Prevalence of submandibular gland involvement in neck dissection specimens of patients with oral cavity carcinoma

2021 ◽  
pp. 103329
Author(s):  
Alireza Mazarei ◽  
Parnian Khamushian ◽  
Mehraveh Sadeghi Ivraghi ◽  
Farrokh Heidari ◽  
Niloufar Saeedi ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Neck Dissection ◽  
Submandibular Gland ◽  
Oral Cavity Carcinoma

scholarly journals Level I Nodal Positivity as a Factor for Involvement of the Submandibular Gland in Oral Cavity Carcinoma: A Case Series Report

2020 ◽  
Author(s):  
Hamdan Ahmed Pasha ◽  
Rahim Dhanani ◽  
Shayan Khalid Ghaloo ◽  
Kulsoom Ghias ◽  
Mumtaz Jamshed Khan
Keyword(s):  
Oral Cavity ◽  
Lymph Nodes ◽  
Neck Dissection ◽  
Submandibular Gland ◽  
Primary Tumor ◽  
Oral Carcinoma ◽  
Care Hospital ◽  
Direct Extension ◽  
Oral Cavity Carcinoma ◽  
Level I

Abstract Introduction The routine practice of neck dissection in the surgical management of oral carcinoma has evolved into a more functionally conservative approach. Over time, the rationale for removal of the submandibular gland has been questioned. Routine extirpation of the submandibular gland can aggravate the xerostomia experienced by many patients, significantly affecting their quality of life. Objective The objective of the present study was to determine the incidence of submandibular gland metastases in oral cavity carcinoma and to identify possible factors that may affect their involvement. Methods A total of 149 cases of oral carcinoma presenting at a private tertiary care hospital in Karachi, Pakistan, over the course of 1 year were reviewed retrospectively. Results Histopathological data showed that the submandibular gland was involved in 7 (4.7%) cases. Involvement of level I lymph nodes was found in all of the cases. Direct extension of primary tumor was noted in two cases when the primary tumor was in the floor of the mouth. Conclusion The results suggest that preservation of the submandibular gland during neck dissection for oral carcinoma can be practiced safely when there is no evidence of direct extension of the primary tumor toward the submandibular gland or when there is no clinical or radiological evidence of neck disease in level I. Presence of pathological lymph nodes in level I requires caution when contemplating preservation of the submandibular gland.

Mundhöhlenkarzinom: Optionen zum Erhalt der Unterkieferspeicheldrüse

2018 ◽  
Vol 97 (10) ◽  
pp. 666-668
Author(s):  
Peter Jecker
Keyword(s):  
Oral Cavity ◽  
Neck Dissection ◽  
Submandibular Gland ◽  
Oral Cavity Carcinoma

Cakir Cetin A et al. Submandibular gland invasion and feasibility of gland-sparing neck dissection in oral cavity carcinoma. J Laryngol Otol 2018; 132: 446–451 Ärzte der medizinischen Fakultät der Universität in Izmir untersuchten Inzidenz und relevante Faktoren die mit der Beteiligung Unterkieferspeicheldrüse am Mundhöhlenkarzinom assoziiert sind. Insbesondere deswegen, um herauszufinden, ob in einem frühen Stadium des Plattenepithelkarzinoms der Mundhöhle die Möglichkeit besteht, die Unterkieferspeicheldrüse zu erhalten.

Submandibular gland invasion and feasibility of gland-sparing neck dissection in oral cavity carcinoma

2018 ◽  
Vol 132 (5) ◽  
pp. 446-451 ◽  
Author(s):  
A Cakir Cetin ◽  
E Dogan ◽  
H Ozay ◽  
O Kumus ◽  
T K Erdag ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Neck Dissection ◽  
Submandibular Gland ◽  
Early Stage ◽  
Primary Tumour ◽  
Floor Of Mouth ◽  
Direct Invasion ◽  
Oral Cavity Carcinoma ◽  
Tumour Location ◽  
Level I

