Title: Clinical Outcome of Surgical Management in Oral Carcinoma
Authors: Dr Dharma Kishore, Dr Pandipati Santhi Sree, Dr Keerthi, Dr Sai Kiran
DOI: https://dx.doi.org/10.18535/jmscr/v7i8.146
Abstract
Background: The oral cavity is composed of seven sub-sites, namely the lip, oral tongue, alveolar ridge, retromolar trigone, floor of mouth, buccal mucosa, and hard palate.
Fifteenth most common malignancy according to the WHO. Oral cancer is predominantly a disease of middle age, Patients generally present in advanced stage, when early oral cancer is identified survival rates are comparatively greater. The present study aims to evaluate the various age, stage of presentation of carcinoma oral cavity, treatment strategies and the associated morbidity and mortality.
Materials and Methods: A prospective study was conducted on 20 patients of carcinoma oral cavity in the Department of General Surgery, Andhra medical college, King George Hospital, Visakhapatnam from March2017 to March2018. Patients presenting with symptoms suggestive of oral cancer were admitted, examined, investigated using CT, and operated during this period. Factors studied were, epidemiology and risk factors, mode of presentation, edge biopsy, CT findings, treatment, associated morbidity and mortality.
Results: Of the 20 patients studied 16 were male and 4were female, most common age group being 40-50 years. ulcers and growths were the most common modes of presentation. Most common site was the Buccal mucosa and Tongue presented in stage 2 and 3. Survival was related to age, T Stage, and N-Stage. The 5-year survival was 62 percent. .Most common histopathology was squamous cell carcinoma.
Conclusion: Rural people and low socioeconomic people should be well educated about risk factors which drastically reduces incidence of oral cancers.
Keywords: Ca oral, Edge biopsy, squamous cell carcinoma.
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