Shakeel Uz ZAMAN, Shakil AQİL, Mohammad Ahsan SULAİMAN

Erken evre bukkal ve oral dil skuamöz hücreli karsinomlarda tümör kalınlığının okült boyun nodları ile ilişkisi

Amaç: Bu çalışmada erken evre bukkal ve oral dilin skuamöz hücreli karsinomlarında SHK okült boyun nodlarının görülme sıklığı ve tümör kalınlığı ile olan ilişkisi araştırıldı.Hastalar ve Yöntemler: Temmuz 2012 - Haziran 2015 tarihleri arasında oral kavitede SHK 44 bukkal ve 33 oral dil nedeniyle daha önce tedavi edilmemiş 77 hastanın tıbbi kayıtları ve patoloji raporları retrospektif olarak incelendi. Klinik olarak boyun negatif, erken evre lezyonlu hastalar T1 ve T2 çalışmaya alındı ve hastaların klinik-patolojik özellikleri, okült boyun nodu sayısı ve tümör kalınlığı olan ilişkisi incelendi.Bulgular: Okült boyun nodları 27 hastada %46 bukkal ve %27 oral dil bulundu. Her iki grupta da, tümör kalınlığı 5 mm ve üzerine ulaştığında okült boyun hastalığı olasılığı artmıştı. Benzer şekilde, ≤4 mm lezyonlarda seviye I ve II’ye kıyasla, okült boyun nodlarının seviye III’e ulaşması halinde, 5 mm her iki grupta da minimum tümör kalınlığı idi.Sonuç: ≥5 mm tümör kalınlığı, erken evre bukkal ve oral dil SHK’de okült boyun nodları ile anlamlı düzeyde ilişkilidir. Bu hastalarda elektif boyun diseksiyonu yapılmalıdır

Anahtar Kelimeler:

Bukkal, okült boyun nodu, oral dil, skuamöz hücreli karsinom, tümör kalınlığı

Correlation of tumor thickness with occult neck nodes in buccal and oral tongue early squamous-cell carcinomas

Objectives: The aim of this study is to investigate the frequency of occult neck nodes and their relationship with tumor thickness in early squamous-cell carcinomas SCCs of buccal and oral tongue. Patients and Methods: We retrospectively reviewed the medical records and pathology reports of 77 previously untreated patients of SCCs of the oral cavity 44 buccal & 33 oral tongue who underwent tumor excision surgery between July 2012 and June 2015. Patients with early lesions T1 and T2 with clinically negative neck were included and their clinicopathological features, number of occult neck nodes and their correlation with tumor thickness were analyzed. Results: Occult neck nodes were found in 27 patients 46% buccal and 27% oral tongue . In both groups, chances of occult neck disease increased, when the thickness of tumor reached 5 mm or above. Similarly 5 mm was the minimum tumor thickness in both groups in which occult nodes were found up to level III of neck in contrast to level I and II in ≤4 mm lesions. Conclusion: Tumor thickness of ≥5 mm is significantly associated with occult neck nodes in both early buccal and oral tongue SCCs. Elective neck dissection should be done in such cases.

Keywords:

Buccal, occult neck node, oral tongue, squamous-cell carcinoma, tumor thickness,

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