Research Article
Volume 17 Issue 6 - 2018
Prevalence of Cervical Lymph Node Metastasis of Maxillary Squamous Cell Carcinoma: Correlation between Clinical and Imaging Studies
Md Mostafijur Rahman*
Lecturer, Department of Maxillofacial Surgery, Dhaka Dental College, Dhaka, Bangladesh
*Corresponding Author: Md Mostafijur Rahman, Lecturer, Department of Maxillofacial Surgery, Dhaka Dental College, Dhaka, Bangladesh.
Received: February 22, 2018; Published: May 11, 2018
Citation: Md Mostafijur Rahman., et al. “Prevalence of Cervical Lymph Node Metastasis of Maxillary Squamous Cell Carcinoma: Correlation between Clinical and Imaging Studies”. EC Dental Science 17.6 (2018): 772-779.
Abstract
Background: Cancer of the oral cavity is one of the most devastating disease to afflict the head and neck causing significant disfigurement of the patient with severe morbidity and mortality. Oral cancer is a particularly challenging disease whose nature and management relates with the function and cosmesis of patients. Despite all of the improvements in diagnostic and management methods the prognosis of oral cancer remains unpredictable. Squamous cell carcinoma is the most common type of tumor among cancers in the oral cavity. In India cancer of the oral cavity is one of the five leading sites of cancer in either sex. On the basis of the cancer registry data, it can be estimated that annually 75000 - 80000 new oral cancer cases develop in India and only 15% of patients are diagnosed when the disease is at a localized stage. Tongue and floor of the mouth cancers form the bulk of cancers in the west. Oral cancer is responsible for 20% of all malignancies in Bangladesh. Incidence of oral cancer in Bangladesh is 20 - 25% in male and 16 - 17% in female. Several studies have been done on the metastasis of squamous cell carcinoma of the tongue/mouth floor and, in particular, on prophylactic neck dissection for tongue cancer. Only a few investigations have been done into the metastasis of squamous cell carcinoma of the upper jaw. But it is striking that the incidence of cervical lymph node metastasis from cancer of the maxilla is significant. Controversis about treatment of squamous cell carcinoma of the maxilla have not been Settled. The main obstacle is to compare the results is a lack of information of the stage of the patients. During the last two decades, several TNM staging systems for maxillary tumors have been proposed and yet come to agreement. We have found that computed tomography (CT) and Ultrasonography (USG) was very accurate in staging of the primary tumors. While clinical staging using conventional radiological methods is less satisfactory, CT and USG staging is as good as surgical staging. Therefore, it may be appropriate to herein report that making a good surgical plan correlation of clinical and imaging study in assessing nodal status may give unavoidable clues.
Objectives: To evaluate cervical lymph node metastasis in maxillary squamous cell carcinoma.
Study Design: Hospital based cross sectional study.
Study Setting and Period: Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital from January 2010 to June 2011.
Participants: Patient attending in the place of study with diagnosed case of oral squamous cell carcinoma of maxilla was selected for the study on fulfilling the inclusion criteria.
Keywords: Cervical Lymph Node; Squamous Cell Carcinoma; Computed Tomography (CT); Ultrasonography (USG)
Copyright: © 2018 Md Mostafijur Rahman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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