ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
|
|
|
|
ORIGINAL RESEARCH ARTICLES |
The Role Of Suprahyoid Dissection With Other Actors Influencing Recurrence, Metastasis And Survival In The Management Of Lower Lip Cancers: A Retrospective Analysis Of 472 Cases
Erol EROĞLU, MD,a Bülent KILIÇOĞLU, MD,b Hakan BULAK, MD,cMustafa KALAYCI, MD,c Süleyman ORAL, MDc
aDepartment of General Surgery, Medical Faculty of Süleyman Demirel University, ISPARTAbDepartment of General Surgery, Ankara Education and Research Hospital,cDepartment of General Surgery, Ankara Oncology Hospital, ANKARA
Objective: Lower lip squamous cell cancer is the most frequent tumor of the oral cavity. The effect of elective suprahyoid neck dissection was analyzed retrospectively in a group of patients.
Material and Methods: Patients with lower lip cancer (472 patients with T2-T3 tumors, clinically node-negative) who had undergone suprahyoid neck dissection between 1980-1997 in Ankara Oncology Hospital were analyzed retrospectively. For all cases, multivariate Cox regression analysis was utilized to evaluate factors effecting survival.
Results: There were 27 female and 445 male patients. The mean age was 49.4 years. Pathologic examination of the specimens showed that there were metastatic lymph nodes in 26 cases. In follow-up, local recurrences were seen in 24 and metastatic disease in 26 (19 regional, 7 distant) cases. Metastases were found to be the most effective factors affecting survival (p< 0.05). Cumulative survival rates were determined to be 96% for 5 years and 93% for ten years.
Conclusion: It would appear that suprahyoid dissection for lower lip cancer precipitated lower rates of regional metastases and higher survival rates in this study. However, the lack of a control group and randomization prevent a more definitive conclusion.Keywords: Dissection, lip, squamous cell, neoplasmsTurkiye Klinikleri J Med Sci 2005, 25:227-231
|
|
|
|
|
