Retrospective Evaluation of Radiological Findings in Patients with Oral Malignancy

Yıl 2024, , 288 - 295, 20.05.2024

Ceyda Gizem Topal , Gülsün Akay , Özlem Üçok , İpek Atak Seçen

https://doi.org/10.54617/adoklinikbilimler.1367203

Öz

Aim: Oral cancer ranks among the most prevalent cancers worldwide. Imaging methods play a vital role in assessing patients. This study aimed to evaluate the age, sex, and localization distribution as well as panoramic and cone-beam computed tomography (CBCT) image findings in patients with
oral malignancy with bone involvement.
Materials and Method: Patients who were histopathologically diagnosed with malignant oral lesions at Gazi University, Faculty of Dentistry, Department of Oral Pathology between 2009 and 2023 were reviewed. Patients with oral malignancies whose panoramic images or CBCT images were available in the radiology archive were included in this study. Age-sex distribution was recorded. Localization of lesions and radiological features such as internal structures, borders, and effects on surrounding tissues were evaluated.
Results: The mean age of the patients was 58.2 years; nine of them were female and thirteen were male. The incidence of malignancies included in this study was higher in men than in women, and the mandible/maxilla ratio was equal. The most common primary tumor was squamous cell carcinoma (SCC) (n=12). SCC lesions caused destruction in the cortical borders of neighboring structures in the region where they were located and showed the potential to spread toward these regions. Mucoepidermoid carcinoma was observed as an unilocular radiolucent lesion with clear borders, and it was determined that it destroyed the cortical bone.
Conclusion: Panoramic radiography and CBCT images are valuable imaging methods in the evaluation of bone involvement of oral malignancies.

Anahtar Kelimeler

Cone beam computed tomography, oral cancer, panoramic radiography, squamous cell carcinoma

Oral Maligniteye Sahip Hastaların Radyolojik Bulgularının Retrospektif Olarak Değerlendirilmesi

Öz

Amaç: Ağız kanseri dünyada en sık görülen kanserlerden biridir. Hastaların değerlendirilmesinde görüntüleme yöntemleri önemli bir yere sahiptir. Bu çalışmada kemik tutulumu olan oral maligniteli hastalarda yaş, cinsiyet ve lokalizasyon dağılımının yanı sıra panoramik ve konik ışınlı bilgisayarlı tomografi (KIBT) görüntü bulgularının değerlendirilmesi amaçlandı.
Gereç ve Yöntem: Gazi Üniversitesi Diş Hekimliği Fakültesi Oral Patoloji Anabilim Dalı arşivinden 2009-2023 yılları arasında histopatolojik olarak malignite tanısı alan hastalar incelendi. Bu çalışmaya panoramik görüntüleri veya KIBT görüntüleri radyoloji arşivine kayıtlı oral maligniteli hastalar dahil edildi. Yaş-cinsiyet dağılımı kaydedildi. Lezyonların lokalizasyonu ve iç yapıları, sınırları, çevre dokulara etkileri gibi radyolojik özellikleri değerlendirildi.
Bulgular: Hastaların yaş ortalaması 58.2 olup 9’u kadın, 13’ü erkekti. Bu çalışmaya dahil edilen malignitelerin erkeklerde görülme oranı kadınlara göre daha yüksekti ve mandibula/maksilla oranı eşitti. En sık görülen primer tümör skuamöz hücreli karsinomdu (SHK) (n=12). SHK lezyonları bulundukları bölgedeki komşu yapıların kortikal sınırlarında yıkıma neden olmuş ve bu bölgelere doğru yayılma potansiyeli göstermiştir. Mukoepidermoid karsinom uniloküler, radyolusent, sınırları belirgin bir lezyon olarak izlendi ve kortikal kemiği tahrip ettiği belirlendi.
Sonuç: Panoramik radyografi ve KIBT görüntüleri oral malignitelerin kemik tutulumlarının değerlendirilmesinde değerli görüntüleme yöntemleridir.

Anahtar Kelimeler

Ağız kanseri, konik ışınlı bilgisayarlı tomografi, panoramik radyografi, skuamöz hücreli karsinom

Etik Beyan

Bu çalışma 04.02.2020 tarihinde Gazi Üniversitesi Etik Kurulunun 91610558-604.01.02 numaralı onayı ile yapılmıştır.

Kaynakça

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