Study of oral malignancies in rural areas
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 5, Issue 2
Abstract
Background: Oral cancer is commonest cancer in India accounting for 50-70% of total cancer mortality. They are of great significance, as they have a potential to jeopardize the health and longevity of the patient Over the years, the incidence of oral cancers in the population has increased manifold especially among younger generation, possibly related to rising trend of pan masala and gutkha chewing, smoking, alcohol consumption. Considering the rising trends in the incidence of oral malignancies in rural areas this study is intends to do epidemiological profile, risk factors, surgical approaches, postoperative complications and outcome. Material and Methods: Observational study was carried out at department of general surgery, in tertiary care hospital. Patients with histopathologically confirmed cases of oral cancer stage1, stage 2 and selected stage 3 will be selected for this study. Patients who were admitted with primary diagnosis of oral cancer had detailed history, clinical examination, routine investigations then taken for appropriate surgeries after fitness and after informed and written consent. Results: Maximum number of cases presented between 51 and 60 years. Mean age of the patients was 55.46 years, Malignancy of oral cavity is common in males (60%), most of the patients were having history of tobacco consumption in various forms. Cheek (buccal mucosa) was the commonest site involved (50%), with growth (46.67%) as a common presenting symptoms. Maximum number of patients (50%) underwent Wide local excision with modified radical neck dissection as primary procedure done, followed by Hemiglossectomy with modified radical neck dissection done in 8 patients (26.67%). Reconstruction done in 12. Conclusion: Malignancy of oral cavity was predominantly a disease of males with increasing incidence in females, usually affects older age group. Tobacco was important etiological factor for oral malignancy. Cheek was the commonest site involved, followed by tongue. Wide local excision with modified radical neck dissection was most common surgical procedure
Authors and Affiliations
Kiran Patil, Milind S Chaudhari
Keywords
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