Role of Clinical Palpation in Evaluation of Cervical Lymph Node in Oral Squamous Cell Carcinoma

2013 ◽  
Vol 1 (2) ◽  
pp. 02-06
Author(s):  
SM Anwar Sadat ◽  
Sufia Nasrin Rita ◽  
Shoma Banik ◽  
Md Nazmul Hasan Khandker ◽  
Md Mahfuz Hossain ◽  
...  

A cross sectional study of 29 cases of oral squamous cell carcinoma with or without  cervical lymph node metastasis was done among Bangladeshi patients from January 2006 to December 2007. Majority of the study subjects (34.5%) belonged to the age group of 40-49 years. 58.6% of the study subjects were male, while remaining 41.4% of them were female. 51.7% of the lesions were located in the alveolar ridge where the other common sites were buccal mucosa (27.6%) and retro molar area (13.8%). Half of the study subjects (51.7%) were habituated to betel quid chewing followed by 37.9% and 10.3% were habituated to smoking and betel quid-smoking respectively. Grade I lesions was most prevalent (75.9%) in the study subjects.  Majority of cases presented with Stage IV lesions (55.2%). The sensitivity, specificity, positive predictive value, negative predictive value & accuracy of clinical palpation method for determining metastatic cervical lymph nodes were 93.33%, 64.29%, 73.68%, 90% and 79.3% respectively. Careful and repeated clinical palpation plays important role in evaluation of cervical lymph nodes though several modern techniques may help additionally in the management of oral cancer.DOI: http://dx.doi.org/10.3329/updcj.v1i2.13978 Update Dent. Coll. j. 2011: 1(2): 02-06

2012 ◽  
Vol 18 (Number 1) ◽  
pp. 27-37
Author(s):  
S.M. A Sadat ◽  
Md. A Rahman ◽  
S N Rita ◽  
T Rahman ◽  
F Tauhid ◽  
...  

An observational study of 29 cases of oral squamous cell carcinoma with cervical lymph node metastasis was done among the patients attended in Dhaka Dental College and Hospital from January 2006 to December 2007. Majority of the patients (34.5%) belonged to the age group of 4049 years. 58.6% of the patients were male, while remaining 41.4% were female. 51.7% of the lesions were located in the alveolar ridge where the other common sites were buccal mucosa (27.6%) and retro molar area (13.8%). Half of the study subjects (51.7%) were habituated to betel quid chewing followed by 37.9% and 10.3% were habituated to smoking and betel quid-smoking respectively. The majority of the (SCC) cases presented as ulcers where others were exophytic and verrucous in nature. Grade I lesions was most prevalent (75.9%) in the patients. Majority of cases presented with Stage IV lesions (55.2%). The sensitivity, specificity, positive predictive value, negative predictive value & accuracy of Ultrasonographic technique for determining metastatic cervical lymph nodes were 93.33%, 50%, 66.7%, 87.5% and 72.4% respectively. Most of the patients are habituated with betel quid and or smoking and come in late stage of disease when treatment becomes difficult. Sonographic evaluation can improve the diagnosis of metastatic cervical lymph nodes in patients with oral squamous cell carcinoma. Early diagnosis is expected for good outcome of the disease.


Diagnostics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 199
Author(s):  
Johannes Laimer ◽  
Anke Lauinger ◽  
Otto Steinmassl ◽  
Vincent Offermanns ◽  
Astrid E. Grams ◽  
...  

Cervical lymph node metastases in oral squamous cell carcinoma (OSCC) are key predictors of disease specific survival. It was therefore the aim of this study to evaluate how much imaging is minimally needed for reliable and efficient identification of cervical lymph node metastases. In this retrospective cross-sectional study, results (metastasis yes/no) of ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) were compared to the final histopathological results of the corresponding neck dissection (ND) specimens (metastasis yes/no). A score was calculated to account for cervical lymph node size, shape, clustering, peripheral enhancement, hilus sign, architecture, blood flow, and central necrosis. Sensitivity and specificity were analyzed for each imaging technique separately. In 164 patients diagnosed with OSCC, 96 underwent uni- or bilateral ND (122 ND in total). One hundred percent sensitivity was achieved by CT+MRI, MRI+PET, US+CT+MRI, US+MRI+PET, CT+MRI+PET, and US+CT+MRI+PET. The highest specificity was realized by US with 79% (95% CI [0.698–0.890]). Specificity for CT+MRI and PET+MRI was 51% (95% CI [0.359–0.665]) and 70% (95% CI [0.416–0.984]), respectively. Regarding 100% sensitivity with acceptable specificity, the combination of CT+MRI or PET+MRI appeared to be suitable for staging cervical lymph nodes in primary OSCC.


2019 ◽  
Vol 6 (2) ◽  
pp. 69-72
Author(s):  
Mohammad Ahtashamul Haque ◽  
Uday Kumar Goswami ◽  
Md Mostafijur Rahman ◽  
Mohammad Wahidul Islam ◽  
Md Mahboob Morshed ◽  
...  

Background: Primary Oral Squamous Cell Carcinoma can metastasize in the cervical lymph nodes. Objective: The purpose of the present study was to see the association of Anneroth’s scoring and frequency of cervical lymph node metastasis among primary oral squamous cell carcinoma patients. Methodology: This cross sectional study was conducted in the Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital, Dhaka, Bangladesh from November 2009 to December 2010 for a period of one year. Patients attending in the place of study with diagnosed case of oral squamous cell carcinoma were selected for the study after fulfilling the inclusion criteria. The resected primary lesion and neck lymph nodes were sent for histopathological examination. Histopathological grading of the primary lesion was done and neck lymphodes were graded as metastatic and non-metastatic. Results: This prospective study with 50 cases of oral squamous cell carcinoma was taken of which 28 cases were non-metastasis tumor. Each case was graded according to TNM classification, Broder’s grading and Anneroth’s classification. Both Anneroth’s classification (p=0.002) and Broder’s grading (p=0.017) were significant but Anneroth’s one was more significant than Broder’s. Conclusions: There is an association between Anneroth’s grading system with lymph node metastasis. Journal of Current and Advance Medical Research 2019;6(2): 69-72


Toukeibu Gan ◽  
2014 ◽  
Vol 40 (4) ◽  
pp. 437-442
Author(s):  
Shin-ichi Yamada ◽  
Souichi Yanamoto ◽  
Hidenori Takahashi ◽  
Yuki Matsushita ◽  
Tomofumi Naruse ◽  
...  

Cancer ◽  
2009 ◽  
Vol 115 (7) ◽  
pp. 1489-1497 ◽  
Author(s):  
Shao Hui Huang ◽  
David Hwang ◽  
Gina Lockwood ◽  
David P. Goldstein ◽  
Brian O'Sullivan

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