Involvement of Level 1 A Neck Lymph Nodes in Squamous Cell Carcinoma of the Tongue
摘要
In this study we investigated the involvement of level 1 A neck lymph nodes in squamous cell carcinoma of the tongue.
MethodsIn this cross-sectional study, 60 patients with SCC of the tongue undergoing cervical lymph node dissection were involved. The data collection tool was a researcher-made checklist including: age, gender, anatomical location, tumor stage, tumor grade, tumor size, history of smoking and the presence of the level 1 A cervical lymph node metastasis. The data was extracted from the medical history and pathological reports of the patients and finally all data were analyzed.
ResultsMean age of the patients was 58.9 years old (53.3% were male and 46.7% were female). 20% of the patients had history of smoking. Staging of the tumor was as following: T1 = 16.6%, T2 = 23.3%, T3 = 50% and T4 = 10.1%. Frequency of tumor size was as following: size < 0.8 = 38.3% and size > 0.8 = 61.7%. The frequency of cervical lymph node involvement in level 1 A was 0% and was 10% in level 1B and 51.6% in level 2–4 and total involvement was = 61.6%. There was no significant difference in age between two groups with and without neck lymph node involvement (p-value = 0.13). There was a significant difference in gender (p-value = 0.02), history of smoking (p-value = 0.02), staging of the tumor (p-value = 0.03) and size of the tumor (p-value = 0.04) between two groups with and without neck lymph node involvement.
ConclusionsThe results of the current study showed that the involvement of level 1 A neck lymph nodes had zero frequency among the patients. Other involvement with higher frequency was significantly influenced by the variables of gender, smoking, tumor stage and tumor size.