Metastasis: ignorance can be a curse

2016-05-30T05-11-41Z
Source: Case Study and Case Report
Abha Rani, Neetha Mellekatte Chandrashekarappa, Priya Nagur Karibasappa, Shiva bharani Karanam.
Oral squamous cell carcinoma (OSCC) is characterized by a high tendency for locally aggressive growth, early metastasis to neck lymph nodes, and variability in tumor behavior after surgical intervention. Despite advances in the treatment, the survival of patients with SCC hasnt significantly improved over several decades. The presence of lymph node metastasis directly affects the prognosis of the cancer. The control of lymph node metastasis, thus becomes the prime importance in achieving a high survival rate. Decisions regarding the elective and therapeutic management of lymph node metastases are made mainly on clinical grounds. In addition to decrease in the recurrence rate in the radically dissected neck, only 34% patients developed contralateral nodes. And only 4% recurrences were found in the patients having had the combined treatment or irradiation only. The present case shows metastatic lymph nodes on the contralateral side following radical neck dissection about 1.2 years ago.


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