Role of Clinical Palpation in Evaluation of Cervical Lymph Node in Oral Squamous Cell Carcinoma

Authors

  • SM Anwar Sadat Dept of Oral and Maxillofacial Surgery, Dhaka Dental College & Hospital, Dhaka
  • Sufia Nasrin Rita Dept of Orthodontics, Sapporo Dental College Dhaka
  • Shoma Banik Dept of Oral and Maxillofacial Surgery, Update Dental College, Dhaka
  • Md Nazmul Hasan Khandker Dept of Oral and Maxillofacial Surgery, Dhaka Dental College & Hospital, Dhaka
  • Md Mahfuz Hossain Dept of Oral Anatomy and Physiology, Update Dental College, Dhaka
  • Md AI Khan Dept of Pathology, Square Hospitals Limited, Dhaka

DOI:

https://doi.org/10.3329/updcj.v1i2.13978

Keywords:

Cervical Lymph node, Oral Squamous Cell Carcinoma

Abstract

A cross sectional study of 29 cases of oral squamous cell carcinoma with or without  cervical lymph node metastasis was done among Bangladeshi patients from January 2006 to December 2007. Majority of the study subjects (34.5%) belonged to the age group of 40-49 years. 58.6% of the study subjects were male, while remaining 41.4% of them were female. 51.7% of the lesions were located in the alveolar ridge where the other common sites were buccal mucosa (27.6%) and retro molar area (13.8%). Half of the study subjects (51.7%) were habituated to betel quid chewing followed by 37.9% and 10.3% were habituated to smoking and betel quid-smoking respectively. Grade I lesions was most prevalent (75.9%) in the study subjects.  Majority of cases presented with Stage IV lesions (55.2%). The sensitivity, specificity, positive predictive value, negative predictive value & accuracy of clinical palpation method for determining metastatic cervical lymph nodes were 93.33%, 64.29%, 73.68%, 90% and 79.3% respectively. Careful and repeated clinical palpation plays important role in evaluation of cervical lymph nodes though several modern techniques may help additionally in the management of oral cancer.

DOI: http://dx.doi.org/10.3329/updcj.v1i2.13978

Update Dent. Coll. j. 2011: 1(2): 02-06

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Published

2013-02-28

How to Cite

Sadat, S. A., Rita, S. N., Banik, S., Khandker, M. N. H., Hossain, M. M., & Khan, M. A. (2013). Role of Clinical Palpation in Evaluation of Cervical Lymph Node in Oral Squamous Cell Carcinoma. Update Dental College Journal, 1(2), 02–06. https://doi.org/10.3329/updcj.v1i2.13978

Issue

Vol. 1 No. 2 (2011)

Section

Original Articles

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