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Yao Q, Xiong J, Zhou L, Zhao Z. Clinical characteristics and prognosis of patients with primary squamous cell carcinoma of the retromolar trigone: A SEER-based analysis. J Stomatol Oral Maxillofac Surg 2024; 125:101675. [PMID: 37923133 DOI: 10.1016/j.jormas.2023.101675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/28/2023] [Accepted: 10/30/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND Primary squamous cell carcinoma of the retromolar trigone (primary SCC RMT) is an uncommon malignant tumor. There is still much to learn about its clinicopathological characteristics and prognosis. In order to better understand the clinicopathological features and predictive survival aspects of primary SCC RMT, this study examined data from the SEER database from 2000 to 2020. Furthermore, in order to forecast the overall survival (OS) and cancer-specific survival (CSS) of patients with primary SCC RMT, we created nomograms. METHOD The Surveillance, Epidemiology and End Results (SEER) database was used to retrieve the information on individuals with primary SCC RMT who received a diagnosis between 2000 and 2020. Both univariate and multivariate analyses were conducted using the Cox proportional risk regression model. Using R software, prognostic nomograms were created to forecast the OS and CSS likelihood. The nomograms' prediction abilities were evaluated using the consistency index (C-index), calibration curve, and receiver operating characteristic (ROC) curve. RESULT A total of 1717 patients with primary SCC RMT were included, they were randomly assigned to the primary and validation cohorts in a 7:3 ratio using R software. Multivariate Cox regression revealed that age, marital status, regional nodes positive, Summary stage, TNM stage, T stage, N stage, surgery were independent prognostic factors of OS, and age, marital status, regional nodes positive, tumor sizes, Summary stage, N stage, surgery were independent prognostic factors of CSS in the primary cohort. The C-index of the nomogram OS was 0.705 (95 % CI: 0.685-0.725) and the C-index of CSS was 0.734 (95 % CI:0.714-0.754) in the primary cohort. In validation cohort, the C-index of the nomogram OS and CSS were 0.730 (95 % CI: 0.710-0.750) and 0.723 (95 % CI: 0.684-0.762), respectively. The 1-, 3-, and 5-year OS and CSS rates in the primary cohort and validation cohort were approximately in line with the nomogram estimations, in accordance to the calibration curves. CONCLUSION We conducted an analysis using the SEER database to investigate the features, survival outcomes, and prognostic parameters of patients with primary SCC RMT. And we developed two prognostic nomograms that can be used by clinicians to forecast the 1-, 3-, and 5-year overall survival and cancer-specific survival of patients with primary SCC RMT.
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Affiliation(s)
- Qing Yao
- Department of Stomatology, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang 110004, China; Department of Stomatology, General Hospital of Fushun Mining Bureau, 24 Central Street, Xinfu District, Fushun 113000, China.
| | - Jinhua Xiong
- Department of Radiology, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, Pudong New Area, Shanghai 200120, China
| | - Liguo Zhou
- Department of Stomatology, General Hospital of Fushun Mining Bureau, 24 Central Street, Xinfu District, Fushun 113000, China
| | - Zhiguo Zhao
- Department of Stomatology, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang 110004, China.
