Association between the morphological characteristics of growth and the clinical course of oral cancer


Cite item

Full Text

Abstract

Clinical-morphological study based on the clinical data of 122 patients with malignant neoplasms of tongue and oral mucosa was conducted aimed at establishing an association between the morphological characteristics of malignant tumors and symptomatic progression of the tumor process conducted after treatment. It was demonstrated that all tumors with epithelial genesis, 107 represented a keratinizing squamous carcinoma, and the degree of differentiation prevailed moderately differentiated tumors (113 cases). Retrospective evaluation of the malignancy degree of tongue and oral mucosa tumors, according to recommendations in literature, conducted before treatment, showed a prevalence in all groups studied tumors grade III compared to II and a small number of tumors with I degree of malignancy. When comparing the degree of malignancy of squamous cell carcinoma in each studied group of patients with clinical diagnosis of tumor progression: the time of relapse and regional metastases after treatment established an association between these indicators. The most aggressive growth characterized by squamous cell carcinoma grade III, despite the pronounced signs of keratinization in most tumors. The most effective was the complex treatment of patients with combined effects of CRT + CD and microwave hyperthermia. Reported patterns give rise to speak about the possibility of using morphological grade squamous cell carcinoma of tongue and oral mucosa, as a predictive clinical and morphological parameters of the flow of the tumor process.

About the authors

V. H Samedov

P.L. Shupyk National Medical Academy of Postgraduate Education

Email: vusal_sh@mail.ru
аспирант каф. онкологии 04112, Kiev, Ukraine

L. A Naleskina

R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology of NAS of Ukraine

03022, Kiev, Ukraine

V. D Zakharychev

P.L. Shupyk National Medical Academy of Postgraduate Education

04112, Kiev, Ukraine

References

  1. Делидова Е.В. Лечебная тактика при реализованных метастазах рака слизистой оболочки полости рта и ротоглотки: Дис. канд. мед. наук. М; 2002.
  2. Лукманов В.И., Бакиров Р.Т. Пути метастазирования рака полости рта. Паллиативная медицина и реабилитация. 1999; 3: 42.
  3. Любаев В.Л., Шенталь В.В. и др. Лечение регионарных метастазов рака слизистой оболочки полости рта и ротоглотки. В кн.: 2-й Съезд онкологов стран СНГ. Киев; 2000: 436.
  4. Пачес А.И. Опухоли головы и шеи. М.: Медицина; 2000.
  5. Kademani D. Oral cancer. Mayo Clin. Proc. 2007; 82 (7): 878-87.
  6. Liberatore G., Ventucci E., Nicolai G. et al. Evolution of surgical reconstructive methods for treatment of oral cavity malignant neoplasms. J. Craniomaxillofac. Surg. 2000; 28: 8.
  7. Пачес А.И., Ольшанский В.О., Любаев В.Л. и др. Злокачественные опухоли полости рта, глотки и гортани. М.: Медицина; 1988.
  8. Kirita T., Yamanaka Y., Imai Y. et al. Preoperative concurrent chemoradiotherapy for stages II-IV oral squamous cell carcinoma: a retrospective analysis and the future possibility of this treatment strategy. Int. J. Oral Maxillofac. Surg. 2012; 41 (4): 421-8.
  9. Битюцкий П.Г., Трофимов Е.И. Диагностика и лечение рака слизистой оболочки полости рта. Медицинская консультация. 1996; 1: 23-7.
  10. Панин М.Г., Шенталь В.В. и др. Результаты комплексного лечения рака слизистой оболочки полости рта. В кн.: Материалы V международной конференции челюстно-лицевых хирургов и стоматологов. СПб.; 2000: 98.
  11. Мардалейшвили К.М. Клинико-морфологические основы прогнозирования и моделирования индивидуального лечения рака слизистой оболочки полости рта: Дис. д-ра мед. наук. М.; 1985.

Copyright (c) 2014 Eco-Vector


 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies