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- Title
Epidemiological Features And Management Of Oral Cancer Patients - Experience From A Single Private Comprehensive Cancer Care Center In The State Of Odisha.
- Authors
Manjunath, N. M. L.; Panda, K.; Nayak, B. B.
- Abstract
Background Oral cancer is the most common cancer in India. Geographical variations, genetic make up of population and the varied environmental risk factors play a role in the different type of tumor and patient characteristics. Challenges in the management of oral cancer patients in India include, delay in the presentation with high volume of advanced disease to be handled, affordability of patients and lack economical support especially in the non-governmental organizations and lack of awareness among patients and their relatives. Present study, a retrospective analysis of a prospectively maintained data, portrays the epidemiological features and management of patients with oral cancer presented to a private comprehensive cancer care hospital in the state of Odisha, India. Methods Data of all the patients diagnosed with oral cavity squamous cell carcinoma was collected from the database. Patients with incomplete details and diagnosis other than squamous cell carcinoma were excluded. Results A total of 481 patients were considered for the analyses, managed between January 2016 and December 2016. Among 481 patients, 371 (77%) were males and 110 (23%) were females. Mean age among the present cohort of patients was 50 years with age group 50 to 60 years being most common. Majority of the patients (67%) presented with locally advanced cancers with left sided tumors being more common (290 patients, 60%). Buccal mucosa and alveobuccal sulcus regions were the most common sites (234 patients, 49%) followed by tongue (95 patients, 20%) and other subsites as depicted in figure 3 . All the patients underwent resection with curative intent and a 1 cm gross resection margins with or without bone and skin. Margin negative resection could be achieved in 82% of patients. Nodal involvement was seen in 36% of patients in the final histopathological assessment. One hundred and sixty three patients underwent microvascular reconstruction including radial free flap, Free fibula flap and anterolateral thigh flap. Conclusion Management of oral cancer patients is a major oncological and reconstructive challenge in India due to the advanced nature of disease at presentation. Inspite of socioeconomic constraints, these patients can be managed even in a private cancer centers with optimum outcomes. This is possible through coordinated team efforts.
- Subjects
INDIA; ORAL cancer; CANCER patients; PLASTIC surgeons; FREE flaps; SQUAMOUS cell carcinoma; NONGOVERNMENTAL organizations
- Publication
Journal of Cancer Research & Therapeutics, 2017, Vol 13, pS194
- ISSN
0973-1482
- Publication type
Article