Anshika, Mittal (2009) Pattern of Occult Lymph Nodal Metastasis to the Neck in Early Carcinoma Tongue with Clinically Negative Neck Nodal Status in Patients of Indian Origin presenting to a Tertiary Hospital. Masters thesis, Christian Medical College, Vellore.
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Abstract
A descriptive study was conducted in the department of General Surgery at Christian Medical College, Vellore. A total of 30 patients, who were diagnosed to have early carcinoma tongue (T1-2 N0M0) between July 2006 and August 2008, underwent wide local excision of the primary lesion and either modified radical neck dissection or radical neck dissection. Out of these 30 patients, 7(23.3%) were found to have occult metastasis to the neck lymph nodes. All of these nodal metastases were limited to the levels I, II and III lymph node groups. A univariant analysis of primary tumor histopathological characteristics revealed that the presence of perineural invasion, angiolymphatic invasion or an invasive growing front are factors significantly related to the presence of occult lymph nodal metastasis. As there is significant morbidity associated with modified radical neck dissection, a selective neck dissection (Levels I, II and III) may be an appropriate operation for early carcinoma tongue (T1-2 N0 M0).
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Pattern of Occult Lymph Nodal Metastasis ; Neck ; Early Carcinoma Tongue ; Clinically Negative Neck Nodal Status ; Patients ; Indian Origin ; Tertiary Hospital. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Devi S |
| Date Deposited: | 04 May 2018 03:39 |
| Last Modified: | 04 May 2018 03:39 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7428 |
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