Cervical metastases from maxillary squamous cell carcinoma: retrospective analysis and review of the literature.

2.50
Hdl Handle:
http://hdl.handle.net/11287/599226
Title:
Cervical metastases from maxillary squamous cell carcinoma: retrospective analysis and review of the literature.
Authors:
Dalal, Ayesha J.; McLennan, Andrew S.
Abstract:
The purpose of this study was to define the incidence of cervical metastasis in squamous cell carcinoma (SCC) of the maxillary alveolus, hard palate and gingiva; to identify patterns of locoregional failure and to assess survival outcomes. We retrospectively analysed 30 patients treated for SCC of the maxillary alveolus and hard palate between 2000 and 2010. Parameters assessed included the incidence of cervical metastasis at presentation and recurrence, paying particular attention to tumour staging and survival outcomes. Of our 30 patients, 25 were confirmed to have T4 SCC of the maxillary alveolus and hard palate with bone invasion. Cervical metastases had been noted in 7 (23%) patients at initial presentation. A total of 9 (36%) patients developed regional failure in the pT4 SCC group shortly after primary resection. Patients with advanced primary SCC of the hard palate and maxillary alveolus (particularly when there was bone invasion) showed high rates of regional failure, and in most cases successful salvage was not achieved. Based on our findings and a review of the existing literature we strongly recommend elective neck dissection for patients with pT4 SCC of the maxillary alveolus and hard palate.
Citation:
Cervical metastases from maxillary squamous cell carcinoma: retrospective analysis and review of the literature. 2013, 51 (8):702-6 Br J Oral Maxillofac Surg
Publisher:
Elsevier
Journal:
The British journal of oral & maxillofacial surgery
Issue Date:
Dec-2013
URI:
http://hdl.handle.net/11287/599226
DOI:
10.1016/j.bjoms.2013.08.011
PubMed ID:
24041520
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S0266-4356(13)00405-1
Type:
Journal Article; Review
Language:
en
ISSN:
1532-1940
Appears in Collections:
Oral and Maxillofacial Surgery/Orthodontics; pre-2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorDalal, Ayesha J.en
dc.contributor.authorMcLennan, Andrew S.en
dc.date.accessioned2016-02-25T14:33:15Zen
dc.date.available2016-02-25T14:33:15Zen
dc.date.issued2013-12en
dc.identifier.citationCervical metastases from maxillary squamous cell carcinoma: retrospective analysis and review of the literature. 2013, 51 (8):702-6 Br J Oral Maxillofac Surgen
dc.identifier.issn1532-1940en
dc.identifier.pmid24041520en
dc.identifier.doi10.1016/j.bjoms.2013.08.011en
dc.identifier.urihttp://hdl.handle.net/11287/599226en
dc.description.abstractThe purpose of this study was to define the incidence of cervical metastasis in squamous cell carcinoma (SCC) of the maxillary alveolus, hard palate and gingiva; to identify patterns of locoregional failure and to assess survival outcomes. We retrospectively analysed 30 patients treated for SCC of the maxillary alveolus and hard palate between 2000 and 2010. Parameters assessed included the incidence of cervical metastasis at presentation and recurrence, paying particular attention to tumour staging and survival outcomes. Of our 30 patients, 25 were confirmed to have T4 SCC of the maxillary alveolus and hard palate with bone invasion. Cervical metastases had been noted in 7 (23%) patients at initial presentation. A total of 9 (36%) patients developed regional failure in the pT4 SCC group shortly after primary resection. Patients with advanced primary SCC of the hard palate and maxillary alveolus (particularly when there was bone invasion) showed high rates of regional failure, and in most cases successful salvage was not achieved. Based on our findings and a review of the existing literature we strongly recommend elective neck dissection for patients with pT4 SCC of the maxillary alveolus and hard palate.en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0266-4356(13)00405-1en
dc.rightsArchived with thanks to The British journal of oral & maxillofacial surgeryen
dc.subjectWessex Classification Subject Headings::Oncology. Pathology.en
dc.subjectWessex Classification Subject Headings::Surgery::Plastic surgeryen
dc.titleCervical metastases from maxillary squamous cell carcinoma: retrospective analysis and review of the literature.en
dc.typeJournal Articleen
dc.typeReviewen
dc.identifier.journalThe British journal of oral & maxillofacial surgeryen
dc.type.versionPublisheden
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