Squamous Cell Carcinoma of the Superior Gingivobuccal Sulcus: An 11-Year Institutional Experience of 203 Cases

Dewan, Ajay Kumar; Dabas, Surender; Pradhan, Tapaswini; Mehta, Sandeep; Dewan, Abhinav; Sinha, Rajesh Kumar

doi:10.1093/jjco/hyu088

Cited by 9 publications

(7 citation statements)

References 11 publications

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“…Study is comparable with study of Nayak et al [14] and Lekawale et al [15] From these studies, it is found that most of the SCCs of oral cancer patients present at fifth decade of age. In this study male-to-female ratio was 5:1, which is comparable with that in studies conducted by Iype et al [6] and Dewan et al [16] In this study, the incidence of SCC of the gingivobuccal complex was recorded to be maximum in businessmen (23.33%) followed by housewives and labourers (13.33% each). The is compared with other similar studies.…”

Section: Discussionsupporting

confidence: 90%

A Clinico-Pathological Study of Squamous Cell Carcinoma of Gingivobuccal Complex in Punjab

Pervej¹,

Singh²,

Singh³

et al. 2018

jemds

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BACKGROUND Head and neck cancers are among the 10 most frequent cancers and are the sixth most common cancers worldwide. Among these cancers, oral cavity in general and gingivobuccal complex in particular is prone to a myriad of changes with advancing age as well as a result of environmental and lifestyle-related factors.The objective of this study was to gain appreciation of the correlation of clinical presentation and habit patterns as well as to note the pathological differentiation and the TNM (Tumour, Node, Metastasis) classification of squamous cell carcinoma (SCC) of gingivobuccal complex in Punjab. MATERIALS AND METHODSThis prospective study was conducted on 30 patients of diagnosed cases of SCC of the gingivobuccal complex in the Department of ENT and Department of Pathology of Government Medical College and Rajindra Hospital, Patiala, Punjab, India. The selected patients were those who reported a definitive history of ulcerative lesion of gingivobuccal complex. Detailed history of patients was taken and tumour data including site, subsite, grade and TNM stage were collected. RESULTSThe mean age of the patients was 52.53 ± 12.91 years. There were 83.33% male and 16.67% female patients. The most common presenting symptoms of SCC of gingivobuccal complex were ulceration, pain and mass in the oral cavity (in all cases) followed by trismus. The most common substance abuse observed was tobacco use. The most common subsite of SCC of gingivobuccal complex was buccal mucosa. The majority of the patients presented in stages I and III (26.67% each). SCC of the buccal mucosa was positively correlated with alcohol use, but the association was statistically non-significant (r= 0.01), but it was positively correlated with smoking and tobacco use (in other form) and the correlation was statistically significant (r= 0.553 and 0.517). CONCLUSIONSCC of the retromolar trigone was positively correlated with alcohol, smoking and tobacco use (in other form) and the correlation was statistically significant.

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Section: Discussionsupporting

confidence: 90%

A Clinico-Pathological Study of Squamous Cell Carcinoma of Gingivobuccal Complex in Punjab

Pervej¹,

Singh²,

Singh³

et al. 2018

jemds

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“…Os tumores em região oral e de orofaringe estão entre os mais frequentes 11 , sendo responsáveis por mais de 219 mil mortes em todo o mundo, anualmente 12 . Aproximadamente 90% dessas malignidades correspondem ao CCE 13 , onde a língua é acometida em 44% dos casos 14 . No presente caso, a lesão encontrava-se na borda lateral da língua.…”

