دورية أكاديمية
Predictors of recurrence in oral cavity cancer with clear surgical margins
| العنوان: | Predictors of recurrence in oral cavity cancer with clear surgical margins |
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| المؤلفون: | Mansi Agrawal, Vidya Konduru, Amit Jiwan Tirkey, Riju Jeyashant, Philip George, Dona Maria Philip, Chandramohan Setty, Kiran Kumar Devarkonda |
| المصدر: | Current Medical Issues, Vol 21, Iss 2, Pp 98-103 (2023) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | clear margins, head-and-neck squamous cell carcinoma, oral squamous cell carcinoma, recurrence, surgical margins, Medicine |
| الوصف: | Introduction: Oral cancers recur in a significant proportion of patients, in spite of aggressive treatment strategies. The presence of a clear surgical margin is an important predictor of recurrent disease, among others. Since oral cancers often recur in the absence of compromised margins, there is a need to study the factors affecting recurrence and overall survival outcomes where clear surgical margins have been achieved during upfront surgery. This study attempts to identify the significant predictors of locoregional recurrence in oral squamous cell carcinoma (OSCC) with pathologically clear surgical margins. Methodology: This retrospective study was done to study the clinicopathological parameters associated with recurrence of oral cavity squamous cell carcinoma (SCC) in patients with clear surgical margins operated in our unit between January 2010 and December 2015. A total of 526 cases of oral cavity SCC were analyzed and records of 160 cases with clear surgical margins were reviewed for clinical details, histopathological data, and follow-up status. Age, gender, subsite, T–N clinical and pathological staging, tumor depth of invasion, grade of differentiation, lymphovascular invasion, perineural spread, adjuvant therapy, and recurrence details were analyzed. Results: Lymphovascular Invasion was found to be a significant predictor for local recurrence in OSCC in both univariate and multivariate analysis. Median recurrence-free survival was 53.6 months. Conclusion: Despite the best efforts of the surgeon in obtaining adequate tumor-free margins and the most comprehensive adjuvant treatment, recurrence patterns in oral cancers continue to defy accurate prediction. Lymphovascular invasion could be an important predictor of recurrence for oral cavity cancers in patients with clear surgical margins that require aggressive management. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0973-4651 2666-4054 |
| العلاقة: | http://www.cmijournal.org/article.asp?issn=0973-4651;year=2023;volume=21;issue=2;spage=98;epage=103;aulast=AgrawalTest; https://doaj.org/toc/0973-4651Test; https://doaj.org/toc/2666-4054Test |
| DOI: | 10.4103/cmi.cmi_70_22 |
| الوصول الحر: | https://doaj.org/article/db3136f7a3574c7a8174803f13f7a0d0Test |
| رقم الانضمام: | edsdoj.b3136f7a3574c7a8174803f13f7a0d0 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 09734651 26664054 |
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| DOI: | 10.4103/cmi.cmi_70_22 |