Predictive factors of cervical nodal metastases in N0 squamous cell carcinomas of the mobile tongue – A cohort study
| Autor: | Youssef Oukessou, Omar Iziki, Redallah Abada, Sami Rouadi, Khadija El Bouhmadi, Yassir Hammouda, Mohamed Mahtar, Mohamed Roubal |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Metastases 03 medical and health sciences 0302 clinical medicine Tongue Carcinoma Medicine Medical history Pathological Cohort Study business.industry Incidence (epidemiology) Neck dissection General Medicine medicine.disease Occult medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology business Predictive factors Cohort study |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2020.10.068 |
| Popis: | Squamous cell carcinoma (SCC) of the tongue is one of the most common cancers in the oral region, most frequently associated with lymph nodes metastases which influence the most the prognosis. The identification of predictive factors of occult cervical nodal metastases for N0 tumors will allow to adapt the treatment to the patient, avoiding over or under management. From 2014 to 2019, a cohort of 26 patients with SCC of the mobile tongue was reviewed by analysing the medical history, the epidemiological and clinical parameters, the tumor sites, aspects, diameters, depths of invasion, pathological degree, degree of differentiation, T classification and results of neck dissections. The incidence of occult cervical nodal metastases was up to 26,92% and a significant correlation was only found with the tumor depth invasion and the muscular invasion (p Highlights • The tongue is the most deadly location of oral SCC and most commonly associated with nodal metastases. • The depth of invasion and muscular infiltration seem to influence the occurrence of nodal metastases. • Elective dissection (level I, II, III) with tumour excision is the effective treatment of N0 SSC of the tongue. |
| Databáze: | OpenAIRE |
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