Oral Kavite Kanserlerinde Submandibular Gland İnvazyonu; Bezi Gerçekten Almalı mıyız?

Öz

Amaç: Oral kavite kanserleri tedavisinde primer tümörün rezeksiyonu ve boyun diseksiyonu halen en etkin tedavi olark kabul görmektedir. Boyun diseksiyonu sırasında submandibuler glandın eksizyonu rutin olarak yapılmaktadır. Çalışmanın amacı oral kavite kanseri nedeni ile tedavi edilen hastaların evreleri, risk faktörleri ve submandibuler gland metastaz insidansı açısından gözden geçirilmesi ve bu hasta grubunda submandibuler glandın korunup korunamayacağının tartışılmasıdır.Gereç ve Yöntemler: Çalışma Akdeniz Üniversitesi Tıp Fakültesi KBB ve Baş-Boyun Cerrahisi kliniğinde 2014-2019 yılları arasında, oral kavite yassı hücreli karsinom tanısı alıp tedavi edilen hastaların verilerinin retrospektif incelenmesi ile gerçekleştirildi.Bulgular: Çalışmaya dahil edilen 44 hastanın 26’sı erkek, 18’i kadındı. Toplam 57 boyun diseksiyonu uygulanmıştır. İncelenen 57 submandibuler glandın sadece 1 tanesinde %2.27 tümör invazyonu izlendi. Ağız tabanına lokalize tümörün bu hastada submandibuler glandı direkt yayılım yolu ile invaze ettiği görüldü.Sonuç: Tedavi planlanırken, tümör konumuna ve şüpheli seviye I metastazına göre seçilmiş OCC'li hastalarda SMG korunabilir

Anahtar Kelimeler

• Oral kavite kanseri, Metastaz, Baş-boyun kanseri

Submandibular Gland Invasion in Oral Cavity Cancers: Should We Really Remove the Gland? Oral Kavite Kanserlerinde Submandibular Gland İnvazyonu; Bezi Gerçekten Almalı mıyız?

Abstract

Objective: Neck dissection and resection of the primary tumor are still the most effective treatments for oral cavity cancer OCC . The excision of the submandibular gland is routinely performed during neck dissection. The present study aimed to review the stages, risk factors, and incidence of submandibular gland metastases in patients treated for OCC and discuss whether the submandibular glands could be preserved in this patient group.Material and Methods: This study was performed retrospectively with the data of patients diagnosed and treated with oral cavity squamous cell carcinoma at the Otorhinolaryngology and Head and Neck Surgery Department of Akdeniz University School of Medicine between 2014 and 2019. Results: Of the 44 patients included in the study, 26 were male. A total of 57 neck dissections were performed. Tumor invasion was observed in only 1 2.27% of 57 submandibular glands. The tumor localized to the floor of the mouth invaded the submandibular gland by direct invasion.Conclusion: SMG can be preserved in selected patients with OCC according to the tumor location and suspected level I metastasis when planning treatment

Keywords

• Oral cavity cancer, Metastasis, Head and neck cancer

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