Volume 14, Number 4, December 2002
| | Interval Presentation of Non-cancerous Lesions Following Neck Surgery for Oral Squamous Cell Carcinoma |
|---|
Yasuro Yoshimura,1 Koichi Mishima,1 Seiji Obara,1 Hitoshi Yoshimura,1 Riruke Maruyama2
1Department of Oral and Maxillofacial Surgery, Shimane Medical University, School of Medicine, Izumo City, Shimane, Japan
2Pathology Laboratory, Shimane Medical University, School of Medicine, Izumo City, Shimane, Japan
Abstract
Objective: Lumps developing in the neck after neck surgery for oral squamous cell carcinoma usually indicate recurrent disease but, on occasion, a non-cancerous lesion may be present. A study was performed to evaluate the clinical and histological features of newly formed non-cancerous lesions in the neck area previously treated for regional lymph node metastasis.
Patients and Methods: Twenty three patients presenting with newly developed lumps in the neck area following neck surgery for oral squamous cell carcinoma were investigated.
Results: Eleven patients had metastatic disease, while 12 had benign tumours. Fifteen specimens obtained from the 12 patients with benign tumours were histopathologically examined. The 12 patients revealed usual clinical features and were treated similarly to other patients with oral squamous cell carcinoma. The non-cancerous lesions occurred in the submandibular and upper neck regions, revealing the following range of histological features: abscesses or granulomatous tissues (6); lymph nodes with reactive inflammation or no particular changes (6); simple subcutaneous tissues containing muscle and nerve (2), and amputation neuroma (1).
Conclusion: There is a need for precise biopsy from a suitable part of the neck using an excisional procedure for accurate diagnosis.
Key words: Carcinoma, squamous cell, Neck, Surgery, Recurrence, Tumour
Asian J Oral Maxillofac Surg. 2002;14:202-208.
 |
|
|
|
