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Journals / KBB-Forum / 2004 / Cilt: 3 - Sayı: 1

The effect of tumor thickness to occult metastases ratios and approach to neck in early staged (T1-2 N0) oral tongue carcinoma

Erken evre (T1-2 N0) oral dil kanserinde tümör kalınlığının gizli metastaz oranlarına etkisi ve boyuna yaklaşım

SİNAN KOCATÜRK
Ünsal HAN
Ata Türker ARIKÖK
Aykut BABİLA
Binnur ÖNAL
Journal
KBB-Forum
Pages
2–6
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Discussion: The elective neck dissection should be done in all early stage tongue carcinoma because of high occult metastese risk accept tumors under 3 mm thickness.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: In the present study, the tumor thickness and occult metastases to neck in early stage tongue carcinoma was evaluated and approach to neck was dissucced.
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Key Findings & Data:Patients and Methods: 22 patients who had early stage squamous cell carcinoma (T1-2NoMo) in the oral tongue and no clinical metastasis in the neck have been included in the study.
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Conclusion & Impact:Discussion: The elective neck dissection should be done in all early stage tongue carcinoma because of high occult metastese risk accept tumors under 3 mm thickness.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Neoplazm metastazı · Boyun · Karsinom

Abstract

Aim: In the present study, the tumor thickness and occult metastases to neck in early stage tongue carcinoma was evaluated and approach to neck was dissucced. Patients and Methods: 22 patients who had early stage squamous cell carcinoma (T1-2NoMo) in the oral tongue and no clinical metastasis in the neck have been included in the study. Elective neck dissection with primary tumor resection have been done all the patients at the same procedure. Occult metastases ratio and the affect of tumor thickness to occult metasseses was evaluated by the histopathological exemination. Results: Micrometastatic disease (pN+) has been detected in 8 patients (36%). Occult metastases ratios was 28% for T1, 40% for T2 tumors. The avarage tumor thickness was 3.71 mm for T1 and 8.33 mm for T2 tumors. No occult metastases have been detected tumors under 3 mm thickness. Although the tumor thickness was increasing according to T stage (p<0.05), the correlation between thickness and occult metastases was not found to be statistically significant (p>0.05). Discussion: The elective neck dissection should be done in all early stage tongue carcinoma because of high occult metastese risk accept tumors under 3 mm thickness.

Özet

Amaç: Bu çalışmada erken evre oral dil kanserinde tümör kalınlığı, gizli metastaz oranları araştırılmış ve boyuna yaklaşımımız tartışılmıştır. Hastalar ve Yöntem: Çalışmaya erken evre skuamoz hücreli dil kanseri (T1-2NoMo) olan 22 hasta alındı. Hastalara primer tümör rezeksiyonuyla eş zamanlı elektif boyun diseksiyonu uygulandı. Histopatolojik incelemede gizli metastaz oranları ve tümör derinliğinin gizli metastaz gelişimine etkisi incelendi. Bulgular: 8 (%36) hastada gizli metastaza rastlandı. Gizli metastaz oranı T1 tümörler için %28, T2 tümörler için %40 bulundu. Tümör kalınlığı T1 tümörlerde ortalama 3.71 mm, T2 tümörlerde 8.33 mm saptandı. 3mm’nin altındaki tümörlerde gizli metastaza rastlanmadı. Tümör kalınlığının T evresine paralel olarak artış göstermesine rağmen (p 0.05). Sonuç ve Tartışma: 3 mm.den kalın tüm erken evre dil tümörlerinde, yüksek gizli metastaz riskinden ötürü elektif boyun diseksiyonu uygulanmalıdır.

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Cite This Article

KOCATÜRK, S., HAN, Ü., ARIKÖK, A. T., BABİLA, A., ÖNAL, B. (2004). The effect of tumor thickness to occult metastases ratios and approach to neck in early staged (T1-2 N0) oral tongue carcinoma. KBB-Forum, Cilt: 3 - Sayı: 1, 2–6. https://ajindex.com/articles/209349

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