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Clinical analysis of neck node metastasis in oral cavity cancer

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Sharma Aditi, ±èÁø¿í, ÆØÁØ¿µ,
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 ( Sharma Aditi ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Surgery
±èÁø¿í ( Kim Jin-Wook ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Surgery
ÆØÁØ¿µ ( Paeng Jun-Young ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Oral and Maxillofacial Surgery

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 patients (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.

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Mouth neoplasms; Lymph nodes; Metastasis; Squamous cell carcinoma

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