Management of the neck and regional recurrence in squamous cell carcinoma of the maxillary alveolus and hard palate compared with other sites in the oral cavity

Head & Neck ◽  
2012 ◽  
Vol 35 (2) ◽  
pp. 265-269 ◽  
Author(s):  
James S. Brown ◽  
Fazilet Bekiroglu ◽  
Richard J. Shaw ◽  
Julia A. Woolgar ◽  
Simon N. Rogers
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Hard Palate ◽  
Regional Recurrence

scholarly journals Rehabilitasi Pasien Karsinoma Sel Skuamosa Pasca Bedah Menggunakan Obturator dengan Magnet

2012 ◽  
Vol 19 (2) ◽  
pp. 141
Author(s):  
Fahmi Yunisa ◽  
Murti Indrastuti ◽  
Suparyono Saleh
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Nasal Cavity ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Soft Palate ◽  
Hard Palate ◽  
Normal Function ◽  
Postoperative Rehabilitation ◽  
Obturator Prosthesis

Latar Belakang. Tindakan pembedahan pada pasien dengan kanker rongga mulut dapat mengakibatkan terjadinya defek di area intra oral dan maksillofasial. Defek tersebut dapat mengakibatkan terganggunya fungsi normal rongga mulut, yaitu mengunyah, bicara dan estetis, serta mengurangi rasa percaya diri. Untuk megatasinya diperlukan rehabilitasi fungsi rongga mulut berupa pembuatan obturator. Tujuan. Rehabilitasi defek pasca bedah pada pasien karsinoma sel skuamosa yang melibatkan palatum keras, sebagian palatum lunak, rongga hidung dan sinus maksilaris. Laporan Kasus dan Penatalaksanaan. Seorang pasien laki-laki, usia 74 tahun, datang ke klinik prostodonsia RSGM UGM, atas rujukan dari RSUP Dr Sardjito Yogyakarta, untuk dibuatkan hidung dan penutup untuk langit-langit mulutnya yang terbuka. Pasien merasa malu karena kondisi hidungnya yang hilang dan terbuka, serta susah untuk menelan makanan dan jika berbicara kurang jelas karena langit-langit mulutnya juga hilang/terbuka. Pasien telah menjalani operasi pembedahan hidung dan palatum, karena terdiagnosa karsinoma sel skuamosa. Pemeriksaan obyektif menunjukkan terdapat defek yang cukuo besar pada rongga hidung dan palatum durum dan sebagian palatum molle. Gigi yang tersisa pada rahang atas hanya gigi 23. Perawatan yang dilakukan adalah dengan pembuatan protesa hidung dan obturator. Obturator dibuat dari bahan resin akrilik dengan klamer C pada gigi 23. Untk menambah kekuatan retensi maka ditambahkan magnet di fitting surface obturator yang dilekatkan dengan protesa hidung. Kontrol dilakukan 1 bulan kemudian. Pasien merasa nyaman menggunakan obturator dengan penguat magnet pada protesa hidung. Pasien bisa menelan makanan dan bicaranyapun sudah lebih jelas. Pasien juga merasa obturatornya tidak mudah lepas, ketika menelan makanan maupun saat berbicara. Kesimpulan. Penggunaan obturator dengan magnet dapat mengembalikan fungsi normal rongga mulut akibat defek pasca bedah, serta mengembalikan rasa percaya diri pasien. Background. Surgery in patients with cancer of the oral cavity can result in defects in the area of intra-oral and maxillofacial. Defects can lead to discruption of the normal functions of the oral cavity, ie chewing, talking and aesthetic, as well as reducing confidence. In order to fix the function, the patient needed rehabilitation of oral function such as the manufacture of the obturator. Objective. Postoperative rehabilitation defects in patients with squamous cell carcinoma involving the hard palate, part soft palate, nasal cavity and the maxillary sinus. Case Report and Management. A male patient, aged 74, came to the clinic of prosthodontics Gadjah Mada University Dental Hospital, upon referral from the Dr. Sardjito Hospital Yogyakarta. He wanted to make the nose and the cover for his open mouth roof. He feels embarrassed because of the condition of his nose was missing and open, as well as difficult to swallow food and if he talk was less obvious because of the condition of his nose was missing and open, as well as difficult to swallow food and if he talk was less obvious because the roof of his mouth is also missing/open. He had undergone nose and palate surgery, as diagnosed squamous cell carcinoma. The objective examination shows that there substantial defects in the nasal cavity and hard palate and part of the soft palate. The remaining teeth in the upper jaw only element 23. The treatment that performed in this patient was making the nose and obturator prosthesis. Obturator is made of acrylic resin with C clamer on teeth 23. In order to add strength retention, there was addition of magnet on the obturator fitting surface that attached to the nose prosthesis. The control performed one month later. Patient feels comfortable using the obturator prosthesis with magnetic on nose prosthesis. He can already swallow food again and the talk has been clearer. He also feels comfort since the obturator was not easily escape, while swallowing food or speaking. Conclusion. The use of the obturator with magnets can restore the normal function of the oral cavity caused by post-surgical defect and restore the confidence of the patient.

