IJSR - International Journal of Scientific Research

Dr. Nadimul Hoda; Dr. Rajani B.C.; Dr. K.S. Sabitha; Dr. Satadru Roy; Dr. Punit Singh Dikhit

Volume : VIII, Issue : VIII, August - 2019

INCIDENCE OF SKIP METASTASIS IN EARLY ORAL SQUAMOUS CELL CARCINOMA OF TONGUE– A SINGLE TERTIARY CANCER CENTER EXPERIENCE

Dr. Nadimul Hoda, Dr. Rajani B. C. , Dr. K. S. Sabitha, Dr. Satadru Roy, Dr. Punit Singh Dikhit

Abstract :

Tongue cancer is one of the most common cancers of the oral cavity seen most commonly in the western world. Cervical lymph node status is prime determinant of survival and tongue cancers demonstrate a propensity for skip metastasis. This study was mainly aimed to identify the incidence of skip metastasis in early tongue squamous cell carcinoma. A retrospective study of sixty one patients with biopsy proven Oral Squamous Cell Carcinoma of tongue was done. The patients underwent wide excision of primary lesion along with ipsilateral extended supraomohyoid neck dissection. A total of twenty six patients had occult nodal metastasis, of which 13 patients had isolated Level III and IV involvement. The study established the need for clearance of lower jugular nodal level during neck dissection for oncological safety even in early cases of tongue squamous cell carcinoma.