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Patterns of invasion and routes of tumor entry into the mandible by oral squamous cell carcinoma

Identifieur interne : 000082 ( PascalFrancis/Curation ); précédent : 000081; suivant : 000083

Patterns of invasion and routes of tumor entry into the mandible by oral squamous cell carcinoma

Auteurs : James S. Brown [Royaume-Uni] ; Derek Lowe [Royaume-Uni] ; Nicholas Kalavrezos [Royaume-Uni] ; Jacob D'Souza [Royaume-Uni] ; Patrick Magennis [Royaume-Uni] ; Julia Woolgar [Royaume-Uni]

Source :

RBID : Pascal:02-0250313

Descripteurs français

English descriptors

Abstract

Background.An understanding of the patterns, spread, and routes of tumor invasion of the mandible is essential in deciding the appropriate level and extent of mandibular resection in oral squamous cell carcinoma. Methods. A prospective study of histologic patterns of tumor invasion and routes of tumor entry into the mandible was performed in a consecutive series of 100 previously untreated patients. Results. The pattern of tumor invasion of the mandible depended on the depth of invasion both in the hard (p =.001) and soft tissues (p =.001). There was evidence that the pattern of invasion was related to histologic prognostic indicators of the disease, such as extracapsular spread from invaded lymph nodes (p =.03). The route of tumor entry was at the point of abutment to the mandible (direct) in all 13 cases, invading the dentate part of the mandible. Fifty-five percent (23 of 42) of tumors invading the edentulous ridge entered through the occlusal (superior) surface. Direct entry to the mandible in the edentulous ridge was more likely for tumors arising in the tongue, floor of the mouth and the buccal mucosa compared with alveolar or retromolar sites (p =.003). Conclusions. Larger or more deeply invading tumors in the soft tissue are more likely to invade the mandible and show the more aggressive (invasive) form of tumor spread, reducing the options of a more conservative (rim) resection. Tumors tend to enter the mandible at the point of abutment, which in both the dentate and edentulous jaw is often at the junction of the reflected and attached mucosa. A point of tumor entry below the occlusal ridge or gingival crest should be assumed when planning rim or marginal resections of the mandible.
pA  
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A08 01  1  ENG  @1 Patterns of invasion and routes of tumor entry into the mandible by oral squamous cell carcinoma
A11 01  1    @1 BROWN (James S.)
A11 02  1    @1 LOWE (Derek)
A11 03  1    @1 KALAVREZOS (Nicholas)
A11 04  1    @1 D'SOUZA (Jacob)
A11 05  1    @1 MAGENNIS (Patrick)
A11 06  1    @1 WOOLGAR (Julia)
A14 01      @1 Regional Maxillofacial Unit, University Hospital Aintree @2 Longmoor Lane, Liverpool L9 7AL @3 GBR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut.
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C01 01    ENG  @0 Background.An understanding of the patterns, spread, and routes of tumor invasion of the mandible is essential in deciding the appropriate level and extent of mandibular resection in oral squamous cell carcinoma. Methods. A prospective study of histologic patterns of tumor invasion and routes of tumor entry into the mandible was performed in a consecutive series of 100 previously untreated patients. Results. The pattern of tumor invasion of the mandible depended on the depth of invasion both in the hard (p =.001) and soft tissues (p =.001). There was evidence that the pattern of invasion was related to histologic