Open Access

Table I

Comparison of patient baseline characteristics and risk factors; stratified by metal allergy status. Baseline characteristics include patient demographic data, presence of dental amalgam, behavioral risk factors, history of oral, allergic, or inflammatory conditions, tumor characteristics including stage, history of recurrence or secondary primary, and treatment modality.

Metal Allergy

Characteristic Yes
n = 18 (%)
No
n = 20 (%)
p-value*
Gender
Male 2 (11) 11 (55) <.01
Female 16 (89) 9 (45)
Age* 60.5 (24) 62.5 (28) 0.29
Dental Amalgam
Yes 14 (78) 16 (80)
No 1 (6) 4 (20) 0.12
Unknown 3 (16) 0
Systemic Inflammatory Disorders 6 (33) 5 (25) 0.72
Oral Inflammatory Conditions†† 11 (61) 15 (75) 0.49
Other Allergies 12 (67) 11 (55) 0.52
Tobacco Use
Current 0 (0) 3 (15)
Former 0 (0) 1 (5) 0.16
Never 18 (100) 16 (80)
Alcohol Use
Current 3 (17) 8 (40)
Former 0 2 (10) 0.07
Never 15 (83) 10 (50)
Histologic Diagnosis
Squamous Cell Carcinoma 15 (75) 14 (78)
High Grade Dysplasia 4 (20) 2 (11) 0.74
Verrucous Carcinoma 1 (5) 2 (11)
Primary Tumor Staging
Stage ≤2 13 (72) 16 (80) 0.62
Stage ≥3 2 (11) 3 (15)
Unknown 3 (17) 1 (5)
Recurrent Tumor 5 (28) 6 (30) 0.58
Secondary Primary 5 (28) 3 (15) 0.44
Radiation Therapy 4 (22) 4 (20) 0.59
Systemic Therapy 2 (11) 2 (10) 0.66
*

p-values for categorical data determined by Chi-squared test or Fisher's exact test, and p-values for continuous data determined by Student's T test. Continuous data presented as group median with interquartile range (IQR) in parentheses. Significance assigned if p<0.05.

Systemic conditions include type 2 diabetes, chronic kidney disease, reflux esophagitis, systemic inflammatory disorders (psoriasis, Sjogren's disease), and skin conditions (epidermolysis bullosa, prior squamous cell carcinoma).

††

Oral lesions include oral lichen planus, leukoplakia, gingivitis, periodontitis, and carcinoma in situ.

Ω

Includes patients with T2, T1, or high grade dysplasia.

n = number of patients.

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