The oral cavity includes the lips, hard palate the bony front portion of the roof of the mouth, soft palate the muscular back portion of the roof of the mouth, retromolar trigone the area behind the wisdom teeth, front twothirds of the tongue, gingiva gums, buccal mucosa the inner lining of the lips and cheeks, and floor of the mouth under the tongue. Squamous cell carcinoma of the buccal mucosa is a rare clinical entity, accounting for approximately 10% of all oral cancers in the united states. Routinely they are associated with buccal space, buccal fat pad. Mar 10, 2016 the charts and records from craniofacial unit, dharwad, identified 71 cases of carcinoma of buccal mucosa from a pathology database of total 3 cases of carcinoma of the oral cavity between january 2008 and april 2012. In the indian female anaplastic carcinoma occurred most commonly on the buccal mucosa. These cancers usually occur in the thin, flat cells called squamous cells that line the buccal mucosa and other parts of the mouth. Buccal carcinomas with involvement of the adjacent oral cavity subsites were included only if it was clear from clinical records that the tumor arose from the buccal mucosa. It is worth noting that swellings in the buccal mucosa and labial mucosal resembling a mucocele could turn out to be mec, as was the case in this report. It partially disappears when the mucosa is stretched. Results for treating carcinoma of the buccal mucosa are sparse. Squamous cell carcinoma scc of the buccal mucosa is a relatively uncommon cancer that is aggressive and associated with a high rate of recurrence. Heterogenously enhancing mass lesion in the right buccal mucosa with multiple enlarged right level ib lymph nodes.
Multiple carcinoma of the oral mucosa sciencedirect. We sought to determine the differences in clinical outcome of tongue and buccal carcinomas. If the tumor is small, the surgeon will not need to incise through the. Oral cancer is a preventable disease, risk factors and natural history is already being known. Methods fiveyear locoregional control, distant metastasis, and survival rates were examined in 456 patients with tongue cancer and 407 patients with buccal cancer. Performance of neck dissection may decrease the risk of recurrence in primary scca of the buccal mucosa. The code is valid for the year 2020 for the submission of hipaacovered transactions. Observe the color, texture, and any swelling or other abnormalities of the vestibular mucosa and gingiva. Carcinoma of buccal mucosa is a type of oral cancer or mouth cancer. Basal cell carcinoma of the buccal mucosa article in american journal of dermatopathology 233. Includes ptnm requirements from the 8th edition, ajcc staging manual.
The oral mucosa is the mucous membrane lining the inside of the mouth. It is stated to be seen in 90% of blacks and 1090% in whites. This variation may be due to the difficulty in observation of leukoedema in non. Jun 29, 2017 mouth cancer is a major neoplasm worldwide and theoretically should be largely preventable or detectable at an early stage. Immunemediated, traumatic and neoplastic ulcerations will be illustrated. Anaplastic squamous cell carcinoma of the mouth a report on.
Figure 5right buccal mucosa figure 9tongue left margin figure 6left buccal mucosa figure 7gingiva figure 8tongue dorsum figure 11tongue ventral figure 10tongue right margin erythroleukoplakia in left commissure and buccal mucosa. In the asian indian population the high incidence of buccal carcinoma is believed to stem from the highly prevalent habit of chewing betel nut. The 3year diseasefree survival rate of patients with t3 and t4a tumors was 70. Adenoid cystic carcinoma of buccal mucosa article pdf available in journal of maxillofacial and oral surgery 93. Adenoid cystic carcinoma is a malignant neoplasm most commonly originating in salivary glands of head and neck region. The majority had squamous cell carcinoma scc, one patient had mucoepidermoid carcinoma, and another an alveolar softpart sarcoma of the buccal mucosa. Anatomy the buccal mucosa includes the mucosal surfaces of the cheek and lips from the line of contact of the opposing lips to the pterygomandibular raphe posteriorly.
