Ultrasonography - Our Aid in Determining Patterns of Cervical Lymph Node
Metastasis in Site Specific Oral Cancers - A Retrospective Study
Divya Parimi*, Shiva Bharani and Subhalakshmi S
Department of Oral and Maxillofacial Surgery, College of Dental Science, Davanagere, India
*Corresponding Author: Divya Parimi, Department of Oral and Maxillofacial Surgery, College of Dental Science, Davanagere, India.
Received: December 08, 2022; Published: January 03, 2023
Abstract
Background: Oral squamous cell carcinomas account for nearly 90% of all cancers in the oral cavity, and has a characteristic predilection toward lymph node metastasis, occurring in about 40% of the patients. Ultrasound is a non-invasive modality used to image the cervical lymph nodes.
Objectives: To establish a connection between the site, side and size of the primary tumor and its predisposition for unilateral/bilateral cervical lymphatic spread.
Methods: A total of 50 patients who had reported to College of Dental Sciences, Davangere who were diagnosed with oral squamous cell carcinoma were studied retrospectively. Data was collected and analyzed using previous records based on clinical parameters and USG reports.
Results and Conclusion : The data analysis done put forth the following points
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Level IB is the most commonly involved lymph node in metastasis, while level V is involved least commonly.
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Irrespective of size of the growth, cancers of the tongue and floor of mouth have a higher tendency for bilateral spread in the neck.
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The chances of skip metastasis are considerably higher in cancers of the tongue and maxillary alveolus.
Keywords:Metastasis; Cervical; Lymph Node; Ultrasonography; Oral Cancer
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