Spindle Cell Carcinoma of the Tongue: Fallacies in Its Diagnosis

2018 ◽  
Vol 3 (02) ◽  
Author(s):  
Amrit Kaur Kaler, Shweta C, Smitha Chandra B.C, Rajeev Naik
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Cell Population ◽  
Squamous Cell ◽  
Spindle Cell ◽  
Spindle Cell Carcinoma ◽  
Biphasic Tumor ◽  
Carcinoma Of The Tongue ◽  
Ihc Markers

Spindle cell carcinoma is a rare aggressive biphasic tumor, composed of neoplastic proliferation of both epithelial (squamous) and spindle cell population. It constitutes about 1% of all oral cavity tumors 2a and is almost rare on the tongue; only few cases have been reported so far. This variant of squamous cell carcinoma, comprises major diagnostic problems due to its varied histomorphology and resemblance to sarcomatous lesion; hence diligent screening and IHC markers are mandatory for its diagnosis.

PD-L1 and survival in oral cavity squamous cell carcinoma

2020 ◽  
Vol 25 (4) ◽  
pp. 287-294
Author(s):  
S. I. Kutukova ◽  
N. P. Beliak ◽  
G. A. Raskin ◽  
M. S. Mukhina ◽  
Yu. V. Ivaskova ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Tumor Cells ◽  
Squamous Cell ◽  
Immune Cells ◽  
Negative Impact ◽  
Progression Free Survival ◽  
Negative Effect ◽  
Effect Of Pd

Relevance. Prognostic value of PD-L1 expression in oral cavity squamous cell carcinoma (OCSCC) and its effect on survival is still controversial. It should be to determine the prognostic role of PD-L1 expression on tumor and immune cells of OCSCC and assess their effect on overall survival (OS) and progression-free survival (PFS).Materials and methods. A prospective study included 145 patients, first diagnosed with OCSCC. PD-L1 expression on tumor and immune cells, infiltrating tumor and its microenvironment, was assessed in all tumor samples by IHC, CPS was calculated. Cut-off values were determined by ROC analysis for identification of PD-L1 expression effect on OS and PFS.Results. Most patients with oral mucosa squamous cell carcinoma showed positive expression of PD-L1 on tumor (77.2%) and immune cells (92.4%). The median PD-L1 expression on tumor cells was 13.5% [1.0-40.0], the median PD-L1 expression on immune cells was 5.0% [1.0-11.0], and the median CPS – 18.0 [3.0-7.8]. Univariate and multivariate analyses revealed a significant negative effect of PD-L1 expression on immune cells ≤ 7% on OS (HR 0.66; 95% CI 0.45-0.93; p = 0.0498); PD-L1 expression in tumor cells ≤ 15% (HR 0.65; 95% CI 0.43-0.98; p = 0.0416) and CPS ≤ 21 (HR 0.62; 95% CI 0.44-0.92; p = 0.0183) for PFS. PD-L1 expression in tumor cells ≤ 6% (HR 0.71; 95% CI 0.47-1.08; p = 0.1096) and CPS ≤ 7 (RR 0.67; 95% CI 0.44-1.01; p = 0.0575) had a confident tendency to negative impact on OS.Conclusion. Positive PD-L1 expression in tumor and immune cells as well as CPS are effective additional factors in the prognosis of the disease course, OS and PFS in patients with OCSCC.

The Length of Peri-Neural Spreading in Clinically Mandibular Invaded Oral Cavity Squamous Cell Carcinoma

2020 ◽  
pp. 459-464
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Lymphovascular Invasion ◽  
Perineural Invasion ◽  
Inferior Alveolar Nerve ◽  
Surgical Margin ◽  
Neural Invasion ◽  
Resected Margin

