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CLINICO-PATHOLOGICAL STUDY OF 64 CASES WITH ORAL CAVITY SEQUEMUS CELL CARCINOMA
Qais Habeeb Mussa1, Ali AL-Temimi2
ABSTRACT Background: Cancers of the oral cavity account for 3% of all the body cancers& usually includes cancer of the lip, tongue, floor of the mouth, alveolar mucosa, salivary glands, and other sites in the mouth 90% of oral or pharyngeal cancers are squamous cell in origin Objective: The purpose of this paper is to discuss and evaluate the surgical treatment and the outcome from a series of 64 cases with oral cavity sequemus cell Carcinoma according the staging & histopathology results Methods: This study represent the simple experience of authors in treatment of 64 cases with oral cavity sequemus cell carcinoma in the period between January 2004 to November 2008 at AL-Hilla general teaching Hospital maxillofacial department & AL-Abass private Hospital in karbala city. The treatment plans selection depend on details patient history, investigation (plane X-ray,CT,MRI,US & biopsy). Different surgical techniques were used depended on histopathology & staging of the tumor as resection with immediate reconstruction by local, regional or distance flap. Most of cases the neck treated by different types of neck dissection as (radical, modified &selective) fallowed by radiotherapy Results: 64 patient are recorded in this study complains from different types of oral cavity sequemus cell carcinoma, 42 were males constituting 65.6% while 22 were females constituting 34.4% the youngest patients was 19 years, while the oldest one was 83 years & the mean age was 51 years the percentage of each site as the fallow (26.5% at lateral border of tongue, 25% lower lip, 18.7% upper alveolar mucosa, 12.5% buccal mucosa, 4.6% for retromolar area, upper lip & lower alveolar mucosa, 3.1% floor of the mouth ) the stage 2 has the greatest percentage & represent 42% fallow by stage 1 which represent 28%, stage 3 represent 15%& stage 4 represent 14%. The recurrence occurs in 7 cases with poorly differentiated histopathology in different period postoperative& occurs in young patient's more than old groups. Conclusion: most of oral cancer cases not reaches maxillofacial centers in early stages due to defect in referral system & education of people about the maxillofacial surgery as a surgical branch dealing with treatment of such cases therefore improving this system play important role in early diagnosis, treatment & prognosis. The site, stage & age are the most important factors affected the treatment plan selection & prognosis. 1Babylon University College of dentistry (chairman of oral & maxillofacial surgery department) 2 Babylon University College of medicine (professor of pathology) Department: Oral &maxillofacial surgery Qualification: FIMCS Specialty: maxillofacial surgery Address: Babylon city Iraq E-mai : qais8691@yahoo.com
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