AbstractObjective:This study investigated the incidence and routes of submandibular gland involvement in oral cavity carcinoma to determine the feasibility of submandibular gland sparing neck dissection.Methods:The records of 155 patients diagnosed with oral cavity squamous cell carcinoma, with a total of 183 neck specimens, including those involving level I, were reviewed retrospectively.Results:Submandibular gland involvement, via direct invasion from the anatomical proximity of T4a tumours, was evident in two patients. The floor of mouth location, either primarily or as an extension of the primary tumour, was the only risk factor for submandibular gland involvement in oral cavity carcinoma (p = 0.042). Tumour location, clinical and pathological tumour (T) and nodal (N) stages, and radiological suspicion of mandible invasion, were not found to be statistically relevant (p > 0.05).Conclusion:The results suggest the feasibility of preserving the submandibular gland in early stage oral cavity carcinoma unless the tumour is located in, or extends to, the floor of mouth.

scholarly journals Pathoradiological association between depth of invasion and neck node metastasis in oral cavity tumours

2019 ◽  
Vol 5 (5) ◽  
pp. 1240
Author(s):  
Shruti Venugopalan ◽  
Sejal N. Mistry ◽  
Yash D. Lavana ◽  
Manish R. Mehta ◽  
Paresh J. Khavdu
Keyword(s):  
Oral Cavity ◽  
Neck Dissection ◽  
Tertiary Care ◽  
Depth Of Invasion ◽  
Care Hospital ◽  
Neck Node ◽  
Node Metastasis ◽  
Oral Cavity Carcinoma ◽  
Neck Node Metastasis ◽  
Rule Out

<p class="abstract"><strong>Background:</strong> The aims of the study were to know whether the increase in the depth of invasion in oral cavity carcinoma assessed histopathologically and radiologically co-relates with neck node metastasis and to accurately co-relate the radiological thickness at which neck dissection is required.</p><p class="abstract"><strong>Methods:</strong> A retrospective study has been conducted over thirty patients with oral cavity carcinoma (buccal mucosa and tongue) in the time period of April 2018 to December 2018 who were operated in our tertiary care hospital.  </p><p class="abstract"><strong>Results:</strong> Depth of invasion is relatable histopathologically and radiologically, is directly proportional to neck node metastasis. Pre-operative radiology is a reliable modality to rule out the need of neck node dissection.</p><p><strong>Conclusions:</strong> Depth of invasion is directly proportional to the incidence of neck node metastasis and pre-operative radiology has been reliable to rule out the need of neck dissection and reduce its morbidity.</p>

scholarly journals The Role of Neck Dissection in Oral Cavity Carcinoma

Oral Diseases ◽  
2020 ◽  
Author(s):  
Alfredo Quintin Y. Pontejos Jr. ◽  
Daryl Anne A. del Mundo
Keyword(s):  
Oral Cavity ◽  
Neck Dissection ◽  
Oral Cavity Carcinoma

Oral cavity squamous cell carcinoma metastasis to the submandibular gland

2011 ◽  
Vol 126 (3) ◽  
pp. 279-284 ◽  
Author(s):  
T K Naidu ◽  
S K Naidoo ◽  
P K Ramdial
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Submandibular Gland ◽  
Squamous Cell ◽  
Early Stage ◽  
Primary Tumour ◽  
Submandibular Glands ◽  
Carcinoma Metastasis

AbstractIntroduction:This study aimed to evaluate the incidence of submandibular gland metastases in cases of oral cavity squamous cell carcinoma.Methods:Sixty-nine patients treated between 1 January 2004 and 30 June 2009 were retrospectively reviewed. Patients were treated with wide local excision of the primary tumour, plus simultaneous neck dissection and reconstruction if required.Results:Of 69 submandibular glands from 46 men and 23 women (mean age, 58 years), 43 (62.3 per cent) had advanced, tumour stage three or four lesions. Histopathological reappraisal of all submandibular glands demonstrated an absence of metastatic spread. Only 2/69 (2.9 per cent) submandibular glands demonstrated ipsilateral contiguous tumour involvement.Conclusion:This study demonstrated an absence of metastasis to the submandibular gland from oral cavity squamous cell carcinoma. Patients with early stage oral cavity squamous cell carcinoma and with a pre-operative node stage zero neck may be candidates for preservation of the submandibular gland during neck dissection.

scholarly journals Metastasis to the submandibular gland in oral cavity carcinoma

2006 ◽  
Vol 42 (10) ◽  
pp. 308-310 ◽  
Author(s):  
Masaya Okura ◽  
Takeshi Harada ◽  
Seiji Iida ◽  
Tomonao Aikawa ◽  
Mikihiko Kogo
Keyword(s):  
Oral Cavity ◽  
Submandibular Gland ◽  
Oral Cavity Carcinoma
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