O180 Pathological patterns of cervical lymph node metastasis at presentation in T1-2 oral tongue cancer in Pakistan

Jamshed, Arif; Hussain, Raza; Syed, Akash; Ahmad, S.; Rehman, Khalique ur; Azhar, Rafay; Hameed, Shahid; Shah, M. Ali; Faruqui, Z.

doi:10.1016/s1744-7895(07)70257-2

Cited by 3 publications

(3 citation statements)

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“…Deo et al reported the sensitivity of clinical examination for detection of neck nodes as 86.7% but the specificity was 30.5% [15]. However clinical examination is unreliable for detection of nodes and incidence of occult nodal metastases even in early oral cancer varies from 16% to 40% in tongue cancer [16]. In our study for CT scan the sensitivity, specificity, positive predictive value, negative predictive value and accuracy 90.9% (60.1-99.9%), 15.8% (4.7-38.4%), 38.5% (22.4-57.5%), 75% (28.9-96.6%), and 43.3% (27.4-60.8%) respectively.…”

Section: Discussionmentioning

confidence: 99%

A Study on Neck Nodes in Oral Cancers, with Special Reference to Skip Metastasis

Patel

Singh

Gulati

et al. 2018

Indian J Otolaryngol Head Neck Surg

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To analyse the distribution of Neck metastases (NM) and to study frequency of skip metastases in oral squamous cell carcinoma (SCC) of oral cavity. From September 2012 to April 2013, 30 previously untreated patients with SCC of oral cavity underwent primary surgical treatment in our institution. From pathological report of Neck dissection specimen prevalence and distribution of NM were ascertained. All patients were classified according to American Joint Committee on Cancer 2005 TNM classification. Overall frequency of NM was 36.7%. Frequency of occult metastases was 33.3%. N? metastases found in 37% cases. The overall frequency of NM in level IV and V was 9.5%. Isolated level III involvement was found in 3.3%. No isolated level IV and V involvement was found. Skip metastases to level III LN was 6.7%. We did not find any skip metastases to level IV in our study. Neck nodes at greater risk for metastases were level I and II (50 and 28.6%). Level III (11.9%), IV (7.14%), V (2.38%). The risk of skip metastases to level IV was nil in our study.Keywords Oral cavity Á Squamous cell carcinoma Á Lymph nodes Á Skip metastasis Materials and MethodsFrom september 2012 through April 2013, 30 previously untreated patients with oral cavity cancer underwent primary surgical treatment at otorhinolaryngology, Head &

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Section: Discussionmentioning

confidence: 99%

A Study on Neck Nodes in Oral Cancers, with Special Reference to Skip Metastasis

Patel

Singh

Gulati

et al. 2018

Indian J Otolaryngol Head Neck Surg

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“…The distribution of positive nodes in neck was 40, 40, 20, 10 and 0% in level I, II, III, IV and V respectively. 4 Deo et al has reported, Level I was the most common level involved in pN+ group (67.8%). Level II was involved in 17.5% of pN+ patients.…”

Section: Incidencementioning

confidence: 95%

“…In pT1 disease 44% (7/16) and in pT2 64% had neck node metastases; patterns of neck nodal involvement in level I, II, III, IV and V for pT1 was 25, 31, 19, 12 and 0% and for pT2 was 57, 50, 21, 7 and 0% respectively. 4 De Zinis et al found metastases in level IV in 15% of patients with SCC of the oral cavity who had positive lymph nodes. A total of 28% of the level IV nodes were skip metastases.…”

Section: Skip Metastasesmentioning

confidence: 98%

Frequency of Skip Metastases in Oral Cancer: An Overview

Singh¹,

Gulati²,

Patel³

et al. 2015

International Journal of Head and Neck Surgery

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Globally, over 3,00,000 people are diagnosed with oral cancer every year and it is considered as 8th most common malignancy worldwide. However, there is geographical variation; oral cancer being the 3rd most common in South East Asia which is 25 per 1,00,000 per annum. In the Indian subcontinent head and neck cancer accounts for 45% of all malignancy with oral cancer being the most common, accounting for 1/3rd of all cancers. Increasing number of head and neck cancer cases is a cause of major concern as it is associated with high morbidity and mortality. If oral cancer is detected early when confined to the mucosa only, the 5 years survival exceeds 80%. However, it drops to 40% in presence of regional metastases and to 20% in the presence of distant metastases. The prognosis worsens as the growth involves proximal to distal. Current knowledge of neck node metastases with special emphasis on skip meta stases in oral cancers is discussed. How to cite this article Patel S, Sakthivel P, Singh I, Gulati A, Gupta D. Frequency of Skip Metastases in Oral Cancer: An Overview. Int J Head Neck Surg 2015;6(2):80-85.

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Clinical Spectrum, Pattern, and Level-Wise Nodal Involvement Among Oral Squamous Cell Carcinoma Patients – Audit of 945 Oral Cancer Patient Data

Deo

Singh

Mokkapati

et al. 2019

Indian J Surg Oncol

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O180 Pathological patterns of cervical lymph node metastasis at presentation in T1-2 oral tongue cancer in Pakistan

Cited by 3 publications

References 0 publications

A Study on Neck Nodes in Oral Cancers, with Special Reference to Skip Metastasis

A Study on Neck Nodes in Oral Cancers, with Special Reference to Skip Metastasis

Frequency of Skip Metastases in Oral Cancer: An Overview

Clinical Spectrum, Pattern, and Level-Wise Nodal Involvement Among Oral Squamous Cell Carcinoma Patients – Audit of 945 Oral Cancer Patient Data

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