Analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinoma

Introduction: The aim of the study was to determine the susceptibility of lymph nodes to metastasis in oral squamous cell carcinoma (OSCC) by analyzing the alterations in reticulin fiber pattern. Materials and Methods: This retrospective study on 30 cases of OSCC had 15 cases that presented with ly...

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Main Authors: Shanmukha Raviteja Yinti, Srikant Natarajan, Karen Boaz, Amitha J Lewis, Jay Pandya, Supriya Nikita Kapila
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Dental Hypotheses
Subjects:
Online Access:http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2015;volume=6;issue=3;spage=104;epage=108;aulast=Yinti
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author Shanmukha Raviteja Yinti
Srikant Natarajan
Karen Boaz
Amitha J Lewis
Jay Pandya
Supriya Nikita Kapila
author_facet Shanmukha Raviteja Yinti
Srikant Natarajan
Karen Boaz
Amitha J Lewis
Jay Pandya
Supriya Nikita Kapila
author_sort Shanmukha Raviteja Yinti
collection DOAJ
description Introduction: The aim of the study was to determine the susceptibility of lymph nodes to metastasis in oral squamous cell carcinoma (OSCC) by analyzing the alterations in reticulin fiber pattern. Materials and Methods: This retrospective study on 30 cases of OSCC had 15 cases that presented with lymph node metastasis (test group) and 15 cases without metastatic episodes (control group). Four micron thick sections of the tumor proper and the resected lymph nodes of the cases were stained with hematoxylin and eosin, and Gordon and Sweet′s stain for reticulin. Statistical analysis of the variations in the staining patterns of reticulin at the invasive tumor front (ITF), involved and uninvolved lymph nodes were done with Statistical Package for Social Sciences (SPSS) 15 version using chi-square test. Results: The assessment of reticulin fiber patterns at the ITF, cortical and medullary areas of lymph nodes in test cases showed thin, long individual fibers, as compared to thick, shorter interlacing fibers that were seen in control cases. The peritumoral and uninvolved areas in metastatic lymph nodes of almost all test cases showed very scant fibers. Conclusion: Reticulin pattern alteration by aggressive tumors may be appreciated as a part of the wide spectrum of "proneoplastic" stromal alterations. The histopathologist can discern these changes and thereby aid the clinician in predicting tumor behavior, the clinical course of the disease, and weighing the prognostic implications.
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spelling doaj.art-69ff77d4ea4246f8ba038454ccfdca1e2022-12-22T01:50:45ZengWolters Kluwer Medknow PublicationsDental Hypotheses2155-82132015-01-016310410810.4103/2155-8213.163814Analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinomaShanmukha Raviteja YintiSrikant NatarajanKaren BoazAmitha J LewisJay PandyaSupriya Nikita KapilaIntroduction: The aim of the study was to determine the susceptibility of lymph nodes to metastasis in oral squamous cell carcinoma (OSCC) by analyzing the alterations in reticulin fiber pattern. Materials and Methods: This retrospective study on 30 cases of OSCC had 15 cases that presented with lymph node metastasis (test group) and 15 cases without metastatic episodes (control group). Four micron thick sections of the tumor proper and the resected lymph nodes of the cases were stained with hematoxylin and eosin, and Gordon and Sweet′s stain for reticulin. Statistical analysis of the variations in the staining patterns of reticulin at the invasive tumor front (ITF), involved and uninvolved lymph nodes were done with Statistical Package for Social Sciences (SPSS) 15 version using chi-square test. Results: The assessment of reticulin fiber patterns at the ITF, cortical and medullary areas of lymph nodes in test cases showed thin, long individual fibers, as compared to thick, shorter interlacing fibers that were seen in control cases. The peritumoral and uninvolved areas in metastatic lymph nodes of almost all test cases showed very scant fibers. Conclusion: Reticulin pattern alteration by aggressive tumors may be appreciated as a part of the wide spectrum of "proneoplastic" stromal alterations. The histopathologist can discern these changes and thereby aid the clinician in predicting tumor behavior, the clinical course of the disease, and weighing the prognostic implications.http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2015;volume=6;issue=3;spage=104;epage=108;aulast=YintiOral squamous cell carcinomametastasislymphnode reticulin fiber patternpremetastatic niche
spellingShingle Shanmukha Raviteja Yinti
Srikant Natarajan
Karen Boaz
Amitha J Lewis
Jay Pandya
Supriya Nikita Kapila
Analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinoma
Dental Hypotheses
Oral squamous cell carcinoma
metastasis
lymphnode reticulin fiber pattern
premetastatic niche
title Analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinoma
title_full Analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinoma
title_fullStr Analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinoma
title_full_unstemmed Analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinoma
title_short Analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinoma
title_sort analysis of reticulin fiber pattern in lymph nodes with metastasis from oral squamous cell carcinoma
topic Oral squamous cell carcinoma
metastasis
lymphnode reticulin fiber pattern
premetastatic niche
url http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2015;volume=6;issue=3;spage=104;epage=108;aulast=Yinti
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