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Histopathological findings in 57 surgical specimens of T3 and T4 buccal mucosa cancers are reviewed. The incidence of the well-differentiated tumours (including verrucous carcinoma) was 61%. A moderate degree of lymphocytic infiltration of the tumour was present in 37% of patients. Histologically proven cervical lymph node deposits were present in only 16% of the patients. Amongst the group of patients with clinically enlarged lymph nodes, metastatic disease was histologically demonstrated in 17.5% at level I and 14% at level II of neck nodes. Amongst group of patients with no palpable nodes in the neck, metastatic disease was histologically demonstrated in 11.7% at level I and 9% at level II of neck nodes. These findings contra-indicate an elective neck dissection and indicate the need to confirm histologically the presence of lymph node deposits doing a radical neck dissection in patients with buccal mucosa cancer. This well-differentiated tumour has a much lower tendency to metastasize than cancers in other sites of the oral cavity.
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
May 1959,
Surgery, gynecology & obstetrics,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
May 1984,
Journal of the National Medical Association,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
July 2007,
Journal of the National Cancer Institute,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
January 2020,
Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
January 2016,
Indian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
October 1983,
Leprosy in India,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
April 1973,
Acta oto-laryngologica,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
January 2021,
Medicina oral, patologia oral y cirugia bucal,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
December 2017,
Head & neck,
I K Dhawan, and
K Verma, and
R K Khazanchi, and
N C Madan, and
N K Shukla, and
R Saxena
December 2016,
Langenbeck's archives of surgery,
