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Analysis Study Research Paper | Dentistry | Jordan | Volume 12 Issue 6, June 2023 | Rating: 5.2 / 10
Original Article: Incidence of Neck Lymph Nodes Metastases at First Presentation of Patients Diagnosed with Oral Squamous Cell Carcinoma
Mohammed Suleiman Al Olaimat [2] | Osama S. Qaqish | Ghadeer M. Al-Zoubi | Abdallah A. Al-Zawahreh | Ahmad M. Khalayla | Saleh M. Alshurfat | Elham M. Alsharaiah
Abstract: Background: Neck lymph nodes metastases in oral squamous cell carcinoma are important diagnostic anticipators. Objective: To assess the incidence of neck lymph nodes metastases at first presentation of Jordanian patients diagnosed with oral squamous cell carcinoma. Methods: Our retrospective investigation included 100 patients, aged 29 - 66 years, of both genders and diagnosed with oral squamous cell carcinoma at King Hussein hospital, King Hussein medical city, Amman, Jordan, during the period Sept.2017 - Mar 2023. Incidence of neck lymph nodes metastases was determined (present or absent) using ultrasound, computed tomography and magnetic resonance imaging and were compared to the ultimate pathological findings of neck dissection metastases (present or absent). A score was recorded for lymph node size, configuration, clustering, peripheral enhancement, hilus sign, architecture, blood flow and central necrosis. Lymph nodes were positive if 2 of the following were found: pathological configuration, hilus sign, central necrosis, cluster, peripheral enhancement, architecture and blood flow (US and MRI). Histopathological specimens were positive if tumor cells were found in any of the lymph nodes indifferent of size or site where the respective side of the neck was positive. Results: Forty (40%) patients experienced neck lymph nodes metastases at first presentation. Fifty - eight (58%) patients had uni - or bilateral neck dissection. The combination of CT with MRI was optimum for staging neck lymph nodes in initial oral squamous cell carcinoma. The diameter of lymph nodes in US examinations was 1.6 - 36.7 mm (mean: 6.81 mm). The diameter of lymph nodes was 3.8 - 41.7 mm (mean: 10.8 mm) in CT and 3.6 - 40.5 mm (mean: 12.95 mm) in MRI. Regarding US, 20 sides were positive; computed tomography, 39 sides were positive and MRI, 21 sides were positive. Conclusion: The incidence of neck lymph nodes metastases at first presentation of Jordanian patients diagnosed with oral squamous cell carcinoma was forty percent but fifty - eight percent of all patients had neck dissection.
Keywords: oral squamous cell carcinoma, neck lymph node metastases
Edition: Volume 12 Issue 6, June 2023,
Pages: 1744 - 1747