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International Journal of Morphology

On-line version ISSN 0717-9502

Abstract

AGARWAL, A. K; SETHI, Ashwani; SAREEN, Deepika  and  DHINGRA, Shruti. Oral and Oropharyngeal Squamous Cell Carcinoma in Our Population: The Clinic-Pathological and Morphological Description of 153 Cases. Int. J. Morphol. [online]. 2011, vol.29, n.3, pp.686-693. ISSN 0717-9502.  http://dx.doi.org/10.4067/S0717-95022011000300004.

Oral cavity and oropharynx are one of the commonest sites for cancers in our population due to a high prevalence of tobacco use, especially chewing, in our country. The objective of this study was to prospectively assess the clinico-pathological and morphological aspects of the patients presenting to us with these malignancies. We studied 153 patients with oral and oropharyngeal squamous cell carcinoma who were managed in the department of otolaryngology and head and neck surgery between January 2006 and December 2007 at Maulana Azad Medical College and associated hospitals in New Delhi. There were 127 male patients (83%) and 26 females (17%) with ages ranging from 22 years to 70 years. One hundred and eleven patients (73%) presented with oral cavity and 42 patients (27%) with oropharyngeal carcinomas. Most common site of presentation in the oral cavity was the buccal mucosa, whereas, base of tongue was the commonest site in the oropharynx. Amongst the oral cavity cancers, 51 each (46% each) were well differentiated and moderately differentiated, whereas, 9 (8%) were poorly differentiated cancers. However, amongst the oropharyngeal cancers, 27 (64%) were moderately differentiated and 15 (36%) were poorly differentiated. Overall, 73 patients presented with lymphadenopathy on presentation, out of which, 44 patients were those with oral cavity and 29 with oropharyngeal cancers. There was a significant correlation between the site (i.e. oral cavity or orophaynx) and lymphadenopathy on presentation. Fifty nine patients (39%) presented to us with early stage disease (i.e. stage I and II), whereas, 94 patients (61%) presented with late stage disease (i.e. stage III and IV). There was a significant correlation between the site (i.e. oral cavity or oropharynx) and stage at presentation.

Keywords : Squamous cell carcinoma; Oral cavity; Oropharynx; Head and neck.

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