Ganga, P (2022) A Prospective study of Management of Oral Cavity Cancers. Masters thesis, Stanley Medical College, Chennai.
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Abstract
INTRODUCTION: Any uncontrolled growth of cells that cause the adjacent tissue impairment and can invade is known as cancer. Oral cancer ensues with a small, unfamiliar, unexplained growth or sore in the subsites of oral cavity that include lips, cheeks, tongue, hard and soft palate, the floor of the mouth. In India there is a rapid increase in oral malignancy can be seen. Oral malignancy is altogether higher in south compared with the west, and is about 70% of all cases reported in India. The five-year survival rate is only 20%. Oral cavity cancers are the sixth most common in worldwide. It accounts up to 30% of cancers in India with the male female ratio is 2:1. AIM AND OBJECTIVES: 1. To study various management modalities of oral cancer in our hospital. 2. Comparison of different modalities of treatment in management of oral cancers. 3. Identify the risk factors associated with oral cancers. MATERIALS AND METHODS: The purpose of the study is to evaluate various management modalities for oral cancer in our hospital, comparison of different modalities of treatment in management of oral cancers and identify the risk factors associated with oral cancers. Type of study: Prospective study. Study period: 1 year 6 months. Settings: Department of ENT and Head and Neck Surgery, Govt Stanley Medical College and Hospital, Chennai-1, Department of Surgical Oncology and Radiotherapy, Govt Stanley Medical College and Hospital, Chennai-1, Department of Dental Surgery, Govt Stanley Medical College and Hospital, Chennai-1. INCLUSION CRITERIA: • Any patients having pathologically proven malignancy in any one or more sub site of oral cavity. • For all patients having oral cancers at any stage of presentation. • For patients having oral cancer at any age of presentation. EXCLUSION CRITERIA: • Terminally ill patients. • Patients not giving consent for study. • Patients not willing for treatment. SUMMARY AND CONCLUSION: ❖ The various cancers in the oral cavity are treated by surgery or radiation or surgery followed by radiation or radiation along with chemotherapy or a combination of all three modalities. ❖ Multimodal treatment had a better cure rate compared to single-modality treatment. ❖ Radiotherapy is more effective in the early stages and in combination with other modalities in the late stages. ❖ In all the treatment modalities all together there is significant symptomatic improvement noted for pain, trismus, and swallowing. ❖ Significant relation could not be found out between particular treatment modality and response of tumour, six weeks after completion of treatment. Response to various modalities of treatment varies from person to person, stage of presentation, and general condition of the patient and could not be generalized and compared. ❖ Betel nut chewing is the most common risk factor associated with oral cancers followed by alcohol, smoking, pan masala, spicy food, sharp tooth and chronic oral sepsis in the decreasing order.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221914052 |
| Uncontrolled Keywords: | Oral Cavity Cancers, Management, Prospective study. |
| Subjects: | MEDICAL > Otolaryngology > MEDICAL > Otolaryngology |
| Depositing User: | Subramani R |
| Date Deposited: | 03 May 2021 10:14 |
| Last Modified: | 17 Dec 2023 08:09 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/15761 |
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