Section: Discussionunclassified

A importância do cirurgião-dentista no perioperatório de paciente com carcinoma de células escamosas: relato de caso

et al. 2021

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Introdução: O carcinoma de células escamosas (CCE) constitui a neoplasia maligna mais comum da boca, afetando, principalmente, indivíduos com mais de 50 anos. Clinicamente, apresenta-se, geralmente, como úlcera persistente com bordas endurecidas, podendo a lesão estar ou não associada a vegetações, máculas eritroplásicas ou leucoplásicas. As localizações mais acometidas borda lateral de língua e assoalho oral. Objetivo: relatar um caso clínico de CCE microinvasivo em língua, enfatizando a importância do diagnóstico precoce e acompanhamento do cirurgião-dentista durante e após o tratamento oncológico. Descrição do caso clínico: Paciente do sexo masculino, 42 anos de idade, apresentou-se para avaliação placa leucoplásica em borda lateral de língua, do lado direito, com aproximadamente 2,0 cm em seu maior diâmetro, de superfície rugosa, contornos irregulares e limites bem definidos, o qual tinha aparecido há cerca de dois meses. Sob a hipótese diagnóstica de leucoplasia, realizou-se biópsia incisional, cujo resultado histopatológico foi CCE microinvaisvo. O diagnóstico final de CCE predominantemente in situ foi observado, após remoção cirúrgica radical da lesão. O paciente complementou o tratamento oncológico com radioterapia e foi acompanhado no período trans-operatório pela equipe da odontologia, para prevenir e tratar as complicações consequentes do tratamento radioterápico. O paciente não apresentou sinais de recidiva um ano após a cirurgia e ainda encontra-se em proservação. Considerações finais: O diagnóstico precoce foi de fundamental importância para o bom prognóstico da doença. Além disso, a equipe de odontologia foi de suma importância durante todo o tratamento oncológico.

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“…This was comparable with a study by Iype et al reporting ratio of 6.7:1 and a study by Dewan et al reporting ratio of 5.77:1. 12,13 Higher proportions of drinkers and/or smokers amongst males than females explains the male preponderance in oral premalignant lesions and oral malignant lesions. Oral premalignant lesions and oral malignant lesions were highly prevalent in cases of labourers and unemployed.…”

Section: Discussionmentioning

confidence: 99%

The study of use of toluidine blue as an adjunctive tool to clinical examination in early diagnosis of clinically suspicious oral premalignant and malignant lesions: a study of fifty cases

Bayad

Bhagat

Sahni

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Oral carcinoma is among the most prevalent malignancies of head and neck region and is often diagnosed in the advanced stage with significant morbidity and treatment cost. Thus, there is a need for early detection of oral premalignant and malignant lesions. Toluidine blue staining can be used for early detection of these lesions.Methods: The study included 50 patients with clinically suspicious oral premalignant and malignant lesions. These lesions were subjected to toluidine blue staining and biopsy. Diagnoses were confirmed by histopathological examination. Results: Sensitivity and specificity of toluidine blue for oral premalignant lesions was 92.30% and 80% respectively with the positive predictive value of 92.30%, negative predictive value of 80% and accuracy of 88.88%. Sensitivity and specificity of toluidine blue for oral malignant lesions was 96.30% and 80% respectively with the positive predictive value of 96.30%, negative predictive value of 80% and accuracy of 93.75%.Conclusions: The simplicity of toluidine blue staining and its accuracy suggest that it can be a useful adjunctive tool to diagnosis of oral lesions. Results should be carefully evaluated and correlated with clinical findings and histopathological diagnosis.

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Squamous Cell Carcinoma of the Superior Gingivobuccal Sulcus: An 11-Year Institutional Experience of 203 Cases

Abstract: Patients with higher stage tumours who underwent infratemporal fossa clearance showed better overall and disease-free survival than those who did not undergo infratemporal fossa clearance.

Cited by 9 publications

References 11 publications

A Clinico-Pathological Study of Squamous Cell Carcinoma of Gingivobuccal Complex in Punjab

A Clinico-Pathological Study of Squamous Cell Carcinoma of Gingivobuccal Complex in Punjab

A importância do cirurgião-dentista no perioperatório de paciente com carcinoma de células escamosas: relato de caso

The study of use of toluidine blue as an adjunctive tool to clinical examination in early diagnosis of clinically suspicious oral premalignant and malignant lesions: a study of fifty cases

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