Background: The objective of surgical management of oral squamous cell carcinoma (OSCC) is adequate resection with a clear margin. However, there is still a debate as to the optimal length for a mandibular resected margin. Objective: To examine the length of peri-neural spreading in T4 mandibular invaded oral cavity squamous cell carcinoma. Materials and Methods: Twenty-eight T4 pathological OSCC specimens that involved mandible and serial slices were studied and the length of tumor spreading along the inferior alveolar nerve (IAN) was determined. Tumor characteristics, risk factors, and survival were analyzed. Results: The incidence of peri-neural invasion was 11.11%, and IAN invasion was found in 14.29% of the tumor-invaded mandibular marrow. The length of tumor spreading along IAN was 3 to 12 mm. Poor prognostic factors of T4 OSCC were it being located on the tongue (HR 14.16), was pathological N2-3 (HR 31.05), and had high-risk features such as peri-neural invasion, lymphovascular invasion, and extra-nodal extension. Conclusion: A mandibular resected margin of at least 18 mm is recommended as a clear surgical margin in cases of T4 mandibular invasion OSCC. Keywords: Oral cancer, Perineural invasion, Inferior alveolar nerve, Squamous cell carcinoma, Mandibulectomy

Comparative E-Cadherin Digital Expression Analysis in HPV and non-HPV Related Squamous Cell Carcinoma of the Oral Cavity

2021 ◽  
Vol 41 (1) ◽  
pp. 163-167
Author(s):  
ARISTEIDIS CHRYSOVERGIS ◽  
VASILEIOS PAPANIKOLAOU ◽  
NICHOLAS MASTRONIKOLIS ◽  
DESPOINA SPYROPOULOU ◽  
MARIA ADAMOPOULOU ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Expression Analysis ◽  
Squamous Cell ◽  
Digital Expression ◽  
Digital Expression Analysis ◽  
E Cadherin

Immunophenotypic Analysis of Normal Mucosa and Squamous Cell Carcinoma of the Oral Cavity

1999 ◽  
Vol 23 (1) ◽  
pp. 45-56 ◽  
Author(s):  
Jozsef Piffko ◽  
Agnes Bankfalvi ◽  
Ulrich Joos ◽  
Dietmar Ofner ◽  
Melanie Krassort ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Normal Mucosa ◽  
Immunophenotypic Analysis

scholarly journals Neoadjuvant immunotherapy in resectable head and neck cancer: oral cavity carcinoma as a potential research model

2021 ◽  
Vol 13 ◽  
pp. 175883592098406
Author(s):  
Vanesa Gutiérrez Calderón ◽  
Alexandra Cantero González ◽  
Laura Gálvez Carvajal ◽  
Yolanda Aguilar Lizarralde ◽  
Antonio Rueda Domínguez
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Head And Neck ◽  
Surgical Resection ◽  
Squamous Cell ◽  
Immune Checkpoint ◽  
Immune Checkpoint Inhibitors ◽  
Checkpoint Inhibitors ◽  
Research Model

Squamous cell carcinoma of oral cavity (OCSCC) accounts for approximately 25% of cases of head and neck squamous cell carcinoma (HNSCC). Tobacco and alcohol consumption are the main risk factors for both cancers. Surgical resection, combined with adjuvant radiotherapy or radiochemotherapy in patients with high risk of relapse, is the key element in management in the initial stages. However, despite the availability of aggressive multidisciplinary treatments, advanced resectable OCSCC carries poor prognosis; only half of the patients are disease-free 5 years after the surgery. Immunotherapy based on the use of immune checkpoint inhibitors has been proven to be effective in a wide variety of tumours, including recurrent and metastatic HNSCC. These positive results resulted in investigations into its effectiveness in earlier stages of the disease with OCSCC emerging as an interesting research model because of the accessible location of the tumours. This article reviews the potential advantages of emerging immunotherapeutic agents [mainly monoclonal antibodies against programmed cell death-1 ( PD-1) immune checkpoint inhibitors] as neoadjuvant treatment for OCSCC at locoregional stages as well as the ongoing clinical trials, challenges in evaluating tumour response, and possible predictive biomarkers of response with highlights regarding the role of oral microbiota as modulators of immune response. The efficacy and safety of anti- PD-1 drugs in these patients have been proven in preliminary trials. If there is a decrease in the relapse rate and an improvement in the overall survival after surgical resection in ongoing trials, preoperative immunotherapy may be established as a treatment option for patients with early stages of the disease.

Outcomes of primary radiotherapy with or without chemotherapy for advanced oral cavity squamous cell carcinoma: A systematic review

Head & Neck ◽  
2021 ◽  
Author(s):  
Petra V. Membreno ◽  
Jordan B. Luttrell ◽  
Madhu P. Mamidala ◽  
David L. Schwartz ◽  
D. Neil Hayes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Primary Radiotherapy

Second primary tumours after squamous cell carcinoma of the oral cavity

2021 ◽  
Author(s):  
Maria T. Brands ◽  
Gaby Campschroer ◽  
Matthias A.W. Merkx ◽  
André L.M. Verbeek ◽  
Boukje A.C. van Dijk ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Second Primary ◽  
Second Primary Tumours
Sign in / Sign up

Export Citation Format

Share Document