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Clinical analysis of neck node metastasis in oral cavity cancer

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2018, v.44 no.6, pp.282-288
https://doi.org/10.5125/jkaoms.2018.44.6.282
Aditi Sharma (Kyungpook National University School of Dentistry)

Jun-Young Paeng (Samsung Medical Center)

Abstract

Objectives: The purpose of this study was to evaluate the neck node metastasis pattern and related clinical factors in oral cavity cancer patients.Materials and Methods: In total, 76 patients (47 males, 29 females) with oral squamous cell carcinoma (OSCC) who had no previous malignancies and were not undergoing neoadjuvant concomitant chemoradiotherapy or radiotherapy were selected for analysis.Results: Occult metastases were found in 8 of 52 patients with clinically negative nodes (cN0, 15.4%). Neck node metastases were found in 17 pa-tients (22.4%). There was a statistically significant relationship between neck node metastasis and T stage (P=0.014) and between neck node metastasis and distant metastasis (Fisher’s exact test, P=0.019).Conclusion: Neck node metastasis was significantly related to tumor size and distant metastasis during follow-up.

keywords
Mouth neoplasms, Lymph nodes, Metastasis, Squamous cell carcinoma

Journal of the Korean Association of Oral and Maxillofacial Surgeons