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Comer JC, King RB, Harris AB, Hitchcock KE, Mendenhall WM, Bates JE, Dziegielewski PT. Retromolar trigone squamous cell carcinoma: A population-based analysis of survival. Oral Oncol 2022; 127:105767. [PMID: 35217400 DOI: 10.1016/j.oraloncology.2022.105767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 01/23/2022] [Accepted: 02/07/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To evaluate the difference in overall survival (OS) in patients with retromolar trigone squamous cell carcinoma (RMT SCC) treated with surgery alone versus surgery plus postoperative radiotherapy (PORT) versus surgery plus postoperative chemoradiotherapy (POCRT). MATERIALS AND METHODS Retrospective cohort study of patients from 1,500 US facilities reporting to the National Cancer Database (NCDB) registry. Participants were adult patients treated with surgery as primary treatment modality for RMT SCC (n = 2,877). Exposures were primary definitive surgery versus surgery + PORT versus surgery + POCRT. Outcomes included OS after diagnosis and treatment of RMT SCC. A multivariate Cox proportional hazards model was constructed to compare survival between the three treatment modalities. Subgroup analysis was performed by T classification and overall staging. RESULTS There were 1,415 (50%) patients treated with surgery alone, 870 (30%) patients treated with surgery + PORT, and 572 (20%) treated with surgery + POCRT. Treatment with surgery + PORT was associated with improved OS compared to surgery alone (relative hazard: 1.25, 95% CI: 1.01, 1.54, p = 0.042). Patients treated with surgery + POCRT also had improved OS compared with surgery alone (relative hazard: 1.89, 95% CI 1.45, 2.43, p < 0.001). Patients with T3/4 tumors had improved OS when treated with surgery + PORT (relative hazard 1.39, 95% CI: 1.05, 1.84, p = 0.022) or surgery + POCRT (relative hazard 2.27, 95% CI: 1.66, 3.15, p < 0.001). Patients with T1 or T2 disease had no significant difference in survival in both the surgery + PORT (p = 0.331) and surgery + POCRT treatment groups (p = 0.134). Therefore, there was no difference in OS for patients with stage I or II disease treated with surgery + PORT (p = 0.451), nor with surgery + POCRT (p = 0.853). CONCLUSION Treatment with surgery + PORT +/- chemotherapy appears to be associated with significantly improved OS compared to surgery alone for advanced RMT SCCa.
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Affiliation(s)
- Julia C Comer
- Department of Otolaryngology, University of Florida, PO Box 100264, Gainesville, FL, USA.
| | - Robert B King
- Department of Medicine, University of Florida, 1600 SW Archer Rd, Gainesville, FL 32610, USA.
| | - Andrew B Harris
- Department of Orthopaedic Surgery, Johns Hopkins University, 601 N Caroline Street Baltimore, MD 21205, USA.
| | - Kathryn E Hitchcock
- Department of Radiation Oncology, University of Florida, 2000 SW Archer Rd, Gainesville, FL 32608, USA.
| | - William M Mendenhall
- Department of Radiation Oncology, University of Florida, 2000 SW Archer Rd, Gainesville, FL 32608, USA.
| | - James E Bates
- Department of Radiation Oncology, Winship Cancer Institute, Emory University, 1365 Clifton Rd #1-A, Atlanta, GA 30322, USA.
| | - Peter T Dziegielewski
- Department of Otolaryngology, University of Florida, PO Box 100264, Gainesville, FL, USA.
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Aloua R, Opoko U, Kerdoud O, Hmoura Z, Slimani F. Mucoepidermoid carcinoma of the retromolar trigone in an elderly female: A case report. Ann Med Surg (Lond) 2021; 67:102487. [PMID: 34158934 PMCID: PMC8196050 DOI: 10.1016/j.amsu.2021.102487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 06/04/2021] [Accepted: 06/05/2021] [Indexed: 11/10/2022] Open
Abstract
Tumors of the retromolar trigone area represent 12% of neoplasms of the oral cavity, and of which squamous cell carcinoma represents the main histological type. Mucoepidermoid carcinoma (MEC) of the accessory salivary glands is a rare entity, representing less than 5% of head and neck cancers, and 10% of all salivary gland tumors; its biological characteristics are very diverse, correlated to the histological grade of the tumor. This tumor has an excellent outcome after surgical management, with a prognosis related to the histological grade of the tumor. The authors reported a case of low-grade mucoepidermoid carcinoma, arising in the left retromolar trigon, in an 83-year-old woman who was treated by surgical removal of the tumor with a 1.5 cm border. Mucoepidermoid carcinoma (MEC) of the accessory salivary glands is a rare entity. Its biological characteristics are very diverse, correlated to the histological grade of the tumor. This tumor has an excellent outcome after surgical management; with a prognosis related to the histological grade of the tumor. We reported a case of low-grade mucoepidermoid carcinoma, arising in the left retromolar trigon, in an 83-year-old woman, treated by surgical resection.
