Year : 2019 | Volume
: 10 | Issue : 1 | Page : 8--12
Metastatic involvement of level IIb nodal station in oral squamous cell carcinoma: A clinicopathological study
Partha S Chakraborty1, Ashok Kumar Das2, Ashutosh Vatsyayan3, Tashnin Rahman2, Rajjyoti Das2, Seemanta Kumar Medhi2, Kishore Das2, Jagganath Dev Sharma4
1 Department of Oral and Maxillofacial Surgery, Regional Dental College and Hospital, Guwahati, Assam, India
2 Department of Head and Neck Oncology, Dr. Bhubaneswar Borooah Cancer Institute, Guwahati, Assam, India
3 Department of Head and Neck Surgical Oncology, HCG Cancer Centre, Ahmedabad, Gujarat, India
4 Department of General Pathology, Dr. Bhubaneswar Borooah Cancer Institute, Guwahati, Assam, India
Background: The purpose of this study was to determine the prevalence of Level IIb metastasis in patients with oral squamous cell carcinomas (OSCCs).
Materials and Methods: A total of 110 newly diagnosed oral cavity cancer patients requiring surgery as the primary modality were included in the study. Preoperative clinical examinations were done and tumor-node-metastasis staging was noted. Intraoperatively, Level IIb nodal tissue was dissected and sent separately.
Results: A total of 129 neck dissections (58 SOHD, 67 modified neck dissections, and 4 radical neck dissections) were carried out in 110 patients (males = 80 and females = 30), 91 patients required unilateral neck dissection, and 19 patients required bilateral neck dissection. Out of these 129 neck dissections, only 4 (3.2%) neck dissections (in a total of 3 patients out of 110 patients) had Level IIb positive (with bilateral Level IIb involvement in one patient).
Conclusions: Dissection of the Level IIb region in patients with OSCC may be required only in cases with advanced N stage, positive Level IIa lymph nodes, and extracapsular spread. Furthermore, in tongue cancers (high propensity of isolated Level II involvement), retromolar trigone, and floor of mouth cancers, routine Level IIb clearance should be considered.
Dr. Ashutosh Vatsyayan
Department of Head and Neck Oncology, HCG Cancer Centre, Sola-Science City Road, Off S.G Highway, Ahmedabad, Gujarat
|How to cite this article:|
Chakraborty PS, Das AK, Vatsyayan A, Rahman T, Das R, Medhi SK, Das K, Sharma JD. Metastatic involvement of level IIb nodal station in oral squamous cell carcinoma: A clinicopathological study.Natl J Maxillofac Surg 2019;10:8-12
|How to cite this URL:|
Chakraborty PS, Das AK, Vatsyayan A, Rahman T, Das R, Medhi SK, Das K, Sharma JD. Metastatic involvement of level IIb nodal station in oral squamous cell carcinoma: A clinicopathological study. Natl J Maxillofac Surg [serial online] 2019 [cited 2019 Dec 7 ];10:8-12
Available from: http://www.njms.in/article.asp?issn=0975-5950;year=2019;volume=10;issue=1;spage=8;epage=12;aulast=Chakraborty;type=0