Clinico-Pathological Study of Oral Cancer- A Review of 73 Cases
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Background : Oral cancer is one of the most common malignancies in India. In the present study, a total number of 73 patients were included to find out the various clinical and pathological manifestations of the oral cancer Methods :This study was carried out in the Department of Otorhinolaryngology and Head & Neck Surgery, Gauhati Medical College, Guwahati during period of one year from 1st July, 2015 to 30th June, 2016.In this series, oral cancer cases with lesions in lip, alveolus, and buccal mucosa, anterior two-third of tongue, retromolartrigone, hard palate and floor of mouth were included irrespective of age and sex.Proforma was filled. It included- patients’s details, presenting complaints, history of present illness, history of past illness etc. Personal habits like smoking, betel quid chewing, tobacco use, alcohol intake were analysed in depth. Detailed examination was done on the primary lesion and nodal status. Biopsy was taken from the lesion and sent for histopathological examination. FNAC of clinically palpable cervical lymph nodes was done to know the nodal status. Results :Most common site to be involved was buccal mucosa(35.62%). Most common age-group affected was 51-60 yrs ( 27.40 % ).Male-female ratio of 2.1:1.90.41 % of patients had the history of chewing betel quid followed by 83.56 % of patients with tobacco use. 58.90% of the patients were found to have ulcerative type of growth.82.19% had cervical neck node metastases where unilateral involvement was seen in 68.49% and bilateral in 13.69%. In majority of them, Level Ib neck nodes were involved.Majority of the patientspresented in stage III (64.38%). The histopathological type of majority of the cases showed squamous cell carcinoma (95.89%) out of which well differentiated type is the most common variety. Conclusion: Oral cancer is commonly seen in the 5th -6 th decade but a change in this trend is noted with gradually increasing incidence noted in the younger age group. Substance abuse like tobacco, betel quid, and alcohol hasan important role in causation of oral cancer. More than 90% patients had one or the other forms of addictions. Thus, the deleterious effects of these substances should find a place in proper health education programme to make people aware of their ill-effects.Buccal mucosa was found to be involved in highest number of cases. Majority of the cases came at a later stage when cervical nodes were already involved. Community awareness regarding the disease may help in the prompt diagnosis and management, and thereby its long term prognosis.
Authors and Affiliations
Dr. J Phookan, Dr. Rupjyoti Das, Dr. Devjani Das
Keywords
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- EP ID EP595489
- DOI 10.9790/0853-160408152158.
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