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All Journal Indian Journal of Forensic Medicine & Toxicology
Ceena Denny E
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Public Health

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Incidence of Distant Metastasis in Head and Neck Cancer: A Hospital based Study Prakriti Dayal; Ravikiran Ongole; Junaid Ahmed; Ceena Denny E; Deepali Agrawal
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14371

Abstract

Aims and Objectives: To study the incidence of distant metastasis to bone and soft tissues from head andneck cancers and to assess the primary site of head and neck cancer, its clinical staging and its correlationwith the site of distant metastasis.Materials and Methods: Medical records of patients admitted for management of head and neck cancersin Medical and Radiation Oncology for a period of 6 years, were assessed for primary site of the tumour,staging, histopathological diagnosis and the site of distant metastasis.Results: Out of 125 patient records evaluated, the incidence of distant metastasis was 15.2%. Majority ofthe patients (60%) presented at Stage III and IV of the disease. Thyroid and tongue malignancies showed thehighest incidence of distant metastasis and this incidence was most common in the 5th and 6th decades of life.The most common sites of distant metastasis were to the bones (31.6%) and lungs (15.8%).Conclusion: Cancers of the head and neck is typically loco-regional in nature, with metastasis to cervicalnodes. Distant metastasis, though uncommon, may adversely impact the survival and quality of life of thepatient. Understanding the risk factors and incidence for metastatic head and neck cancers may be useful intreatment planning and follow-up protocols for newly diagnosed patients.
Differential Diagnosis for Pericoronal Radiolucencies affecting Jaws – A Case Report on Dentigerous Cyst Mohana Bhoraskar; Ceena Denny E; R. Arvind; Ravikiran Ongole; Almas Binnal; Nidhi Manaktala
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14814

Abstract

Most of the times it is difficult for the clinicians to confirm the clinical diagnosis without investigationsas the clinical picture of oral lesions may be similar to many other conditions. Hence, appropriate clinicalexamination, coupled with radiological and histopathological investigations could aid in appropriatediagnosis and management of the lesions. This article elaborates on differential diagnosis for pericoronalradiolucencies affecting the jaws in a patient presented for a routine dental examination. Differentialdiagnosis helps us to diagnose a specific lesion by eliminating those lesions which appear clinically similar.As advanced diagnostic aids are available, decision-making has become much easier for these lesions.
Co-Authors Almas Binnal Deepali Agrawal Junaid Ahmed Mohana Bhoraskar Nidhi Manaktala Prakriti Dayal R. Arvind Ravikiran Ongole