prognostic indicators of the disease, such as extracapsular spread from invaded lymph nodes (p =.03). The route of tumor entry was at the point of abutment to the mandible (direct) in all 13 cases, invading the dentate part of the mandible. Fifty-five percent (23 of 42) of tumors invading the edentulous ridge entered through the occlusal (superior) surface. Direct entry to the mandible in the edentulous ridge was more likely for tumors arising in the tongue, floor of the mouth and the buccal mucosa compared with alveolar or retromolar sites (p =.003). Conclusions. Larger or more deeply invading tumors in the soft tissue are more likely to invade the mandible and show the more aggressive (invasive) form of tumor spread, reducing the options of a more conservative (rim) resection. Tumors tend to enter the mandible at the point of abutment, which in both the dentate and edentulous jaw is often at the junction of the reflected and attached mucosa. A point of tumor entry below the occlusal ridge or gingival crest should be assumed when planning rim or marginal resections of the mandible.
C02 01  X    @0 002B10C01
C02 02  X    @0 002B10B01
C03 01  X  FRE  @0 Carcinome épidermoïde @5 01
C03 01  X  ENG  @0 Squamous cell carcinoma @5 01
C03 01  X  SPA  @0 Carcinoma epidermoide @5 01
C03 02  X  FRE  @0 Cavité buccale @5 02
C03 02  X  ENG  @0 Oral cavity @5 02
C03 02  X  SPA  @0 Cavidad bucal @5 02
C03 03  X  FRE  @0 Voie abord @5 04
C03 03  X  ENG  @0 Surgical approach @5 04
C03 03  X  SPA  @0 Vía abordaje @5 04
C03 04  X  FRE  @0 Invasion @5 05
C03 04  X  ENG  @0 Invasion @5 05
C03 04  X  SPA  @0 Invasión @5 05
C03 05  X  FRE  @0 Mandibule @5 06
C03 05  X  ENG  @0 Mandible @5 06
C03 05  X  SPA  @0 Mandíbula @5 06
C03 06  X  FRE  @0 Résection chirurgicale @5 07
C03 06  X  ENG  @0 Surgical resection @5 07
C03 06  X  SPA  @0 Resección quirúrgica @5 07
C03 07  X  FRE  @0 Prise décision @5 08
C03 07  X  ENG  @0 Decision making @5 08
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C03 08  X  FRE  @0 Technique @5 09
C03 08  X  ENG  @0 Technique @5 09
C03 08  X  SPA  @0 Técnica @5 09
C03 09  X  FRE  @0 Extension @5 10
C03 09  X  ENG  @0 Extension @5 10
C03 09  X  SPA  @0 Extensión @5 10
C03 10  X  FRE  @0 Prospective @5 16
C03 10  X  ENG  @0 Prospective @5 16
C03 10  X  SPA  @0 Prospectiva @5 16
C03 11  X  FRE  @0 Physiopathologie @5 17
C03 11  X  ENG  @0 Pathophysiology @5 17
C03 11  X  SPA  @0 Fisiopatología @5 17
C03 12  X  FRE  @0 Complication @5 18
C03 12  X  ENG  @0 Complication @5 18
C03 12  X  SPA  @0 Complicación @5 18
C03 13  X  FRE  @0 Traitement @5 19
C03 13  X  ENG  @0 Treatment @5 19
C03 13  X  SPA  @0 Tratamiento @5 19
C03 14  X  FRE  @0 Homme @5 20
C03 14  X  ENG  @0 Human @5 20
C03 14  X  SPA  @0 Hombre @5 20
C07 01  X  FRE  @0 Stomatologie @5 37
C07 01  X  ENG  @0 Stomatology @5 37
C07 01  X  SPA  @0 Estomatología @5 37
C07 02  X  FRE  @0 Cavité buccale pathologie @5 38
C07 02  X  ENG  @0 Oral cavity disease @5 38
C07 02  X  SPA  @0 Cavidad bucal patología @5 38
C07 03  X  FRE  @0 Tumeur maligne @5 39
C07 03  X  ENG  @0 Malignant tumor @5 39
C07 03  X  SPA  @0 Tumor maligno @5 39
C07 04  X  FRE  @0 Système ostéoarticulaire pathologie @5 45
C07 04  X  ENG  @0 Diseases of the osteoarticular system @5 45
C07 04  X  SPA  @0 Sistema osteoarticular patología @5 45
C07 05  X  FRE  @0 Maxillaire pathologie @5 47
C07 05  X  ENG  @0 Maxillary disease @5 47
C07 05  X  SPA  @0 Maxilar patología @5 47
C07 06  X  FRE  @0 Chirurgie @5 53
C07 06  X  ENG  @0 Surgery @5 53
C07 06  X  SPA  @0 Cirugía @5 53
N21       @1 147
N82       @1 PSI

