EXPERINCE OF SURGICAL MANAGEMENT OF TONGUE CANCERSA RETROSPECTIVE ANALYSIS AT A TERTIARY CANCER CENTER
Journal Title: International Journal Of Advances In Surgery - Year 2017, Vol 1, Issue 1
Abstract
INTRODUCTION: Tongue cancer is one of the most common cancer of the oral cavity seen most commonly in the western world. Tongue cancers are a different entity with separate differences in work-up and management. Here in this paper, we share the surgical experience in treating the tongue cancers. Aims and methods: This retrospective study was carried out in department of Oral oncology, Kidwai memorial institute of oncology, Bengaluru, India from 2014-16. Patinets with biopsy proven tongue cancers are included. Results: A total of 74 patients underwent Supraomohyoid neck dissection and 18 underwent modified radical neck dissection. 62.4% were males and 36.6% were females. The median age of diagnosis is 51 years. 51.6% are smokers and 54.8% are alcoholics. 62.4% are habituated to tobacco chewing. Occult lymph nodes were identified in 37 lymph nodes. The median lymph nodal yield identified in our study is 22. A single occult lymph node was identified in 19% was identified and occult N2 disease was identified in 5%. The rates of occult metastasis to cervical lymph nodes were 16%, 31.8%, 33.3% respectively in T1,2,3 tumours. The rate of occult cervical lymph node metastasis in tumours with depth of invasion <5,5-10 and > 10 mm were 54.7%,0%,10% respectively. Conclusion: Tongue cancers management requires appropriate staging and pre-operative identification of depth of invasion. Depth of invasion is more important than T-status and is an important factor that can guide the management of clinically node negative neck and aid in addressing the neck. Early stage cancers can be treated by surgery with very minimal morbidity. Close follow-up is needed in early stage cancers.
Authors and Affiliations
Dr. Nadimul hoda, Dr. Rajani B C, Dr. Sabitha, Dr. Vijaya Bhanu
Keywords
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