Prognostic Significance Of Involved Lymphnode Ratio in Predicting Recurrence and Survivval in Patients with Head and Neck squamous Cell Carcinoma An Analytical Study.

Prof M.Ramesh; Dr satishkumar maheswaran

Volume : VI, Issue : III, March - 2017

Prognostic Significance Of Involved Lymphnode Ratio in Predicting Recurrence and Survivval in Patients with Head and Neck squamous Cell Carcinoma An Analytical Study.

Prof M. Ramesh, Dr Satishkumar Maheswaran

Abstract :

Abstract: Metastatic involvement of cervical Lymph nodes is regarded as an important prognostic factor in head and neck cancer. Our study is aimed at analyzing the significance of involved Lymph node ratio(ILNR),in patients with head and neck squamous cell cancers. An ILNR of 0.16 reached statistical significance in our study, implying that patients with metastatic lymph node ratio more than 0.16 in our study, had reduced time to recurrence(p value 0.002), and DFS(p value 0.01) and distant metastasis free survival(p0.03) and decreased overall survival(0.04). Our analysis revealed that ILNR was an independent prognostic factor predicting recurrence and survival in patients with head and neck squamous cell carcinoma .We also analyzed from our study that ILNR was more significant in patients who were operated upfront than those following chemoradiation .