Central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouth

Abstracts Background Our goal was to analyze the incidence of level VI metastasis in previously untreated oral squamous cell carcinoma (SCC) patients and their clinicopathological and prognostic characteristics. Methods Oral SCC patients with level VI metastasis were retrospectively enrolled, and th...

Full description

Bibliographic Details
Main Authors: Songtao Zhang, Runfang Zhang, Chao Wang, Wenbo Gong, Miaomiao Xue, Lina Liu, Yuanyuan Zhang
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-021-07958-7
_version_ 1818576695779655680
author Songtao Zhang
Runfang Zhang
Chao Wang
Wenbo Gong
Miaomiao Xue
Lina Liu
Yuanyuan Zhang
author_facet Songtao Zhang
Runfang Zhang
Chao Wang
Wenbo Gong
Miaomiao Xue
Lina Liu
Yuanyuan Zhang
author_sort Songtao Zhang
collection DOAJ
description Abstracts Background Our goal was to analyze the incidence of level VI metastasis in previously untreated oral squamous cell carcinoma (SCC) patients and their clinicopathological and prognostic characteristics. Methods Oral SCC patients with level VI metastasis were retrospectively enrolled, and their demographic and pathologic features as well as their survival data were descriptively analyzed. Results A total of 13 cases from 1875 patients were included, all patients had SCC at the floor of mouth (SCCFOM). Eight (61.5%) patients had a pT4 tumor, and all patients had a pathological N3 neck with multiple positive lymph nodes. Adverse pathologic features were present in 100% of the patients. The size of the metastatic foci in level VI ranged from 2.6 cm to 4.5 cm with a mean value of 3.2 cm, and 5 patients showed a soft tissue deposit with no lymph node component. Recurrence occurred in all patients, and 11 patients died of uncontrolled cancer within 5 years after surgery. Conclusion Level VI metastasis in primary oral SCCFOM is rare, and its prognosis is poor.
first_indexed 2024-12-16T06:18:07Z
format Article
id doaj.art-84b7357003ec49538cad5386bc8e22a6
institution Directory Open Access Journal
issn 1471-2407
language English
last_indexed 2024-12-16T06:18:07Z
publishDate 2021-03-01
publisher BMC
record_format Article
series BMC Cancer
spelling doaj.art-84b7357003ec49538cad5386bc8e22a62022-12-21T22:41:13ZengBMCBMC Cancer1471-24072021-03-012111710.1186/s12885-021-07958-7Central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouthSongtao Zhang0Runfang Zhang1Chao Wang2Wenbo Gong3Miaomiao Xue4Lina Liu5Yuanyuan Zhang6Department of Thyroid Head and Neck Surgery, Affiliated Tumor Hospital of Zhengzhou UniversityDepartment of Thyroid Head and Neck Surgery, Affiliated Tumor Hospital of Zhengzhou UniversityDepartment of Thyroid Head and Neck Surgery, Affiliated Tumor Hospital of Zhengzhou UniversityDepartment of Thyroid Head and Neck Surgery, Affiliated Tumor Hospital of Zhengzhou UniversityDepartment of General Dentistry, The First Affiliated Hospital of Zhengzhou UniversityDepartment of General Dentistry, The First Affiliated Hospital of Zhengzhou UniversityDepartment of General Dentistry, The First Affiliated Hospital of Zhengzhou UniversityAbstracts Background Our goal was to analyze the incidence of level VI metastasis in previously untreated oral squamous cell carcinoma (SCC) patients and their clinicopathological and prognostic characteristics. Methods Oral SCC patients with level VI metastasis were retrospectively enrolled, and their demographic and pathologic features as well as their survival data were descriptively analyzed. Results A total of 13 cases from 1875 patients were included, all patients had SCC at the floor of mouth (SCCFOM). Eight (61.5%) patients had a pT4 tumor, and all patients had a pathological N3 neck with multiple positive lymph nodes. Adverse pathologic features were present in 100% of the patients. The size of the metastatic foci in level VI ranged from 2.6 cm to 4.5 cm with a mean value of 3.2 cm, and 5 patients showed a soft tissue deposit with no lymph node component. Recurrence occurred in all patients, and 11 patients died of uncontrolled cancer within 5 years after surgery. Conclusion Level VI metastasis in primary oral SCCFOM is rare, and its prognosis is poor.https://doi.org/10.1186/s12885-021-07958-7Level VI metastasisOral squamous cell carcinomaHead and neck squamous cell carcinomaCentral neck metastasisNeck lymph node metastasis
spellingShingle Songtao Zhang
Runfang Zhang
Chao Wang
Wenbo Gong
Miaomiao Xue
Lina Liu
Yuanyuan Zhang
Central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouth
BMC Cancer
Level VI metastasis
Oral squamous cell carcinoma
Head and neck squamous cell carcinoma
Central neck metastasis
Neck lymph node metastasis
title Central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouth
title_full Central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouth
title_fullStr Central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouth
title_full_unstemmed Central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouth
title_short Central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouth
title_sort central neck lymph node metastasis in oral squamous cell carcinoma at the floor of mouth
topic Level VI metastasis
Oral squamous cell carcinoma
Head and neck squamous cell carcinoma
Central neck metastasis
Neck lymph node metastasis
url https://doi.org/10.1186/s12885-021-07958-7
work_keys_str_mv AT songtaozhang centralnecklymphnodemetastasisinoralsquamouscellcarcinomaatthefloorofmouth
AT runfangzhang centralnecklymphnodemetastasisinoralsquamouscellcarcinomaatthefloorofmouth
AT chaowang centralnecklymphnodemetastasisinoralsquamouscellcarcinomaatthefloorofmouth
AT wenbogong centralnecklymphnodemetastasisinoralsquamouscellcarcinomaatthefloorofmouth
AT miaomiaoxue centralnecklymphnodemetastasisinoralsquamouscellcarcinomaatthefloorofmouth
AT linaliu centralnecklymphnodemetastasisinoralsquamouscellcarcinomaatthefloorofmouth
AT yuanyuanzhang centralnecklymphnodemetastasisinoralsquamouscellcarcinomaatthefloorofmouth