Conventional Radiography and Computed Tomography in Assessment of Bony Invasion in Oral Cancer-A Comparative Evaluation with Final Histopathological Report
Gautam T, KSN Siva Bharani, Amith KP*, Shubhalakshmi SL and Deepa Kamath G
College of Dental Sciences, Davanagere, Karnataka, India
*Corresponding Author: Amith KP, College of Dental Sciences, Davanagere, Karnataka, India.
Received:
August 25, 2022; Published: September 20, 2022
Abstract
Background and objectives: Pre-treatment evaluation of patients with oral OSCC and identification in presence of extension of bony invasion, this is outstanding method to determine the treatment plan and prognosis. This study was carried out with a purpose to mould the accuracy of panoramic radiography, occipitomental view and computed tomography in diagnosis of bony invasion in patient planned to undergo surgery for histopathologically proven cases of OSCC.
Materials and Method: A Prospective study conducted from June 2020 to August 2020 in the Department of Oral and Maxillofacial surgery, College of Dental Sciences and hospital, Davangere, Karnataka, India. On 16 patients who are proven cases of OSCC histopathologically and underwent surgical resection of the tumour along with the adjacent hard tissue margins.
Results: As a part of pre-operative workup Panoramic radiographs for patients with oral squamous cell carcinoma of lower jaws, occipitomental radiographs for those of upper jaws and computed tomography scans in all the cases were performed. Consequently, the resected specimens with adjacent hard tissue margins were subjected to histopathological examination. The results concluded that CT is superior technique when compared to other imaging modalities as mentioned above.
Keywords: Oral Squamous Cell Carcinoma (OSCC); Computed Tomography (CT); Magnetic Resonance Imaging (MRI); Bone Scintigraphy (BS); Orthopantomogram (OPG); Single Photon Emission Computed Tomography (SPECT); Occipitomental View (OMV); Retromolar Trigone (RMT)
References
- Varshitha A., et al. “Prevalence of Oral Cancer in India”. Journal of Pharmaceutical Sciences and Research 10 (2015): 845-848.
- Handschel J., et al. “CT-scan is a valuable tool to detect mandibular involvement in oral cancer patients”. Oral Oncology 4 (2012): 361-366.
- Close , et al. “Computed tomography in the assessment of mandibular invasion by intraoral carcinoma”. Annals of Otology, Rhinology and Laryngology 95.4 Pt 1 (1986): 383-388.
- A P Lane., et al. “Use of computed tomography in the assessment of mandibular invasion in carcinoma of the retromolar trigone”. Otolaryngology - Head and Neck Surgery5 (2000): 673-677.
- Manjula BV., et al. “Prognostic and predictive factors in gingivo buccal complex squamous cell carcinoma: role of tumor budding and pattern of invasion”. Indian Journal of Otolaryngology and Head and Neck Surgery 1 (2015): 98-104.
- Jnanadev KR., et al. “Management of squamous cell carcinoma of the maxillary sinus”. Journal of Oral and Maxillofacial Pathology 2 (2017): 320.
- Depprich R., et al. “Evaluation of the quality of life of patients with maxillofacial defects after prosthodontic therapy with obturator prostheses”. International Journal of Oral and Maxillofacial Surgery 1 (2011): 71-79.
- Brown JS., et al. “Patterns of invasion and routes of tumor entry into the mandible by oral squamous cell carcinoma”. Head Neck4 (2002): 370-383.
- Vaassen , et al. “Bone invasion by oral squamous cell carcinoma: Molecular alterations leading to osteoclastogenesis - a review of literature”. Journal of Cranio-Maxillofacial Surgery 45.9 (2017): 1464-1471.
- Kushraj T., et al. “Bone invasion in oral cancer patients: a comparison between Orthopantamograph, conventional computed tomography, and single positron emission computed tomography”. Journal of Cancer Research and Therapeutics 4 (2011): 438-441.
- Vidiri A., et al. “Multi-detector row computed tomography (MDCT) and magnetic resonance imaging (MRI) in the evaluation of the mandibular invasion by squamous cell carcinomas (SCC) of the oral cavity. Correlation with pathological data”. Journal of Experimental and Clinical Cancer Research 29 (2010): 73.
- McGregor AD. “A classic paper revisited--Polya and von Navratil (1902)”. Head Neck Surgery6 (1987): 325-328.
- Linz C., et al. “Performance of cone beam computed tomography in comparison to conventional imaging techniques for the detection of bone invasion in oral cancer”. International Journal of Oral and Maxillofacial Surgery 1 (2015): 8-15.
- Hakim SG., et al. “Imaging of mandible invasion by oral squamous cell carcinoma using computed tomography, cone-beam computed tomography and bone scintigraphy with SPECT”. Clinical Oral Investigations 3 (2014): 961-967.
- Dreiseidler T., et al. “A comparison of multislice computerized tomography, cone-beam computerized tomography, and single photon emission computerized tomography for the assessment of bone invasion by oral malignancies”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 3 (2011): 367-374.
- Li C., et al. “Emission Computed Tomography for the Diagnosis of Mandibular Invasion by Head and Neck Cancers: A Systematic Review and Meta-Analysis”. Journal of Oral and Maxillofacial Surgery 9 (2015): 1875.e1.
- Brown JS., et al. “Patterns of invasion and routes of tumor entry into the mandible by oral squamous cell carcinoma”. Head Neck4 (2002): 370-383.
- Garg Ranjana., et al. “Comparison of waters’ view with computed tomography in assessing pathologies of maxillary sinus”. Baba Farid University Dental Journal2 (2011): 26-30.
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