CC BY-NC-ND 4.0 · South Asian J Cancer 2019; 08(01): 44-46
DOI: 10.4103/sajc.sajc_66_18
ORIGINAL ARTICLE: Head and Neck Cancers

Squamous cell carcinoma of upper alveolus: An experience of a tertiary care center of Northeast India

Nizara Baishya
Department of Head and Neck Surgery, Dr. B Borooah Cancer Institute, Guwahati, Assam
Tashnin Rahman
Department of Head and Neck Surgery, Dr. B Borooah Cancer Institute, Guwahati, Assam
Ashok Kumar Das
Department of Head and Neck Surgery, Dr. B Borooah Cancer Institute, Guwahati, Assam
Chandi Ram Kalita
Department of Hospital Based Cancer Registry, Dr. B Borooah Cancer Institute, Guwahati, Assam
Jagannath Dev Sharma
Department of Pathology, Dr. B Borooah Cancer Institute, Guwahati, Assam
Manigreeva Krishnatreya
Department of Cancer Registry and Epidemiology, Dr. B Borooah Cancer Institute, Guwahati, Assam
Amal Chandra Kataki
Department of Gynecologic Oncology, Dr. B Borooah Cancer Institute, Guwahati, Assam
› Author Affiliations
Financial support and sponsorship: Nil.


Objective: The main objective of this study was to analyze the clinical behavior and the impact of nodal metastasis on the prognosis of upper alveolus squamous cell carcinoma (SCC). Materials and Methods: The medical records of 110 patients with SCC of the upper alveolus (International Classification of Diseases-10-C03.0) diagnosed during 2010–2015 were reviewed. Survival analysis was done using the Kaplan–Meier method and was compared using log rank-test. P < 0.05 was considered statistically significant. Results: Of the 110 patients, 59 were males and 51 were females. Forty-six (41.8%) patients presented with lymph node metastasis. Fifty-three (51.8%) patients presented in Stage IVA, thirty (27.3%) patients in Stage IVB, ten (9.1%) patients in Stage III, 12 (10.9%) patients in Stage II. The 5-year overall survival (OS) was 71.1% in Stage II, in Stage III it was 65.6%, in Stage it was IVA 56.7%, and in Stage IVB it was 19.4% (P = 0.02). The 5-year OS for node negative compared with node positive was 66.3% versus 37.3%, respectively (P = 0.019). Conclusion: Presence of lymph node metastasis is associated with lower survival rates. Adequate surgical resection with adjuvant treatment, where necessary, offers the best chance of disease control.

Publication History

Publication Date:
21 December 2020 (online)

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