Relationship between Thickness of Early Oral Tongue Carcinoma (T1, T2) with Cervical Lymph Node Metastasis

Authors

  • Md Abdur Razzak Medical Officer, Shaheed Tajuddin Ahmad Medical College, Gazipur
  • Belayat Hossain Siddique Professor, Department of Otolayngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • Azharul Islam Professor, Department of Otolayngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • Md Hasanul Haque Medical Officer, Department of Otolayngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • Md Abdus Sattar Professor, Department of Otolayngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • Sayed Farhan Ali Razib Associate Professor, Department of Otolayngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • Effat Zahan Abdullah Medical Officer, Department of Gynae & Obs, Rangpur Medical College Hospital, Rangpur
  • Arif Mahmud Jewel Medical Officer, Department of Otolayngology-Head & Neck Surgery, BSMMU, Dhaka
  • Md Jaber Al Sayied Medical Officer, Mugda Medical College & Hospital, Dhaka
  • - Md Quamruzzaman Assistant Registrar (ENT), 250 Beded General Hospital, Pabna

DOI:

https://doi.org/10.3329/bjo.v27i1.53202

Keywords:

Relationship, thickness, early oral tongue carcinoma (T1, T2), cervical lymph node metastastasis.

Abstract

Background: Carcinoma of oral tongue is the most common oral cancer and because of its structure and function is prone for early local and regional spread of cancer. The final outcome of a primary tongue carcinoma patient depends upon various prognostic factors like thickness of tumor, depth of invasion, size of lesion and neck node 67metastasis. Risk of metastasis and spread to neck nodes increases with increase in tumor thickness

Methods: This prospective observational study was carried out in the Department of Otolayngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka for 18 months. Thirty patients with early oral tongue carcinoma i.e.T1 & T2 as per UICC and AJC criteria were included in this study by purposive non-randomized sampling technique. Result of the study were expressed as mean, standard deviation (+SD), frequency and percentages. Unpaired Student’s t-test and Pearson’s correlation co-efficient (r) test were performed.

Results: Result of the study showed the mean (+SD) thickness of the tumor was 3.62 (+1.46) mm. Minimum thickness 1.1mm and maximum thickness 7.8mm. Only 21 (70%) subjects neck node were metastasized from tongue and mean (+SD) tumor thickness of the positive neck node metastasis was 5.54 (+1.07) mm and negative neck node metastasis was 2.87 (+0.75) mm. This indicated a significant difference between the groups. Pearson’s correlation co-efficient r (+0.981) which indicated tumor thickness was positively correlated with neck node metastasis.

Conclusion: Tumor thickness of the early oral carcinoma positively correlated with neck node metastasis. Correlation between thickness and metastatic lymph node can help planning the treatment regimen and indicate the disease prognosis.

Bangladesh J Otorhinolaryngol; April 2021; 27(1): 25-35

Downloads

Download data is not yet available.
Abstract
33
PDF
58

Downloads

Published

2021-04-28

How to Cite

Razzak, M. A., Siddique, B. H., Islam, A., Haque, M. H., Sattar, M. A., Razib, S. F. A., Abdullah, E. Z., Jewel, A. M., Sayied, M. J. A., & Md Quamruzzaman, .-. (2021). Relationship between Thickness of Early Oral Tongue Carcinoma (T1, T2) with Cervical Lymph Node Metastasis. Bangladesh Journal of Otorhinolaryngology, 27(1), 25–35. https://doi.org/10.3329/bjo.v27i1.53202

Issue

Vol. 27 No. 1 (2021)

Section

Original Articles

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).