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ISSN 2221-2434 (Electronic)

2021, Number 4

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Finlay 2021; 11 (4)

Characterization of patients with oral cancer and its relationship with invasion in depth

Gil MJD, Maestre CJR, Martínez GK

Language: Spanish
References: 11
Page: 344-351
PDF size: 462.49 Kb.


ABSTRACT

Background: oral cancer is a challenge for any health system, integrating deep invasion as a factor, along with tumor size, allows effective staging and treatment.
Objective: to characterize patients treated at the Institute of Oncology and Radiobiology who underwent oral cavity surgery and to corroborate the prognostic factor of the depth of invasion.
Method: a descriptive, cross-sectional study was carried out in a series of cases in the Head and Neck Service of the Oncology and Radiobiology Institute, from January 2018 to December 2019. The data were obtained in the medical records; the statistical package SPSS 15.0 was used. The variables used were: age, sex, location and size of the tumor, lymph node metastasis, lymph node levels, treatment, current status, degree of differentiation, extranodal extension. Descriptive statistics procedures were used; the results are presented in tables of frequency and relation of variables in numbers and percentages.
Results: the most frequent age range was between 51-60 years old. The tongue was the most affected site, with a moderate degree of differentiation. There was a direct relationship between hidden lymph node metastasis and invasion in depth, demonstrating a direct proportionality between greater depth of invasion and the presence of lymph node metastases in the pathologist's evaluation.
Conclusions: the ages over 50 years old and the male sex were the most vulnerable to suffer from oral cancer, the tongue was the most affected anatomical site. There was a direct relationship between hidden lymph node metastasis and deep invasion.


REFERENCES

  1. García CM, Salas MS, Gil JM. Algunas consideraciones sobre etiología y fisiopatogenia del carcinoma epidermoide bucal. Medisur[Internet]. 2018[citado 4 Abr 2020];16(1):[aprox. 8p.]. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2018000100010.

  2. The American Joint Committee on Cancer. AJCC Cancer Stanging Manual. 8va Ed. New York:Springer;2017.

  3. González NE, Morales PP, Frómeta C, Ortiz R, Maestre JR, Pérez M, et al. Diagnóstico y tratamiento del cáncer de cabeza y cuello[Internet]. La Habana:ECIMED;2019[citado 15 Ene 2021]. Disponible en: https://www.bvscuba.sld.cu/libro/programa-integral-para-el-control-del-cancer-en-cuba-diagnostico-y-tratamiento-del-cancer-de-cabeza-y-cuello/.

  4. Koyfman SA, Ismaila N, Crook D, Cruz A, Rodríguez CP, Sher DJ, et al. Management of the neck in squamous cell carcinoma of the oral cavity and oropharynx: ASCO Clinical Practice Guideline. J Clin Oncol. 2019;37(20):1753-74.

  5. FDI World Dental Federation. Cancer oral prevención y gestión de pacientes[Internet]. Suiza:World Dental Federation;2018[citado 16 Dic 2020]. Disponible en: Disponible en: https://www.fdiworlddental.org/sites/default/files/2020-11/fdi-oral_cancer-prevention_and_patient_management-a4-es.pdf.

  6. O'Neill JP, Shah JP. SELF-assessment in Head and Neck surgery and oncology. 5ta Ed. Philadelphia:Elsevier;2015.

  7. Gallegos JF. Factores clínicos e histológicos que repercuten en el pronóstico de los pacientes con cáncer de la cavidad oral. An Otorrinol Mex[Internet]. 2017[citado 10 May 2020];62(3):[aprox. 12p.]. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=76528.

  8. Faisal M. Depth of invasion (DOI) as a predictor of cervical nodal metastasis and local recurrence in early stage squamous cell carcinoma of oral tongue. Plos One. 2018;13(8):e0202632.

  9. Miguel PA, Niño A, Batista K, Miguel PE. Factores de riesgo de cáncer bucal. Rev Cubana Estomatol[Internet]. 2016[citado 7 Sep 2020];53(3):[aprox. 12p.]. Disponible en: https://www.revestomatologia.sld.cu/index.php/est/article/view/1030/303.

  10. Rodríguez Y, Maestre JR, Naranjo A, Martínez Y. Manejo del paciente oncológico con cáncer de suelo de boca. Rev Cubana Otorrinolaringol Cir Cab Cuello[Internet]. 2019[citado 14 Feb 2020];20(3):[aprox. 4p.]. Disponible en: https://www.revotorrino.sld.cu/index.php/otl/article/view/100/195.

  11. Kattan MW, Hess KR, Amin MB, Lu Y, Moons KG, Gershenwald JE, et al. American Joint Committee on Cancer acceptance criteria for inclusion of risk models for individualized prognosis in the practice of precision medicine. CA Cancer J Clin. 2016;66(5):370-4.




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