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Affiliation(s)
- Rachid Aloua
- Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco
| | - Ulrich Opoko
- Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco
| | - Ouassime Kerdoud
- Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco
| | - Zahra Hmoura
- Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco
| | - Faiçal Slimani
- Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, B.P 5696, Casablanca, Morocco.,Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco
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Dhara V, Kudva A, Chithra A, Rajan J, Singh A. Reconstruction of buccal mucosa: A minimalist symbiotic approach with local flaps. Oral Oncol 2020; 114:105081. [PMID: 33162321 DOI: 10.1016/j.oraloncology.2020.105081] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Accepted: 10/27/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND Buccal mucosa defects following resection of premalignant or malignant lesions require adequate reconstruction. Both locoregional and microvascular flaps have been extensively used based on operator and patient factors. This paper focuses on the outcomes of a simplified approach for reconstruction of large buccal mucosa defects with posterior extent using a combination of two loco regional flaps. METHOD A combination of buccal fat pad graft and nasolabial flap was used to reconstruct large defects spanning the buccal mucosa extending to the soft palate or retromolar trigone areas. Post operative outcomes were noted in patients who underwent reconstruction using this combination technique. RESULT This paper highlights the favourable results and ease of technique with this combination of flaps, i.e complete coverage of large buccal mucosa defects extending to critical areas such as soft palate, retromolar trigone or tonsillar pillars; avoiding sophisticated free flaps. Satisfactory healing with adequate functional and esthetic outcomes were seen. CONCLUSION Defects post ablation of buccal mucosa lesions, larger than 5 cm × 5 cm, can be reconstructed using double local flaps. Buccal fat pad and nasolabial flaps heal excellently with nil morbidities and their combination provides a simple and an economical alternative option for reconstructive surgeons.
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Affiliation(s)
- Vasantha Dhara
- Department of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Udupi, Karnataka 576104, India
| | - Adarsh Kudva
- Department of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Udupi, Karnataka 576104, India.
| | - A Chithra
- Department of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Udupi, Karnataka 576104, India
| | - Jyotsna Rajan
- Department of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Udupi, Karnataka 576104, India
| | - Anupam Singh
- Department of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Udupi, Karnataka 576104, India
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Rizvi ZH, Alonso JE, Kuan EC, St John MA. Treatment outcomes of patients with primary squamous cell carcinoma of the retromolar trigone. Laryngoscope 2018; 128:2740-2744. [PMID: 29756295 DOI: 10.1002/lary.27234] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Revised: 02/28/2018] [Accepted: 03/22/2018] [Indexed: 11/11/2022]
Abstract
OBJECTIVES/HYPOTHESIS Squamous cell carcinoma of the retromolar trigone (RMT SCC) is a relatively uncommon primary site for oral cavity malignancy. However, given its proximity to the mandible and buccal mucosa, RMT SCC typically exhibits early invasion and generally presents at an advanced stage. Large-sample studies are needed to assess the epidemiology and clinical outcomes of this tumor. Our aim was to describe the determinants of survival in patients with RMT SCC. STUDY DESIGN Retrospective cohort study. METHODS Retrospective, population-based cohort study of patients in the Surveillance, Epidemiology, and End Results tumor registry who were diagnosed with RMT SCC from 1973 to 2012. Primary endpoints were overall survival (OS) and disease-specific survival (DSS). RESULTS A total of 4,022 cases of RMT SCC were identified. The mean age at diagnosis was 65 years. Thirty-nine percent of cases presented with stage IV disease. The median OS by stages I to IV were 73.7, 52.4, 27.5, and 23.4 months, respectively (P < .05). Overall, 34.3% of patients underwent surgery, 23.5% received radiation therapy, and 34.1% had both surgical and radiation therapy. On multivariate analysis, advanced age, greater tumor size, and advanced stage were associated with worse OS and DSS (P < .05), surgery predicted improved OS and DSS (P < .05), and radiation therapy predicted improved OS only (P < .05). CONCLUSIONS RMT SCC is an aggressive malignancy that portends a poor prognosis, though early-stage tumors (stages I and II) have significantly improved survival. Any surgical intervention independently predicted higher survival outcomes. There may be a role of dual modality approaches, particularly for larger tumors. LEVEL OF EVIDENCE 4 Laryngoscope, 128:2740-2744, 2018.
