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Management of the neck and regional recurrence in squamous cell carcinoma of the maxillary alveolus and hard palate compared with other sites in the oral cavity
Author(s) -
Brown James S.,
Bekiroglu Fazilet,
Shaw Richard J.,
Woolgar Julia A.,
Rogers Simon N.
Publication year - 2013
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.22957
Subject(s) - hard palate , medicine , neck dissection , basal cell , dentistry , tongue , oral cavity , dissection (medical) , rest (music) , alveolar process , cancer , surgery , pathology
Background The aim of this article was to assess the management of the neck and regional recurrence for squamous cell carcinoma of the maxillary alveolus and hard palate ( n = 43) and compare that to the rest of the oral cancer sites ( n = 465). Methods This is a retrospective report through database and case note review. Results The incidence of nodal metastases (pathologic node–positive necks added to regional recurrence for clinical N0 and pathologic N0) was 37% (16/43) for maxillary alveolus and hard palate compared with 40% (187/465) for the oral cavity in general. Regional recurrence occurred in 26% (11/43) in the maxillary alveolus and hard palate compared with 7% (31/465) in the remaining oral cavity sites ( p = .001). Conclusions Squamous cell carcinoma arising in the maxillary alveolus and hard palate has a similar risk of regional metastasis as the rest of the oral cavity, and a lower propensity for selective neck dissection is resulting in higher regional recurrence and lower survival rates. © 2012 Wiley Periodicals, Inc. Head Neck, 2013