The frequently sites of oral verrucous carcinoma ovc were the lower lip 20. I had the inside of my right cheek removed in may of 2010 and replaced with a graft from my thigh. Carcinoma buccal mucosa anatomy to management slideshare. In contrast other oral cancer, buccal scc has a worse stage that affects the survival and become poor prognosis. The incidence of buccal mucosa carcinoma has rapidly increased in taiwan in recent decades. Figures 3 and 4 with the patients mouth partially open, visually examine the labial mucosa and sulcus of the maxillary vestibule and frenum and the mandibular vestibule. We report a rare case of large squamous papilloma arising from buccal mucosa measuring 7x5x2 cm size.
Normal oral mucosal keratinocytes are chronically exposed to risk factors, which. The buccal mucosa is the lining of the cheeks and the back of the lips, inside the mouth where they touch the teeth. The size of the tumor determines the size of the incision. Approximately 90% of oral cancers are squamous cell carcinoma scc, which is seen typically on the lip or lateral part of the tongue usually as a lump or ulcer that is white, red, or mixed white and red.
Adenosquamous carcinoma in buccal mucosaa case report. The patient developed trismus due to local infiltration of tumor mass within the muscle with fixation of the skin and a small perforation on the right side of the face. In patients with buccal mucosa carcinoma, locoregional recurrence rate, 3080% is the main cause of treatment failure4, 5. Four months later, the patient noticed a crusted erosion on the buccal gingiva of the first molar of the left maxilla, which gradually increased in size. The purpose of this study was to establish treatment criteria for patients with earlystage squamous cell carcinoma of the buccal mucosa.
Curative radiotherapy for early cancers of the lip, buccal. A retrospective analysis of squamous carcinoma of the buccal mucosa. Locoregional invasion of buccal squamous cell carcinoma into. Until 2004, only 59 cases of adenosquamous carcinoma have been documented in english literatures in the head and neck region since the first one being reported in 1968. Oral cavity malignancies majority are scca primary sites include. Squamous cell carcinoma scc of the buccal mucosa is a common malignant tumor in the chinese mainland, taiwan and india. Basal cell carcinoma of the buccal mucosa researchgate. Anaplastic squamous cell carcinoma of the mouth a report.
It comprises stratified squamous epithelium, termed oral epithelium, and an underlying connective tissue termed lamina propria. The disease is treated with surgery, chemotherapy or both. The charts and records from craniofacial unit, dharwad, identified 71 cases of carcinoma of buccal mucosa from a pathology database of total 3 cases of carcinoma of the oral cavity between january 2008 and april 2012. Sep 15, 2010 the incidence of buccal mucosa carcinoma has rapidly increased in taiwan in recent decades. The peculiarity of the lesion and the approach we made is the key factor in the presentation. Primary buccal carcinoma was defined as a malignant neoplastic process originating from the buccal mucosa. The buccal mucosa includes the mucosal surfaces of the cheek and lips from the line of contact of the opposing lips to the pterygomandibular raphe posteriorly. Risk factors associated with scc include betel quid chewing, tobacco and alcohol consumption. Squamous cell carcinoma scc of the buccal mucosa is a rare, but especially aggressive, form of oral cavity cancer, associated with a high rate of locoregional recurrence and poor survival.
Successful treatment of patients with oral cancer is predicated on multidisciplinary. Department of otolaryngology, mayo clinic, rochester, usa. If the tumor is small, the surgeon will not need to incise through the cheek. The overall features were in favour of low grade mucoepidermoid carcinoma of minor salivary gland. I am one of the very few who has experienced carcinoma of the buccal mucosa. I also had 30 lymph nodes removed all negative and had no problems. Biopsy showed mild epithelial dysplasia and presence of candida infection. Oral cancer is a cancer of the upper aerodigestive tract. In t3t4a tumors, the rates of tumors limited to the buccal mucosa, tumors involving alveolar mucosa, bone of either the maxilla or mandible, and skin andor lips were 25%, 22. The oral cavity has sometimes been described as a mirror that reflects the health of the individual. Mucoepidermoid carcinoma of buccal mucosa a case report sukhvinder singh rana 1, neera ohri 2 1,2 senior resident, dr. In our clinical practice, we have observed a high incidence of locoregional failure in squamous cell carcinoma scc of the buccal. Mar 05, 20 squamous cell carcinoma scc of the buccal mucosa is a common malignant tumor in the chinese mainland, taiwan and india.