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Affiliation(s)
- Zain H Rizvi
- Department of Head and Neck Surgery, David Geffen School of Medicine , University of California Los Angeles, Los Angeles, California
| | - Jose E Alonso
- Department of Head and Neck Surgery, David Geffen School of Medicine , University of California Los Angeles, Los Angeles, California
| | - Edward C Kuan
- Department of Otolaryngology-Head and Neck Surgery , University of California, Irvine Medical Center, Orange, California
| | - Maie A St John
- Department of Head and Neck Surgery, David Geffen School of Medicine , University of California Los Angeles, Los Angeles, California.,Department of Otolaryngology-Head and Neck Surgery , University of California, Irvine Medical Center, Orange, California.,Jonsson Comprehensive Cancer Center , Ronald Reagan University of California Los Angeles Medical Center, Los Angeles, California.,University of California Los Angeles Head and Neck Cancer Program , Ronald Reagan University of California Los Angeles Medical Center, Los Angeles, California, U.S.A
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Kang YH, Byun JH, Sung SJ, Park BW. Tumor resection from retromolar trigone, posterolateral maxilla, and anterior mandibular ramus using lower cheek flap approach: a case report and review of literature. J Korean Assoc Oral Maxillofac Surg 2017; 43:186-190. [PMID: 28770161 PMCID: PMC5529194 DOI: 10.5125/jkaoms.2017.43.3.186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Accepted: 12/21/2016] [Indexed: 11/07/2022] Open
Abstract
A surgical approach involving the retromolar trigone, posterolateral maxilla, and pterygoid region is the most challenging in the field of maxillofacial surgery. The upper cheek flap (Weber-Ferguson incision) with subciliary extension and the maxillary swing approach have been considered as alternatives; however, neither approach provides sufficient exposure of the pterygoid region and the anterior portion of the mandibular ramus. In this report, we describe two cases in which a lower cheek flap approach was used for complete tumor resection in the retromolar trigone and the anterior mandibular ramus. This approach allows full exposure of the posterolateral maxilla and the pterygoid region as well as the retromolar trigone without causing major sensory disturbances to the lower lip. A mental nerve anastomosis after tumor resection was performed in one patient and resulted in approximately 90% sensory recovery in the lower lip. The lower cheek flap approach provides adequate exposure of the posterolateral maxilla, including the pterygoid, retromolar trigone, and mandibular ramus areas. If the mental nerve can be anastomosed during flap approximation, postoperative sensory disturbances to the lower lip can be minimized.
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Affiliation(s)
- Young-Hoon Kang
- Department of Dentistry, School of Medicine and Institute of Health Science, Gyeongsang National University, Jinju, Korea.,Department of Oral and Maxillofacial Surgery, Changwon Gyeongsang National University Hospital, Changwon, Korea
| | - June-Ho Byun
- Department of Dentistry, School of Medicine and Institute of Health Science, Gyeongsang National University, Jinju, Korea
| | - Su-Jin Sung
- Department of Oral and Maxillofacial Surgery, Changwon Gyeongsang National University Hospital, Changwon, Korea
| | - Bong-Wook Park
- Department of Dentistry, School of Medicine and Institute of Health Science, Gyeongsang National University, Jinju, Korea.,Department of Oral and Maxillofacial Surgery, Changwon Gyeongsang National University Hospital, Changwon, Korea
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Abstract
OBJECTIVE Squamous cell carcinoma (SCC) of the retromolar trigone is uncommon, accounting for 1.4% of all oral cancer cases in Japan. Few studies have examined the optimal treatment for this cancer. The aim of this study was to evaluate the outcome of treatment for primary SCC of the retromolar area. METHODS We retrospectively analyzed the outcome and prognosis of 45 patients (38 men, 7 women) with SCC of the retromolar trigone who underwent treatment in our department between July 1992 and March 2011. RESULTS Mean age was 62.4 years. Clinical stages were: stage I (n=4, 8.9%); stage II (n=10, 22.2%); stage III (n=5, 11.1%); and stage IVa (n=26, 57.8%). Surgical resection was performed in all patients and 6 patients also received postoperative radiotherapy. Reconstructive surgery using free flaps was performed in 38 patients; postoperative complications occurred in 5 of these patients. The 3-year local control rate was 80%, and the 3-year over all survival rates for stage I, II, III, and IV disease were 100%, 80%, 40%, and 49.2%, respectively. Cause of death was the original disease in 23 cases and other diseases in 2 cases. The most common cause of death from the original disease was cervical lymph node metastasis. CONCLUSION The presence of cervical lymph node metastasis was a negative prognostic factor. Marginal mandibulectomy may be selected for patients without distinct bone-marrow infiltration.
