Abstract

Background: OSCC is the 3rd widespread malignancy in India followed by cervical and breast cancer. Histopathological findings in the tumor are the most prominent factors identified for OSCC progression. Clinical and histopathological prognosis in OSCC like perineural invasion, vascular invasion, lymph node invasion have been studied extensively by many researchers separately or in combination since many years. Bone invasion, muscle invasion and salivary gland invasion are explored less. In order to collectively correlate the role of all prognosticators with 5 years survival, the later prognosticators are included in our study in isolation which may predict accurately the probability of 5 year survival of OSCC. Also we have to search role of the prognosticator which is most commonly affecting 5 years survival of OSCC cases so that it may modify the potential consequence of management of OSCC.
 Objectives: The aim of this study is to assess the relevance of histopathological invasive prognosticators on 5 years survival of oral squamous cell carcinoma (OSCC) patients visiting Sharad Pawar Dental College and Hospital, Sawangi, Wardha (MS).
 Methodology: Departmental reports will be screened and specimen mounted slides of histopathologically diagnosed 200 OSCC patients, who undergone surgical resection will be observed under binocular microscope. Data of dead and survived OSCC patients undergone surgery 5 years back will be collected by telecommunication. Histopathological invasive prognosticators will be analyzed and correlated with 5-years survival after treatment.
 Expected Results: 
 
 Collectively correlating the role of histopathological invasive prognosticators in our study may predict the probability of 5 years survival of OSCC cases more accurately.
 Discovering diversed histopathological patterns of all metastatic prognosticators and their correlation with 5 years survival.
 Identification of most effective histopathological invasive prognosticator predicting 5 year survival.
 
 Conclusion: The most commonly found prognosticators in OSCC patients who died within 5 years versus others who survived for 5 years will be discovered.
 In addition the most common histopathological pattern related to dead and survived patients after 5 years will be found which can modify the potential consequence of management of OSCC.

Highlights

  • Oral malignancies in today’s scenario represent a major challenge in their management

  • Expected Results: Collectively correlating the role of histopathological invasive prognosticators in our study may predict the probability of 5 years survival of oral squamous cell carcinoma (OSCC) cases more accurately

  • The most commonly found prognosticators in OSCC patients who died within 5 years versus others who survived for 5 years will be discovered

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Summary

Introduction

Oral malignancies in today’s scenario represent a major challenge in their management. Researchers had studied metastatic invasive prognosticators histopathologically-Perineural invasion, Vascular invasion, Lymph node invasion, Bone invasion, Muscle invasion & Salivary gland invasion singly or in combination of 3 or 4 in H & E stained sections but no potential prognosticator identified to be a sufficiently strong indicator of 5 years survival.Variations in the criteria of invasive prognosticators in advancing OSCC and potential consequences of treatment suggest a lack of consent regarding postoperative adjuvant therapy, as well as the need for additional study. In order to collectively correlate their role in 5 years survival along with few more prognosticators like muscle invasion, bone invasion and salivary gland invasion, these are included in our study in isolation which may predict more accurately the probability of 5year survival of OSCC cases. Histopathological invasive prognosticators will be analyzed and correlated with 5-years survival after treatment

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