Assessment of Tumor Budding in Different Grades of Oral Squamous Cell Carcinoma

Abstract

Introduction: Oral squamous cell carcinoma (OSCC) is the most common malignancy affecting the oral cavity in which patient prognosis and treatment primarily depend upon histological grading and clinical staging. Tumor budding has been recognized as a morphological marker of tumor invasion, which represents an aggressive feature of epithelial malignancies. This study was done to assess the activity of tumor budding in different grades of OSCC. Materials and Methods: An immunohistochemical study was performed on tissue sections obtained from 30 paraffin-embedded blocks of clinically and histologically diagnosed cases of OSCC. The sections were stained with pan cytokeratin and observed under high-power magnification. Tumor budding activity and cell nest size were assessed in different grades of OSCC. Results: A significant correlation was observed between tumor budding and cell nest size in OSCC. Conclusion: This study suggests the importance of using tumor buds as an additional parameter in the diagnosis and grading of OSCC.