✦ LIBER ✦

Predictors of carcinomatous invasion of the mandible

✍ Scribed by Dr. Terance T. Tsue; Dr. Timothy M. McCulloch; Dr. Douglas A. Girod; Dr. David J. Couper; Dr. Ernest A. Weymuller Jr; Dr. Michael G. Glenn

Publisher: John Wiley and Sons
Year: 1994
Tongue: English
Weight: 917 KB
Volume: 16
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.2880160204

No coin nor oath required. For personal study only.

✦ Synopsis

The preoperative assessment of mandibular invasion by oral or oropharyngeal squamous cell carcinoma poses a challenge for the head and neck surgeon. A study of 64 composite resection patients was performed to determine which variables in the patient's history, physical exam, and diagnostic workup had a predictive association with carcinomatous mandibular invasion. Four postoperative variables were included in this analysis. Thirty-nine percent of the mandibular specimens demonstrated cancerous involvement.

A multivariate recursive partitioning statistical analysis was performed to create a decision tree. Branching was based on the two statistically predictive variables: computed tomographic (CT) scan results and primary tumor location. The guide provides improved predictive accuracy with a 100% negative predictive value (NPV) and a 46% positive predictive value (PPV). This decision guide should help the surgeon provide accurate patient counseling, anticipate reconstructive needs, and maximize surgical oncologic effectiveness.

📜 SIMILAR VOLUMES

Invasive histoplasmosis of the mandible

✍ Thomas J. Dobleman; Natan Scher; Dr. Michael Goldman; Shane Doot 📂 Article 📅 1989 🏛 John Wiley and Sons 🌐 English ⚖ 360 KB

We present a case of an 82-year-old man with a 1-year history of a slowly enlarging, nontender, exophytic oral mucosal lesion with focal ulceration of the right alveolar ridge of the mandible associated with cortical bone resorption. Two consecutive biopsies revealed histoplasma capsulatum. A review

Invasion of the mandible by squamous car

Invasion of the mandible by squamous carcinomas of the oral cavity and oropharynx

✍ O'brien, Christopher J. ;Carter, Richard L. ;Soo, Khee-Chee ;Barr, Lester C. ;Ha 📂 Article 📅 2006 🏛 Wiley (John Wiley & Sons) ⚖ 1019 KB

The radiologic and histologic features of mandibular invasion, and its clinical implications, are considered in a retrospective series of 111 patients with squamous carcinomas of the oral cavity and oropharynx treated by composite resection. Eighty percent of the entire group had either recurrent or

Carcinomatous invasion of bone in osteom

Carcinomatous invasion of bone in osteomyelitis report of a case with pulmonary metastasis

✍ Raymond Farrow; R. J. R. Cureton 📂 Article 📅 1962 🏛 John Wiley and Sons 🌐 English ⚖ 321 KB 👁 2 views

Predictors of microvascular invasion bef

Predictors of microvascular invasion before hepatectomy for hepatocellular carcinoma

✍ Masaki Kaibori; Morihiko Ishizaki; Kosuke Matsui; A-Hon Kwon 📂 Article 📅 2010 🏛 John Wiley and Sons 🌐 English ⚖ 141 KB

## Abstract ## Background and Objectives Microvascular invasion (MVI) is difficult to detect before resection of hepatocellular carcinoma (HCC). ## Methods Clinicopathological and outcome data were retrospectively compared between 213 HCC patients with MVI and 221 patients without MVI who underw

Non-carcinomatous tumours of the stomach

✍ R. J. Beard; E. C. Lee Gruebel; A. H. Haysom; D. H. Melcher 📂 Article 📅 1968 🏛 John Wiley and Sons 🌐 English ⚖ 414 KB 👁 2 views

Myxoma of the mandible

✍ A. C. Brewer; J. H. Johnston 📂 Article 📅 1955 🏛 John Wiley and Sons 🌐 English ⚖ 212 KB 👁 2 views

CENTRAL myxoma of the jaw is a rare turnour. Histological examination of the specimen showed Thoma and Goldman (1947) were able to collect a replacement of the mtrrow by a relatively acellular series of II cases. In all except one of these a tooth mpoma-Eight months later the turnour was found to h