<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272021000300425</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Citología exfoliativa en el diagnóstico precoz del cáncer bucal]]></article-title>
<article-title xml:lang="en"><![CDATA[The exfoliative cytology in the early diagnosis of the oral cancer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bermúdez Sánchez]]></surname>
<given-names><![CDATA[Lianet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canto Pérez]]></surname>
<given-names><![CDATA[Maritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Artiles Martínez]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Jiménez]]></surname>
<given-names><![CDATA[Rubén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durán Morales]]></surname>
<given-names><![CDATA[Dannis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>15</volume>
<numero>3</numero>
<fpage>425</fpage>
<lpage>438</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272021000300425&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272021000300425&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272021000300425&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el diagnóstico precoz es un elemento clave en el manejo del cáncer bucal, de ahí la importancia de implementar métodos diagnósticos que sean sencillos, poco cruentos y fiables. En este sentido ha resurgido el interés por la citología oral, tanto para diagnosticar, como para monitorizar.  Objetivo:  determinar la utilidad de la citología exfoliativa por cepillado como método para el diagnóstico precoz del cáncer bucal.  Métodos:  se realizó un estudio descriptivo, transversal, cuanti-cualitativo, a doble ciegas, en el Servicio de Cirugía Maxilofacial del Hospital &#8220;Arnaldo Milián Castro&#8221; entre marzo de 2016 y octubre de 2017. La muestra quedó constituida por 33 pacientes que presentaron lesiones sospechosas de malignidad o premalignidad.  Resultados:  predominaron el sexo masculino (63,6%) y el grupo etario de 60 a 69 años (33,3%). La toma de muestra citológica con cepillo dental fue indolora para el 45,5% de los pacientes; refirieron molestias leves el 54,5%. Existió una concordancia de 0,89 según el índice de Kappa entre la presencia de células neoplásicas detectadas a través de la citología y la biopsia, con un alto valor diagnóstico de la prueba, con valor predictivo positivo de 0,95 y valor predictivo negativo de 0,93. En cuanto al grado de diferenciación de los tumores malignos, la concordancia entre ambos métodos fue leve (0,094).  Conclusiones:  la citología resultó ser un método útil para el diagnóstico de cáncer bucal, que ofreció concordancia con el diagnóstico histopatológico de manera predominante.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the early diagnosis is a key factor in the management of an oral cancer, so, it is very important the implementation of simple, not harmful and liable diagnosis method. In this sense, the interest in oral cytology has increased for diagnosing and monitoring.  Objetive:  to determine the usefulness of exfoliative cytology in the brushiness as a method for the early diagnosis in oral cancer.  Methos:  a descriptive, cross-sectional, quanti-qualitative and double blind study was made in the Maxillofacial Surgery service from Arnaldo Milián Castro Hospital, between March 2016 and October 2017. The sample was set by 33 patients who had oral lesions with suspicion of malignancy or premalignancy.  Results:  there was a predomination in the masculine sex (63,6%) and those whose ages were between 60 and 69 years (33,3%). The sample with dental brush was painless for the 45,5% of patients; while 54,5% of them referred slight discomfort. There was a concordance of 0,89 according to Kappa index between the presence of neoplastic cells that were detected trough cytology and biopsy with a high diagnostic value of test, with positive predictive value (0,95) and negative predictive value (0,93). According to the grade of differentiation of the malignant tumor, the concordance between both methods was slight (0,094).  Conclusions:  the cytology was a useful method for the diagnosis of oral cancer, that showed a coincidence with the histopathological diagnosis in predomination way.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cáncer bucal]]></kwd>
<kwd lng="es"><![CDATA[medios diagnósticos]]></kwd>
<kwd lng="es"><![CDATA[biopsia]]></kwd>
<kwd lng="es"><![CDATA[citología exfoliativa]]></kwd>
<kwd lng="en"><![CDATA[cancer]]></kwd>
<kwd lng="en"><![CDATA[diagnosis method]]></kwd>
<kwd lng="en"><![CDATA[biopsy]]></kwd>
<kwd lng="en"><![CDATA[exfoliative cytology]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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