Posterior Alveoler Krette Dişeti Yerleşimli Skuamoz Hücreli Karsinoma: Olgu Sunumu

Year 2013, Volume: 23 Issue: 2, 239 - 243, 01.02.2013

Dr. Emel Bulut Dr. Fatih Yılmaz Dr. Burak Bekçioğlu Dr. Ömer Günhan

Abstract

Oral kavite kanserleri özellikle orta yaşlı veya yaşlı erkek hastalarda görülmektedir. Skuamoz hücreli karsinoma (SHK) oral kanserlerin en sık görülen tipidir. SHK’da ilk tedavi seçeneği cerrahidir. Agresif veya konservatif yaklaşımlardan hangisinin kullanılması gerektiği ise hala tartışılmaktadır. Bu vaka raporunun amacı posterior mandibulasında SHK tespit edilen 85 yaşındaki erkek hastanın teşhis ve tedavisinin sunulmasıdır. Hastaya marjinal rezeksiyon prosedürü uygulanmış, böylece post operatif fonksiyon kaybı önlenmiş ve yaşam kalitesi arttırılmıştır.

Keywords

Skuamoz hücreli karsinoma, Oral, Alveolar

Squamous Cell Carcinoma At The Posterior Alveolar Crest Gingiva: Case Report

Abstract

Oral cavity cancers are seen especially in middle aged or elder men. Squamous cell carcinoma (SCC) is the most common type of oral cancers. The first treatment choice in SCC is surgery. The use of aggressive or conservative surgical approaches is still controversial. The aim of this case report is to present the diagnose and surgical treatment of an 85 years old male patient with SCC at posterior mandible. Marginal resection was performed to prevent post operative function loss and increase the life quality.

Keywords

Squamous cell carcinoma, Oral, Alveolar

References

• Sharma P, Saxena S, Aggarwal P. Trends in the epidemiology of oral squamous cell carcinoma in Western UP: an institutional study. Ind J Dent Res 2010;21:316–9.
• Koch BB, Trask DK, Hoffman HT, Karnell LH, Robinson RA, Zhen W, Menck HR. National Survey of head and neck verrucous carcinoma. Cancer 2001;92:110–20.
• Alkan A, Bulut E, Gunhan O, Ozden B. Oral verrucous carcinoma: a study of 12 cases. Eur J Dent 2010;4:202-7.
• Su CC, Yang HF, Huang SJ, Lian IeB. Distinctive features of oral cancer in Changhua County: high incidence, buccal mucosa preponderance, and a close relation to betel quid chewing habit. J Formos Med Assoc 2007;106:225–33.
• Halboub ES, Abdulhuq M, Al-Mandili A. Oral and pharyngeal cancers in Yemen: a retrospective study. East Mediterr Health J 2012;18:985-91.
• Marocchio LS, Lima J, Sperandio FF, Corrêa L, de Sousa SO. Oral squamous cell carcinoma: an analysis of 1,564 cases showing advances in early detection. J Oral Sci 2010;52:267-73.
• Wanebo HJ, Blackinton D, Kouttab N, Mehta S. Contribution of serum inhibitory factors and immune cellular defects to the depressed cellmediated immunity in patients with head and neck cancer. Am I Surg 1993;166:389.
• Mc Dowell JD. An overview of epidemiology and comman risk factors for oral squamouse cell carcinoma. Otolaryngol Clin North Am 2006; 39: 277Koduganti RR, Sehrawat S, Reddy PV. Gingival squamous cell carcinoma: A diagnostic impediment. J Indian Soc Periodontol 2012; 16: 104Fitzpatrick SG, Neuman AN, Cohen DM, Bhattacharyya I. The clinical and histologic presentation of gingival squamous cell carcinoma: a study of 519 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114:509-15.
• Bremerich A, Akuamoa-Boateng E, Machtens E. Indikation zur Unterkieferteilresektion bei Tumoren der unteren Mundhohlenetage. [Indications for partial mandibular resection in tumours of the floor of the mouth]. Fortschr Kiefer Gesichtschir 1992; 37: 98–100.
• Esser E, Krech RH. Retrospektive Analyse eines unterkiefererhaltenden Therapiekonzeptes bei Karzinomen der unteren Mundhohlenetage. [Retrospective analysis of a mandible sparing therapyconcept in cancers of the floor of the mouth]. Fortschr Kiefer Gesichtschir 1992; 37: 95–
• Byers RM, Newman R, Russel N, Yue A. Results of Treatment of Squamous Cell Carcinoma of the Lower Gum. Cancer 1981; 47: 2236-8.
• Seoane J, Varela-Centelles PI, Walsh TF, LopezCedrun JL, Vazquez I. Gingival squamous cell carcinoma: diagnostic delay or rapid invasion?J Periodontol 2006;77:1229–33.
• Rao LP, Das SR, Mathews A, Naik BR, Chacko E, Pandey M. Mandibular invasion in oral squamous cell carcinoma: investigation by clinical examination and orthopantomogram. Int J Oral Maxillofac Surg 2004; 33: 454–7.
• Hong SX, Cha LH, Lee EW, Kim J. Mandibular invasion of lower gingival carcinoma in the molar region: its clinical implications on the surgical management. Int J Oral Maxillofac Surg 2001; 30: 130–
• Çakur B, Sümbüllü MA, Durna D, Çanakçı CF. Dento-alveolar kırık teşhisinde dental volümetrik bilgisayarlı tomografi. Atatürk Üniv Diş Hek Fak Derg 2012; 22: 57-60.
• Ida M, Tetsumura A, Kuribayashi A, Okada N, Kurabayashi T A clinicoradiological study of odontogenic carcinomas and their impact on clinical diagnosis. Dentomaxillofac Radiol 2012; 41: 594-600.
• Wolff D, Hassfeld S, Hofele C. Influence Of Marginal And Segmental Mandibular Resection On The Survival Rate In Patients With Squamous Cell Carcinoma Of The Inferior Parts Of The Oral Cavity. J Cranio-Maxillofac Surg 2004; 32: 318–23.
• Larson DL, Sanger JR. Management of the mandible in oral cancer. Semin Sung Oncol 1995; 11: 190–9.
• Barttlbort SW, Bahn SL, Ariyan SA: Rim mandibulectomy for cancer of the oral cavity. Am J Surg 1987; 154: 423–8.
• McDonough EM, Varvares MA, Dunphy FR, Dunleavy T, Dunphy CH, Boyd JH. Changes in quality-of-life scores in a population of patients treated for squamous cell carcinoma of the head and neck. Head Neck 1996;18:487–93. Yazışma Adresi
• Yrd. Doç.Dr. Burak BEKÇİOĞLU Ordu Üniversitesi Diş Hekimliği Fakültesi Ağiz, Diş ve Çene Cerrahisi Anabilim Dalı, ORDU Tel: [phone]
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