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Affiliation(s)
- Hideaki Nishi
- Department of Otolaryngology, Sasebo City General Hospital, 9-3 Hirasemachi, Sasebo, Nagasaki, 857-8511, Japan; Department of Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
| | - Takeshi Shinozaki
- Department of Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
| | - Toshifumi Tomioka
- Department of Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
| | - Takashi Maruo
- Department of Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
| | - Ryuichi Hayashi
- Department of Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan
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Arslan A, Ozcakir-Tomruk C, Deniz E, Akin O. A case report of metastasis of malignant mesothelioma to the retromolar trigone. World J Surg Oncol 2016; 14:188. [PMID: 27439511 PMCID: PMC4955152 DOI: 10.1186/s12957-016-0942-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Accepted: 07/08/2016] [Indexed: 12/20/2022] Open
Abstract
Background Malignant mesothelioma is a rare and aggressive tumor with a poor prognosis. Distant metastases are very rare, and the oral cavity metastases are exceedingly rare. Only a few cases with metastasis to oral gingiva are reported. To our knowledge, this is the first case report of pleural mesothelioma metastasized to the retromolar trigone. Case presentation A 59-year-old male was referred with a painless growth at retromolar trigone area. It had been present for 2 months and had increased in size during this period of time. Past medical history revealed a malignant mesothelioma. Intraoral examination showed a soft, haemorrhagic, ulcerated lesion at the right retromolar trigone area. There was no destruction of the bony architecture. An incisional biopsy was performed under local anaesthesia. Based on the histopathological and immunohistochemical findings, a final diagnosis of metastatic mesothelioma was made. The patient was informed about the possibility of multiple metastases within the body, but he succumbed after 45 days following deterioration of his medical condition. Conclusions Biopsy, history of the patient and clinical picture were provided to the clinicians to make an efficient differential diagnosis. Differential diagnosis must be performed with other oral cancers, because the management is totally different.
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Affiliation(s)
- A Arslan
- Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Yeditepe University, Bagdat Cad, No: 238, Goztepe, 34728, Istanbul, Turkey.
| | - C Ozcakir-Tomruk
- Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Yeditepe University, Bagdat Cad, No: 238, Goztepe, 34728, Istanbul, Turkey
| | - E Deniz
- Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Yeditepe University, Bagdat Cad, No: 238, Goztepe, 34728, Istanbul, Turkey
| | - O Akin
- Patomed Pathology Laboratory, Gursel Mah, Darulaceze Cad, Eksioglu Is Merkezi, Kat:3, No: 36, D:4, Okmeydani, Istanbul, Turkey
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Tan SH, Chong AW, Nazarina AR, Prepageran N. Basaloid squamous cell carcinoma of the oropharynx: comparison of two cases and review of the literature. Otolaryngol Pol 2014; 68:268-70. [PMID: 25283325 DOI: 10.1016/j.otpol.2013.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2013] [Accepted: 09/16/2013] [Indexed: 11/18/2022]
Abstract
We describe a rare case of BSCC in the retromolar trigone with only 3 other cases in the literature and also compare the differences between 2 cases of BSCC in terms of presentation and progression. The first patient had a markedly slower progression with painful retromolar trigone swelling over 4 months without nodal metastases. In contrast, the second patient gave a 2-week history of neck swelling with nodal involvement, indicating extremely rapid progression. Our management was tailored accordingly with the first patient undergoing intraoral excision of tumour and adjuvant radiotherapy while the other had bilateral neck dissection with postoperative chemoradiotherapy. Both patients achieved good outcome and are free from disease.
