ASSOCIATION OF THE DEPTH OF TUMOR & LYMPHATIC METASTASIS IN ORAL TONGUE CANCER

Author:

Gurjar Vishram Singh1,Gupta D.P.2,Gupta Shubhangi3,Lohar Nand Kishor3,Jain Shailesh Kumar4,Kishore Jugal5,Kumar Amit5

Affiliation:

1. Senior Resident, Department Of Otorhinolaryngology And Head And Neck , Sms Medical College And Hospital , Jaipur.

2. Ex-senior Professor (unit Head),department Of Otorhinolaryngology And Head And Neck, Ent Consultant, Barala Hospital And Research Centre , Jaipur. Sms Medical College And Hospital , Jaipur

3. Senior Resident, Department Of Otorhinolaryngology And Head And Neck ,sms Medical College And Hospital , Jaipur.

4. Senior Resident, Department Of Otorhinolaryngology And Head And Neck ,sms Medical College And Hospital , Jaipur

5. Post Graduate, Department Of Otorhinolaryngology And Head And Neck , Sms Medical College, Jaipur.

Abstract

Carcinoma of tongue is one of the most notorious cancer of head and neck region. It constitutes about 36.5% of all oral malignancies. Neck node status is the single most important prognostic factor in oral tongue cancers and other head and neck cancers . Another important parameter which has the greatest influence on survival is the tumor thickness especially in carcinoma tongue . In this study, we assessed the association between tumor thickness & lymphatic metastasis in oral tongue cancer. The optimal cut-off point for tumor thickness was 4mm. Total 126 cases were studied of which maximum cases were between 40-49 years of age .Cases were more prevalent in males (69.05%) than females(30.95%) . As the T-stage of cancer progressed , the incidence of nodal metastasis also progressively advanced. It was also observed that as the tumor thickness increased , the proportion of positive lymph node cases also significantly increased. There was significant positive correlation between the tumor thickness measured on MRI and histopathology (r=0.709 , p<0.001)

Publisher

World Wide Journals

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