Submandibular gland invasion and feasibility of gland-sparing neck dissection in oral cavity carcinoma

This study investigated the incidence and routes of submandibular gland involvement in oral cavity carcinoma to determine the feasibility of submandibular gland sparing neck dissection. The records of 155 patients diagnosed with oral cavity squamous cell carcinoma, with a total of 183 neck specimens...

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Veröffentlicht in:Journal of laryngology and otology 2018-05, Vol.132 (5), p.446-451
Hauptverfasser: Cakir Cetin, A, Dogan, E, Ozay, H, Kumus, O, Erdag, T K, Karabay, N, Sarioglu, S, Ikiz, A O
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container_end_page 451
container_issue 5
container_start_page 446
container_title Journal of laryngology and otology
container_volume 132
creator Cakir Cetin, A
Dogan, E
Ozay, H
Kumus, O
Erdag, T K
Karabay, N
Sarioglu, S
Ikiz, A O
description This study investigated the incidence and routes of submandibular gland involvement in oral cavity carcinoma to determine the feasibility of submandibular gland sparing neck dissection. The records of 155 patients diagnosed with oral cavity squamous cell carcinoma, with a total of 183 neck specimens, including those involving level I, were reviewed retrospectively. Submandibular gland involvement, via direct invasion from the anatomical proximity of T4a tumours, was evident in two patients. The floor of mouth location, either primarily or as an extension of the primary tumour, was the only risk factor for submandibular gland involvement in oral cavity carcinoma (p = 0.042). Tumour location, clinical and pathological tumour (T) and nodal (N) stages, and radiological suspicion of mandible invasion, were not found to be statistically relevant (p > 0.05). The results suggest the feasibility of preserving the submandibular gland in early stage oral cavity carcinoma unless the tumour is located in, or extends to, the floor of mouth.
doi_str_mv 10.1017/S0022215118000592
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The records of 155 patients diagnosed with oral cavity squamous cell carcinoma, with a total of 183 neck specimens, including those involving level I, were reviewed retrospectively. Submandibular gland involvement, via direct invasion from the anatomical proximity of T4a tumours, was evident in two patients. The floor of mouth location, either primarily or as an extension of the primary tumour, was the only risk factor for submandibular gland involvement in oral cavity carcinoma (p = 0.042). Tumour location, clinical and pathological tumour (T) and nodal (N) stages, and radiological suspicion of mandible invasion, were not found to be statistically relevant (p &gt; 0.05). 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subjects Adult
Aged
Aged, 80 and over
Cancer
Carcinoma - pathology
Carcinoma - surgery
Dissection
Exocrine glands
Feasibility Studies
Female
Humans
Lymphatic system
Main Articles
Male
Mandible
Metastasis
Middle Aged
Mouth
Mouth - pathology
Mouth - surgery
Mouth Neoplasms - pathology
Mouth Neoplasms - surgery
Neck
Neck Dissection - methods
Neoplasm Invasiveness
NMR
Nuclear magnetic resonance
Oral cancer
Oral cavity
Organ Sparing Treatments - methods
Radiation therapy
Retrospective Studies
Risk Factors
Squamous cell carcinoma
Submandibular gland
Submandibular Gland - pathology
Submandibular Gland - surgery
Surgery
Treatment Outcome
Tumors
Young Adult
title Submandibular gland invasion and feasibility of gland-sparing neck dissection in oral cavity carcinoma
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