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Prognosis of gingival squamous cell carcinoma diagnosed after invasive procedures

Title
Prognosis of gingival squamous cell carcinoma diagnosed after invasive procedures
Authors
Eun-Joo Choi;Xianglan Zhang;In-Ho Cha;Woong Nam;Hyung-Jun Kim
Issue Date
2011
Journal Title
Asian Pacific Journal of Cancer Prevention
ISSN
1513-7368
Citation
Asian Pacific Journal of Cancer Prevention, Vol.12(10) : 2649~2652, 2011
Abstract
Gingival squamous cell carcinoma (SCC) has a relatively poor prognosis, because differential diagnoses of periodontitis and osteomyelitis are difficult to exclude. As such, gingival SCC is usually diagnosed late, following invasive procedures such as extraction or curettage. The purpose of this study was to classify gingival SCC patients into two groups according to the location of their primary lesion: dentate and edentulous, and to determine the appropriate treatment strategy by comparing clinical and histological features as well as treatment results. The medical records of 76 patients diagnosed with gingival SCC and treated at one institute from 1 January 1993 to 31 December 2007 were reviewed. The overall 5-year survival rate was 60.7%, and the mean survival was 98 months. Factors affecting survival included bone invasion of the primary lesion (p = 0.035), neck node metastasis (p = 0.001), and local recurrence (p = 0.000). The results suggest that more aggressive treatment, such as setting a broad surgical field and enforcing preventive neck dissection, can improve outcome, although they are associated with increased rate of cancer bone invasion and neck metastasis in patients diagnosed with cancer after receiving invasive procedures.
URI

http://ir.ymlib.yonsei.ac.kr/handle/22282913/95194
Appears in Collections:
1. 연구논문 > 5. Research Institutes > Oral Cancer Research Institute
1. 연구논문 > 2. College of Dentistry > Dept. of Oral and Maxillofacial Surgery
Yonsei Authors
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