Clinicopathological Profile of Metastatic Cervical Lymph Nodes- A Descriptive Study in a Tertiary Care Centre
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 3
Abstract
The single most important factor determining the survival of patients with head and neck malignancy is the presence or absence of metastatic disease in the neck. clinicopathological profile of metastatic lymph nodes were conducted in the department of surgery, Medical College, Kozhikkode for a three years. Thirty nine cases of head and neck malignancy having either clinically evident cervical metastasis or those with a high chance of occult metastasis were selected. Twenty six of 39(66.7%) were male with male to female ratio 2.1 The mean age was 58.7(10.7) years. Most of the patients in this study belonged to 61-70 year group. The most common site of the primary lesion was at the anterior tongue(41%).Twenty one (53.8%) patients was at stage II, followed by 11(28.2%) patients in the stage III. The most common symptom was ulcer of the oral cavity(60%) followed by neck swelling in 15%. Cervical nodes were pathologically positive for metastasis in twenty one of the thirty nine cases (53.8%) of these seven were unilateral and four were bilateral. The commonest presenting feature was ulcer in the mouth followed by neck swelling,pain in the mouth, difficulty in swallowing, change in voice and ankyloglossia. The present study revealed most of the lesion were of ulcerative type.
Authors and Affiliations
Dr Praveen N
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