Carcinoma of buccal mucosa: incidence of regional lymph node involvement.

Abstract:

:Histopathological findings in 57 surgical specimens of T3 and T4 buccal mucosa cancers are reviewed. The incidence of the well-differentiated tumours (including verrucous carcinoma) was 61%. A moderate degree of lymphocytic infiltration of the tumour was present in 37% of patients. Histologically proven cervical lymph node deposits were present in only 16% of the patients. Amongst the group of patients with clinically enlarged lymph nodes, metastatic disease was histologically demonstrated in 17.5% at level I and 14% at level II of neck nodes. Amongst group of patients with no palpable nodes in the neck, metastatic disease was histologically demonstrated in 11.7% at level I and 9% at level II of neck nodes. These findings contra-indicate an elective neck dissection and indicate the need to confirm histologically the presence of lymph node deposits doing a radical neck dissection in patients with buccal mucosa cancer. This well-differentiated tumour has a much lower tendency to metastasize than cancers in other sites of the oral cavity.

journal_name

Indian J Cancer

journal_title

Indian journal of cancer

authors

Dhawan IK,Verma K,Khazanchi RK,Madan NC,Shukla NK,Saxena R

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

176-80

issue

4

eissn

0019-509X

issn

1998-4774

journal_volume

30

pub_type

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