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Pascal:02-0250313

Le document en format XML

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<term>Invasion</term>
<term>Mandible</term>
<term>Oral cavity</term>
<term>Pathophysiology</term>
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<term>Squamous cell carcinoma</term>
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<div type="abstract" xml:lang="en">Background.An understanding of the patterns, spread, and routes of tumor invasion of the mandible is essential in deciding the appropriate level and extent of mandibular resection in oral squamous cell carcinoma. Methods. A prospective study of histologic patterns of tumor invasion and routes of tumor entry into the mandible was performed in a consecutive series of 100 previously untreated patients. Results. The pattern of tumor invasion of the mandible depended on the depth of invasion both in the hard (p =.001) and soft tissues (p =.001). There was evidence that the pattern of invasion was related to histologic prognostic indicators of the disease, such as extracapsular spread from invaded lymph nodes (p =.03). The route of tumor entry was at the point of abutment to the mandible (direct) in all 13 cases, invading the dentate part of the mandible. Fifty-five percent (23 of 42) of tumors invading the edentulous ridge entered through the occlusal (superior) surface. Direct entry to the mandible in the edentulous ridge was more likely for tumors arising in the tongue, floor of the mouth and the buccal mucosa compared with alveolar or retromolar sites (p =.003). Conclusions. Larger or more deeply invading tumors in the soft tissue are more likely to invade the mandible and show the more aggressive (invasive) form of tumor spread, reducing the options of a more conservative (rim) resection. Tumors tend to enter the mandible at the point of abutment, which in both the dentate and edentulous jaw is often at the junction of the reflected and attached mucosa. A point of tumor entry below the occlusal ridge or gingival crest should be assumed when planning rim or marginal resections of the mandible.</div>
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<s0>Background.An understanding of the patterns, spread, and routes of tumor invasion of the mandible is essential in deciding the appropriate level and extent of mandibular resection in oral squamous cell carcinoma. Methods. A prospective study of histologic patterns of tumor invasion and routes of tumor entry into the mandible was performed in a consecutive series of 100 previously untreated patients. Results. The pattern of tumor invasion of the mandible depended on the depth of invasion both in the hard (p =.001) and soft tissues (p =.001). There was evidence that the pattern of invasion was related to histologic prognostic indicators of the disease, such as extracapsular spread from invaded lymph nodes (p =.03). The route of tumor entry was at the point of abutment to the mandible (direct) in all 13 cases, invading the dentate part of the mandible. Fifty-five percent (23 of 42) of tumors invading the edentulous ridge entered through the occlusal (superior) surface. Direct entry to the mandible in the edentulous ridge was more likely for tumors arising in the tongue, floor of the mouth and the buccal mucosa compared with alveolar or retromolar sites (p =.003). Conclusions. Larger or more deeply invading tumors in the soft tissue are more likely to invade the mandible and show the more aggressive (invasive) form of tumor spread, reducing the options of a more conservative (rim) resection. Tumors tend to enter the mandible at the point of abutment, which in both the dentate and edentulous jaw is often at the junction of the reflected and attached mucosa. A point of tumor entry below the occlusal ridge or gingival crest should be assumed when planning rim or marginal resections of the mandible.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B10C01</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B10B01</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Carcinome épidermoïde</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Squamous cell carcinoma</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Carcinoma epidermoide</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Cavité buccale</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Oral cavity</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Cavidad bucal</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Voie abord</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Surgical approach</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Vía abordaje</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Invasion</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Invasion</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Invasión</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Mandibule</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Mandible</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Mandíbula</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Résection chirurgicale</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Surgical resection</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Resección quirúrgica</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Prise décision</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Decision making</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Toma decision</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Technique</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Technique</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Técnica</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Extension</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Extension</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Extensión</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Prospective</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Prospective</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Prospectiva</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Physiopathologie</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Pathophysiology</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Fisiopatología</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Complication</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Complication</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Complicación</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Stomatologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Stomatology</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Estomatología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Cavité buccale pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Oral cavity disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Cavidad bucal patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Système ostéoarticulaire pathologie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Diseases of the osteoarticular system</s0>
<s5>45</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema osteoarticular patología</s0>
<s5>45</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Maxillaire pathologie</s0>
<s5>47</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Maxillary disease</s0>
<s5>47</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Maxilar patología</s0>
<s5>47</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>53</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>53</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>53</s5>
</fC07>
<fN21>
<s1>147</s1>
</fN21>
<fN82>
<s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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