Tumor Thickness: A predictor of @entity66 in early @entity957 of XXXX .

@entity1 @entity286 @entity14705 @entity66 @entity5 @entity957 @entity734
UNASSIGNED: @entity957 of @entity14705 is one the highest number of @entity5 seen in the Southeast Asian region. It is related to chewing a combination of @entity286 mixed with betel leaves, areca nut, and lime shell called quid. As it is most commonly due to @entity734 and affects younger population, it has tremendous economical and social consequences. Surgery is the most successful modality of management in these @entity1 . The surgery involves wide excision of the diseased mucosa and neck dissection. Neck dissection is associated with certain morbidities, but is routinely practiced in some centers like ours. We have attempted to evaluate the occurrence of the @entity66 in relation to the thickness of the @entity5 in cases of early @entity5 (stage I and II). We have used ultrasound of the lesion as our modality to assess the @entity5 thickness preoperatively. AJCC 7th edition was used to assess the clinical and pathological stage of the disease. We have studied 52 @entity1 of early buccal @entity957 , and we observed that @entity5 thicker than 7mm (p-0.05) have highest co-relation with nodal metastases. This study also recommends that neck dissection should be prophylactically performed for @entity5 thicker than 4mm. Tumor characteristics such as grade, perineural invasion, and lymphatic invasion should be considered as predictors for early nodal involvement.
