Danish-ur Rahim, Atif Hafeez Siddiqui, Zeba Ahmed, Muhammad Saleem Marfani.
Frequency of Cervical Metastasis in Oral Cancer.
Pak J Otolaryngol Jan ;29(3):80-3.

OBJECTIVE: To determine the frequency of cervical metastasis and involvement of neck node levels in different sites of oral cavity cancer. STUDY DESIGN: Non interventional. Description. DURATION: August 2007 to July 2010. SETTING: Department of ENT-Head & Neck Surgery DMC & CHK. PATIENTS & METHODS: A descriptive case series was carried out in ENT department, Dow University of Health Sciences & Civil Hospital Karachi. Sixty patients of biopsy proven oral squamous cell carcinoma (SCC) with or without palpable neck node(s) admitted in department of ENT CHK, were included in the study. Demographic data & personal information of the patients were recorded in a proforma which included the record of histopathological confirmation of cervical metastasis after neck dissection for neck metastasis along with involvement of neck level(s) for different sites of oral cavity cancer. RESULTS: Cervical metastasis of oral SCC was present in 33.33% cases. Level I (99.98%) and level II (83.33%) were commonly involved neck levels in buccal SCC. Similarly level I (50%) and level II (75%) were also commonly involved in tongue SCC while cervical metastasis was absent in lip and alveolar SCC. CONCLUSION: This study indicates that an elective neck dissection may be performed on a near routine basis in oral SCC.

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