The purpose of this study was to establish treatment criteria for patients with earlystage squamous cell. It includes cancer of the lip, the labial and buccal mucosa, the anterior two thirds of the tongue, the retromolar pad, the floor of the mouth, the gingiva and the hard palate see annex 1. Pdf verrucous carcinoma of the buccal mucosa a case report. Oral cancer is a type of head and neck cancer and is any cancerous tissue growth located in the oral. Differential diagnosis of oral ulcerations with special emphasis on the diagnosis, etiology and management will be presented in a casebased format. Redundancy of the mucosa may impart a folded or wrinkled appearance to the relaxed mucous membrane. Case discussion biopsy proven case of squamous cell carcinoma in right buccal mucosa. In the indian male anaplastic carcinoma affected the buccal mucosa, palate and tongue with about equal frequency. It refers to all malignant tumours, including carcinomas arising from the. Jun 22, 2010 we sought to determine the differences in clinical outcome of tongue and buccal carcinomas. Locoregional invasion of buccal squamous cell carcinoma. Twelve of the tumours were staged as t1 or t2 tumours.
Large squamous papilloma of buccal mucosa case reports. The use of tobacco and alcohol makes cancer in this area far more likely. It seldom is large, with an average size less than 1. Due to the differences in etiology and species, there are. Primary tumor t tx primary tumor cannot be assessed t0 no evidence of primary tumor tis carcinoma in situ t1 tumor 2 cm or less in greatest dimension. Squamous cell carcinoma of the buccal mucosa has an aggressive nature, as it grows rapidly and penetrates well with a high recurrence rate. Addressing squamous cell carcinoma of the buccal mucosa.
The most common sites are the palate uvula area followed by tongue and lips. Mucosal changes, such as leukoplakia and erythroplasia, are frequent clinical findings. Tnm staging of head and neck cancer and neck dissection. Histological findings of squamous cell carcinoma ofthe gingiva. Inner cheek cancer buccal mucosa cancer memorial sloan. Squamous cell carcinoma of the buccal mucosa involving the. Three series reported that the 5year diseasefree survival rates after radiation therapy ranged from 50% to 66%, depending on the stage of the primary lesion and the existence of nodal metastases.
The clinical phenotypes in this group can be classified into three types. Mouth cancer is a major neoplasm worldwide and theoretically should be largely preventable or detectable at an early stage. Squamous cell carcinomas sccs, also known as epidermoid carcinomas, comprise a number of different types of cancer that result from squamous cells. Here we present a case report of a 50 year old male who was diagnosed with adenoid cystic carcinoma of the right buccal mucosa. In the indian male anaplastic carcinoma affected the buccal mucosa, palate. Inner cheek cancer is classified as squamous cell carcinoma. I also was diagnosed with buccal mucosa cancer right cheek. In the malay male anaplastic carcinoma occurredmost frequently on the gingivae. This extends to the line of attachment of the mucosa of the upper and lower alveolar ridge superiorly and inferiorly. Buccal mucosa is another name for the inside lining of the cheeks. In cases of buccal tumors that included other oral subsites, the case was only included if it was clear from the clinical record that the tumor originally arose. Small buccal mucosa tumors are removed from the inside of the cheek with a scalpel. The present report is a case of adenosquamous carcinoma in a 75 years old man with a fast enlarging ulcerated lesion on right buccal mucosa.
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