Traditional Chinese medicine-based visual assessment of tongue features associated with current cancer vs. no cancer history: a matched case-control study

Selected tongue features, particularly spider sublingual veins and tooth marks, were associated with current cancer in exploratory analyses. However, discrimination was modest, and inter-rater reliability varied across features. These findings should be interpreted cautiously and do not support diagnostic utility. Standardized definitions, rater training, and external validation in larger prospective, multi-center cohorts are required before clinical translation.

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Publication Details

Journal
Frontiers in Medicine
Published
2026-01-30
DOI
https://doi.org/10.3389/fmed.2026.1761943
Primary Topic
Traditional Chinese Medicine Studies
Type
article
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0.00
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article

Traditional Chinese medicine-based visual assessment of tongue features associated with current cancer vs. no cancer history: a matched case-control study

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Traditional Chinese medicine-based visual assessment of tongue features associated with current cancer vs. no cancer history: a matched case-control study

Vincent Chan, Benjamin Kimble, Meng-Hua Chen, Suzi Mansu, Brian H. May, M. Wu, S. Stylianou, Zhen Zheng, Lin Dong, Yong-Kang Wu, Byeongsang Oh, Daniel Man-yuen Sze
article en

Abstract

Selected tongue features, particularly spider sublingual veins and tooth marks, were associated with current cancer in exploratory analyses. However, discrimination was modest, and inter-rater reliability varied across features. These findings should be interpreted cautiously and do not support diagnostic utility. Standardized definitions, rater training, and external validation in larger prospective, multi-center cohorts are required before clinical translation.

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