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Clinicopathological study of surgical margins in squamous cell carcinoma of buccal mucosa

World Journal of Otorhinolaryngology-Head and Neck Surgery 2016年第1期2卷 -页

作者： S.M. Azeem Mohiyuddin B. Vageesh Padiyar T.N. Suresh kouser mohammadi A. Sagayaraj Shuaib Merchant Mahnaaz Sultana Azeem Department of 0torhinolaryngology and Head and Neck Surgery Sri Devaraj Urs Medical College Tamaka Kolar 563101 India Department of Pathology Sri Devaraj Urs Medical College Tamaka Kolar 563101 India Sri Devaraj Urs Medical College Tamaka Kolar 563101 India

Objective:To evaluate the margins of resected specimen of oral squamous cell car-cinoma (SCC) and to document the surgical margin (measured at the time of resection) and margins at the time of pathological examination (after immersion of the specimen in formalin). Methods:Patients who were diagnosed and confirmed with squamous carcinoma of buccal mu-cosa were included in the study. Patients underwent resection of the tumor with a margin of 1 cm. Soon after resection, the distance between outermost visible margin of the tumor and the margin of the specimen was measured and documented. Specimens were fixed in 10%formalin and submitted for gross and histopathological examination. The closest histopatho-logic margin was compared with the in situ margin (10 mm) to determine and document any shrinkage of the margin and the percentage of discrepancy if any. Results: A total of 52 specimens were collected from patients between January 2014 and December 2014. All specimens were obtained from the oral cavity (n Z 52) of which 43 (82.7%) were squamous cell carcinoma and 9 (17.3%) were verrucous variant of squamous cell carcinoma. The average decrease in tumor margins measured after fixation in formalin wasfound to be statistically significant (P Conclusion:Tumor margin shrinks significantly after formalin fixation by about 25%. The oper-ating surgeon and pathologist should be well aware of such changes while planning for further management thereby ensuring adequate margin of resection and adjuvant treatment wherever required to prevent possible local recurrence of the disease. Copyright a 2016 Chinese Medical Association. Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. This is an open access article under the CC BY-NC-ND license (http://***/licenses/by-nc-nd/4.0/).

关键词： Oral squamous cell carcinoma Formalin fixation Margin of resection Recurrence

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