Abstract
Objectives: To find out the patterns of cervical lymph node metastasis in oral cavity carcinoma. Methods: This is across sectional study which was carried out in the department of Otolaryngology & Head Neck Surgery Dhaka Medical College Hospital (DMCH), Sir Salimullah Medical College Hospital (SSMC), Bangabandhu Sheikh Mujib Medical University (BSMMU) and National Institute of Cancer Research & Hospital (NICRH) from July 2013 to December 2014.Total 96 cases were included in this study. Data were collected by detail history, clinical examination, relevant investigation and result were processed manually and analyzed with the help of SPSS. Results: In this study 72 (75%) patients presented with clinically palpable neck nodes and 24 (25%) presented without neck node. Among 24 cases 7 cases was radiologically positive neck node. Out of 96 cases stage III was the highest (50.96%) followed by stage IV (27.01%), stage II (13.52%) and stage I (8.32%). That is 23 (23.92%) patients present with early stage and 73 (76.18%) patients present in late or advanced stage. Level l was the highest 49 (61.71%), followed by level all 35(44.1%), level lll 10 (12.6%). Conclusion: As cervical lymph node metastasis is a critical event for patients with squamous cell carcinoma of oral cavity, as this is the most reliable predictor of poor treatment outcomes. Thus for appropriate treatment it is very important to know this pattern of metastases. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 102-108
Highlights
Oral carcinoma is the sixth most common cancer in the world and is largely preventable
To find out the patterns of cervical lymph node metastasis in oral cavity carcinoma. This Cross-sectional study was carried out in the department of Otolaryngology & Head Neck Surgery Dhaka Medical College Hospital (DMCH), Sir Salimullah Medical College Hospital (SSMCH), Bangabandhu Sheikh Mujib Medical University (BSMMU) and National Institute of Cancer Research & Hospital (NICRH) from July 2013 to December 2014. 96 patients were diagnosed as a case of oral carcinoma during the study period and who fulfill the inclusion and exclusion criteria
To find out the patterns of cervical metastasis in oral cavity carcinoma within a short period of time, 96 patients with oral carcinoma were enrolled in the study
Summary
Oral carcinoma is the sixth most common cancer in the world and is largely preventable. It accounts for approximately 4% of all cancer and 2% of all cancer death worldwide. Oral cavity has abundant blood supply and lymphatic drainage chances of cervical metastasis are very high. These tumors have an aggressive biological behavior at initial stages with early regional metastasis and causes death.[3] The incidence of occult lymph node metastasis in early stage tumor (T1/T2) has been reported to be between 27% and 40%. Bad prognosis is expected in patient with ipsilateral, contra lateral or bilateral nodal involvement. For evaluation of metastatic disease (metastatic neck node), fine needle aspiration cytology (FNAC) technique is the least invasive pathological examination method, remains the standard for evaluation of a neck mass. 5
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