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Published on: May 10, 2021
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Can Radiological Tumour Thickness Predict Pathological Prognostic Factors in Clinicoradiologically Node-Negative Oral
Kishore Das1, Rohan Dey1, Jyotiman Nath2
1Department of Head & Neck Surgery, Dr B Borooah Cancer Institute, Guwahati, Assam India.
Summary
Radiological tumour thickness on CT scans can predict pathological prognostic factors in buccal mucosa squamous cell carcinoma. This finding aids in assessing outcomes for node-negative oral cancer patients.
Area of Science:
- Oncology
- Radiology
- Pathology
Background:
- Investigating correlations between radiological tumor thickness (rTT) from CT scans and pathological prognostic factors.
- Focusing on clinicoradiologically node-negative squamous cell carcinoma of the buccal mucosa.
- Examining pathological tumor thickness (pTT), depth of invasion (DOI), and cervical nodal metastasis.
Purpose of the Study:
- To determine if rTT on CT scans can predict pathological prognostic factors.
- To establish the relationship between rTT and pTT, DOI, and nodal status.
- To enhance prognostic accuracy for oral squamous cell carcinoma.
Main Methods:
- Correlation analysis of rTT from preoperative CT scans.
- Inclusion of 61 untreated, clinicoradiologically node-negative buccal mucosa squamous cell carcinoma patients.
- Comparison of rTT with pathological tumor thickness, DOI, and post-operative nodal metastasis.
Main Results:
- No statistically significant difference in mean rTT between patients with positive or negative post-operative nodal metastases.
- Significant correlations were found between rTT and other potential prognostic factors.
- Study included 61 patients (68.9% male, 31.1% female) with a median age of 54.
Conclusions:
- Preoperative CT scan tumor thickness (rTT) is a valuable predictor of post-operative prognostic factors.
- rTT can aid in risk stratification for oral squamous cell carcinoma.
- Further research can refine the use of radiological tumor thickness in treatment planning.

