The prevalence of lymph node metastasis in clinically negative neck (CNo) in Oral squamous cell carcinoma patients.
DOI:
https://doi.org/10.51253/pafmj.v76iSUPPL-1.13451Keywords:
Cervical metastasis, Elective neck dissections, Neck dissections, Occult metastasis, Oral cancer, Oral Squamous cell carcinoma.Abstract
Objective: This study aims to assess the prevalence of cervical lymph node metastasis in Oral squamous cell carcinoma patients with clinically negative necks.
Study design: A prospective cross-sectional study.
Place and Duration of study: Armed Forces Institute of Dentistry, Rawalpindi, one year (i-e) 1st Jan 2024 to 31st Dec 2024)
Methodology: A total of 50 (n=50) biopsy-proven oral squamous cell carcinoma patients with clinically negative necks, who had undergone Tumor resection along with elective neck dissections. Their post-operative histopathology reports were analyzed to assess cervical metastasis after applying inclusion and exclusion criteria of the study. Data was collected, entered, and analyzed through SPSS version 26.
Results: out of 50 patients (n=50), 16(32%) patients had histopathologically confirmed cervical metastasis despite CNo status. The frequency of cervical metastasis was reported in 32% of total patients selected for study. The highest frequency of metastasis was observed in buccal mucosa tumors 8 (50%) out of 16 patients, Alveolus 6 (37.5%) out 16 patients followed by tongue 2 (12.5%) out 16 patients who had metastasis. No cervical metastasis was recorded for lip tumors.
Conclusion: Overall higher prevalence was recorded in Oral Squamous cell carcinoma with clinically negative necks, which necessitates Elective Neck Dissections in high risk sites of oral cavity like buccal mucosa, Alveolus & tongue even with clinically negative necks.
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Copyright (c) 2026 Tariq Mahmood, Shafiullah Khan, Adnan Babar, Shahid Iqbal Khan, Muhammad Junaid, Ashar Waheed
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