DYSPLASTIC CHANGES AT POST EXCISION SCAR SITE, IN ORAL SQUAMOUS CELL CANCERS - AN ANALYTICAL STUDY.

Prof M.Ramesh; Dr Maheswaran Satishkumar

Volume : VII, Issue : V, May - 2018

DYSPLASTIC CHANGES AT POST EXCISION SCAR SITE, IN ORAL SQUAMOUS CELL CANCERS - AN ANALYTICAL STUDY.

Prof M. Ramesh, Dr Maheswaran Satishkumar

Abstract :

Oral squamous cell cancers are one of the most common cancers affecting the Indian population with various prognostic factors which determine the pattern of recurrence, progression and response to treatment. We conducted an analytical study with 112 patients who were operated in our hospital from January 2017 to January 2018. The study is a prospective analytical study. Statistical significance was drawn using Chi square test and p value, calculating degree of freedom with a 2x2 contingency table.Results: of the 112 patients analysed , 21 patients had no dysplasia, 54 patients had mild dysplasia , 20 patients had moderate dysplasia and 17 patients had severe dysplasia .Out of this 17 cases of severe dysplasia, 11 cases had recurrence with in a year and only 2 patients who did not have dysplasia , recurred. Of these 17cases,14 cases were post RT and 3 cases were operated upfront. Conclusion: Presence of severe dysplasia at the post excision scar site in oral squamous cell carcinomas is strongly associated with recurrence.