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Affiliation(s)
- Sien Hui Tan
- Department of Otolaryngology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
| | - Aun Wee Chong
- Department of Otolaryngology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
| | - Abdul Rahman Nazarina
- Department of Pathology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
| | - Narayanan Prepageran
- Department of Otolaryngology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
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Mazziotti S, Pandolfo I, D'Angelo T, Mileto A, Visalli C, Racchiusa S, Blandino A, Ascenti G. Diagnostic approach to retromolar trigone cancer by multiplanar computed tomography reconstructions. Can Assoc Radiol J 2014; 65:335-44. [PMID: 25267376 DOI: 10.1016/j.carj.2014.04.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2013] [Revised: 03/05/2014] [Accepted: 04/17/2014] [Indexed: 10/24/2022] Open
Abstract
Neoplasms of retromolar trigone have important peculiarities due to their spatial relationships with the surrounding structures. Tumours that involve this area can extend to nearby muscles; adipose spaces; and other anatomic structures, such as the soft palate, the tonsillar fossa, the parapharyngeal space, and the floor of the mouth. In spite of a relatively quick diagnosis, the real extent of these tumours is typically underestimated at clinical examination. Our purpose was to propose a systematic approach to the use of multiplanar computed tomography reconstructions to evaluate normal retromolar trigone anatomy and the main pathways of spread for tumours that arise in this area. To our knowledge, only few reports exist in literature about this topic and none are about the usefulness of multidetector computed tomography and multiplanar reconstructions.
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Affiliation(s)
- Silvio Mazziotti
- Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy.
| | - Ignazio Pandolfo
- Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Tommaso D'Angelo
- Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Achille Mileto
- Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA
| | - Carmela Visalli
- Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Santi Racchiusa
- Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Alfredo Blandino
- Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Giorgio Ascenti
- Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
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11
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DURMUS K, APUHAN T, OZER E. Transoral robotic surgery for retromolar trigone tumours. Acta Otorhinolaryngol Ital 2013; 33:425-7. [PMID: 24376300 PMCID: PMC3870447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2012] [Accepted: 03/18/2013] [Indexed: 11/02/2022]
Abstract
The retromolar trigone is a challenging transoral surgical site due to the difficulty of visualization. Our aim is to report a new technique of transoral robotic resection of retromolar trigone tumours. We present three patients with retromolar trigone tumours with pathological diagnosis of squamous cell carcinoma who underwent successful transoral robotic resection. Robotic retromolar trigone resection and concurrent supraomohyoid neck dissections were performed in all patients without any complication. In conclusion, transoral robotic surgery is a safe and feasible technique for resection of malignant retromolar trigone tumours with minimal complications and favourable outcomes.
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Affiliation(s)
- K. DURMUS
- Department of Otolaryngology, Head and Neck Surgery, "Arthur G. James" Cancer Hospital and "Richard J. Solove" Research Institute, Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA
| | - T. APUHAN
- Department of Otolaryngology, Head and Neck Surgery, Bolu Izzet Baysal University, Bolu, Turkey
| | - E. OZER
- Department of Otolaryngology, Head and Neck Surgery, "Arthur G. James" Cancer Hospital and "Richard J. Solove" Research Institute, Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA;,Address for correspondence: Enver Ozer, Department of Otolaryngology, Head and Neck Surgery, The Ohio State University Wexner Medical Center, 320 W 10th Ave. B216 Starling Loving Hall, Columbus, OH, USA 43210. Tel. 614 293 80 74. Fax 614 293 3193. E-mail:
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