Journal of Head & Neck Physicians and Surgeons (Jan 2015)
CLINICAL experience of oral verrucous carcinoma in central india population: A prospective study
Abstract
Aim: Verrucous carcinoma is a progressive lesion of obscure etiology with high recurrence rate. It seems to have significant risk for progression of this disease entity to squamous cell carcinoma. Various treatment modalities have been advocated but poor response to treatment have been reported. We present our experience management of Verrucous Carcinoma with long term results in Central India population. Methods & Materials: This study was observational and prospective randomized included 52 patients during the period of 2012 to 2015. All the patients were randomly divided into two groups. In group A, 26 (52) patients of OVC were treated with surgical treatment consisting wide local surgical excision with 1cm safe margin and management of cervical lymph nodes with Supraomohyoid neck dissection. In Group B, 26 (52) were treated with only local wide excision. All the patients were followed up for 10 to 18 months. Results: 4 (26) patients in group A were showing positive cervical metastasis in the histopathological examination among. There was no recurrence in 1 year of follow up. 7 (26) patients in group B had recurrence in the form of cervical nodal metastasis. All 7 patient were reoperated and extended supraomohyoid neck dissection was performed along with wide local surgical excision of recurred lesion and fallowed up for18 months. 3 out of 7 (42.85%) resected specimen had invasive carcinoma. Mostly the initial T2 & T3 size lesion showed recurrence & malignant transformation.. Distant metastasis not evident in both the groups. Conclusion: In view of high recurrence and malignant transformation rate of verrucous carcinoma, we advocate the surgical strategy for the management of verrucous carcinoma same as that of squamous cell carcinoma.
