Evaluation the level of cervical metastatic lymph node of the patients with oral squamous cell carcinoma
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2018, Vol 10, Issue 5
Abstract
Background: Oral squamous cell carcinoma (OSCC) is the most common type of oral cancer that affects the head and neck region with highest mortality rate among all malignancies and it is the sixth common malignancy reported worldwide. Aims: To evaluate the level of cervical lymph node metastasis in patients with oral squamous cell carcinoma. Methods: This prospective study was done in Oral and Maxillofacial Surgery Department, Bangabandhu Sheikh Mujib Medical University (BSMMU) during the period of July 2015 to June 2017. Fifty six patients with oral squamous cell carcinoma were included in this study. After the clinical evaluation, all patients were undergone to either unilateral or bilateral neck dissection. The excised lymph nodes along with fibrofatic tissue were examined histopathologically according to level base to find out the lymph node status. Result: Lymph node metastasis was significantly increased with the increases of tumour size in OSCC. Histopathologically this study showed, 57.1% cases had lymph node metastasis, where 53.1% patients had lymph node metastasis at level-I, 25.0% patient had metastasis at level-II, 15.6% patients had lymph node metastasis at both level-I and II and 6.3% patients had metastasis at both level-II and III. In this study no lymph node metastasis was found at level-IV and level-V. Conclusion: Selective supraomohyoid neck dissection (level I-III) should be done as an elective treatment in T1-T4. Lymph node Level IV should be included only when there is preoperative suspicion of level II or III nodal involvement.
Authors and Affiliations
Dr. Quazi Billur Rahman,, Ahsan Habib, Dr. Shailesh Gautam
Keywords
Related Articles
- EP ID EP403507
- DOI -
- Views 114
- Downloads 0
Effectiveness of progressive muscle relaxation technique on stress, anxiety and depression among patients undergoing cancer treatment in puducherry cancer trust hospital and research centre at Puducherry
Cancer is the second most serious health problem and the second leading cause of death in human. The cancer patient undergoing treatment experiences Physical and Psychological problem. The physical problems, like hair lo...
Thyroid tuberculosis mimicking as recurrent multinodular goiter
Thyroid tuberculosis is an uncommon clinicopathological condition. The prevalence varies from 0.1% to 0.6% in histologically diagnosed specimens, including areas with endemic TB.1The diagnosis is often difficult as the c...
Radiographic appraisal of maxillo-mandibular osteometrics – An indicator in sexual dimorphism
Background: Human identification is the mainstay of civilization. Sex determination is the prime step in personal identification, which becomes difficult in mass disasters where corpse is dismembered beyond recognition....
Acute toxicity and antidiarrhoeal activity of the crude ethanolic extract of the operculina turpethum
Operculina turpethum is a perennial with milky juice belongs to family Convolvulaceae. This plant was widespread in old tropics from E. Africa to N. Australia and common in Godavari, Andhra Pradesh India & Bangladesh. Th...
Ileocaecal endometriosis presenting as intestinal obstruction
Endometriosis is characterized by the presence of endometrial tissue consisting of glands and/or stroma located outside the uterus. Involvement of the terminal ileum is extremely rare. Preoperative distinction of ileal e...