pektaş ZO, Keskin GO, Karslioğlu Y. Evaluation of nuclear morphometry and DNA ploidy status for detection of malignant and premalignant oral lesions: quantitative cytologic assessment and review of methods for cytomorphometric measurements. J Oral Maxillofac Surg 2006; 64: 628 – 35.
13. Tyler C, Charles P, Henry F, George E. Oral exfoliative cytology. Oral Surg 1972; 33(1): 61 - 74.
14. Proia NK, Paszkiewicz GM, Nasca MA, Franke GE, Pauly JL. Smoking and smokeless tobacco-associated human buccal cell mutations and their association with oral cancer - a review. Cancer Epidemiol Biomarkers Prev. 2006; 15: 1061 - 71
15. Lester R Cahn, kurt H Thomas. Studies in diagnosis in oral surgery and oral medicine. Oral Med. Oral Patho 1960; 13: 994 – 1009.
16. Goregen M, Akgul HM, Gundogdu C. The cytomorphological analysis of buccal mucosa cells in smokers. Turk J Med Sci 2011; 41(2): 205 – 10.
17. Petersen PE. The World Oral Health Report 2003. Continuous improvement of oral health in the 21st century the approach of the WHO Global Oral Health Programme WHO/NMH/NPH/ORH/03.2
18. Reddy SV. Cytomorphometric analysis of normal exfoliative cells from buccal mucosa in different age groups. International Journal of Clinical Dental Science, 2011; 2(3): 26 – 50.
19. Nayar AK, Sundharam BS. Cytomorphometric analysis of exfoliated normal buccal mucosa cells. Ind J Dent Res 2003; 14: 87 - 93.
20. Cowpe JG, Longmore RB, Gren MW. Quantitative exfoliative cytology of abnormal mucosal smears. J R Soc Med 1988; 81: 509 - 13.
21. Cowpe JG. Quantitative exfoliative cytology of abnormal oral mucosa squames: preliminary communication. J R Soc Med 1994; 77: 928 - 31.
22. Ogden GR, Cowpe JG, Wight AJ. Oral exfoliative cytology: review of methods of assessment. J Oral Pathol Med 1997; 26: 201- 5.
23. Ramaesh T, Mendis BRRN, Ratnatunga N, Th attil RO. Cytomorphometric analysis of squames obtained from normal oral mucosa and lesions of
oral leukoplakia and squamous cell carcinoma. J Oral Pathol Med 1998; 27: 83 - 6.
24. Zink D, Ficher HA, Nickerson AJ. Nuclear structure in cancer cells. Nat Rev Cancer 2004; 4: 677 - 87.
25. Mehrotra R, Gupta A, Singh M, Ibrahim R. Application of cytology and molecular biology in diagnosing premalignant ormalignant oral lesions. Mol Cancer 2006; 5: 11 - 20.
26. Ayanian JZ, Cleary PD. Perceived risks of heart disease and cancer among cigarette smokers. JAMA 1999; 281: 1019 - 21.
27. Sayette MA, Martin CS, Wertz JM, Shiff man S, Perrott MA. A multi-dimensional analysis of cue-elicited craving in heavy smokers and tobacco chippers. Addiction 2001; 96: 1419 - 32.
28. Vellappaly S, Fiala Z, Smejkalova J, Jacob V, Shriharsha P. Influence of tobacco use in dental caries development. Cent Eur J Public Health 2007; 15: 116 - 21.
29. Bergstrom J. Tobacco smoking and risk for periodontal disease. J Clin Periodontol 2003; 30: 107 - 13.
30. Sham ASK, Cheung LK, Jin LJ, Corbet EF. The effects of tobacco use on oral health. Hong Kong Med J 2003; 9: 271 - 7.
31. Almeida OP, Scully C. Fungal infections of the mouth. Braz J Oral Sci 2002; 1: 19 - 26.
32. Ramaesh T, Mendis BR, Ratnatunga N, Thattil RO. The effect of tobacco smoking and of betel chewing with tobacco on the buccal mucosa: a cytomorphometric analysis. J Oral Pathol Med 1999; 28: 385 - 8.
33. Einstein TBA, Sivapathasundharam B. Cytomorphometric analysis of the buccal mucosa of tobacco users. Ind J Dent Res 2005; 16: 42 - 6.
34. Ogden GR, Cowpe JG, Gren MW. Quantitative exfoliative cytology of normal buccal mucosa: effect of smoking. J Oral Pathol Med 1990; 19: 53 - 5.