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Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 46-49

Pattern of cervical lymph node metastasis for therapeutic decision-making in squamous cell carcinoma of buccal mucosa

1 Additional Professor, Dept. of Pathology, IGIMS, India
2 Assistant Professor, Dept. of Surgical Oncology, IGIMS, India
3 Senior Resident, Dept. of Pathology, IGIMS, India
4 Senior Resident, Dept. of Physiology, IGIMS, India

Correspondence Address:
Manish Kumar
Assistant Professor, Dept. of Surgical Oncology, IGIMS, Patna, Bihar- 800014
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Source of Support: None, Conflict of Interest: None

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A retrospective review of the records of previously treated patients squamous cell carcinoma of buccal mucosa, oral cavity was undertaken from May, 2017 through April, 2018. The cases were studied to ascertain the pattern of lymph node metastases (NM) in neck level. The patients were grouped into three categories, by clinical neck status at the time of neck dissection: elective dissection (ED) in the NO neck, immediate therapeutic dissection (ITD) in the N+ neck, and subsequent therapeutic dissection (STD) in the neck observed which converted clinically to N+. The data support the trend toward selective limited neck dissection in both NO and N+ patients. Further, they provide the foundation for planning of future prospective trials to assess the efficacy of modifications in the extent of neck dissection.

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