Patterns of Neck Node Metastasis in Carcinoma of Oral Cavity

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Bangladesh Journal of Otorhinolaryngology Pub Date : 2020-12-09 DOI:10.3329/bjo.v26i2.50610

S. Ahmed, A. Delwar, J. A. Mazumder, M. Rashid, M. M. Khan, M. Mahamud, Mostafizur Rahman

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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

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口腔癌颈淋巴结转移的类型

目的：了解口腔癌颈淋巴结转移的规律。方法：本研究于2013年7月至2014年12月在达卡医学院医院（DMCH）、萨利穆拉爵士医院（SSMC）、班加班杜·谢赫·穆吉布医科大学（BSMMU）和国家癌症研究与医院研究所（NICRH）耳鼻咽喉和头颈外科进行。共96例病例纳入本研究。通过详细病史、临床检查、相关调查收集数据，人工处理结果，并借助SPSS进行分析。结果：在这项研究中，72名（75%）患者出现临床可触及的颈部淋巴结，24名（25%）患者没有出现颈部淋巴结。在24例病例中，7例颈部淋巴结放射学阳性。在96例病例中，III期最高（50.96%），其次是IV期（27.01%）、II期（13.52%）和I期（8.32%）。即23例（23.92%）早期患者和73例（76.18%）晚期或晚期患者。l级最高49例（61.71%），其次为all 35例（44.1%），lll 10例（12.6%）。因此，对于适当的治疗来说，了解这种转移模式是非常重要的。孟加拉国耳鼻喉科杂志；2020年10月；26（2）：102-108

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Bangladesh Journal of Otorhinolaryngology OTORHINOLARYNGOLOGY-

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