E-ISSN 2602-4837
What is the consistency between clinical and pathological staging in tongue cancer? [Tr-ENT]
Tr-ENT. 2018; 28(4): 173-180 | DOI: 10.5606/Tr-ENT.2018.32042

What is the consistency between clinical and pathological staging in tongue cancer?

Bilge Türk1, Kerem Sami Kaya1, Özlem Ünsal1, Fatih Tetik2, Irfan Çelebi3, Gülpembe Bozkurt4, Berna Uslu Coşkun1
1Department of Otorhinolaryngology Head and Neck Surgery, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
2Department of Otorhinolaryngology Head and Neck Surgery, Taksim İlkyardım Training and Research Hospital, Istanbul, Turkey
3Department of Radiology, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
4Department of Otorhinolaryngology Head and Neck Surgery, Acıbadem University, Istanbul, Turkey

INTRODUCTION: This study aimed to evaluate the consistency between clinical and pathological staging in tongue cancer.
METHODS: We retrospectively evaluated 33 patients (24 male, 9 female; mean age 56±13 years; range, 31-87 years) who were admitted to the Şişli Hamidiye Etfal Training and Research Hospital Otorhinolaryngology Head and Neck Surgery Clinic and operated on for tongue cancer. The clinical stages were determined with physical examination and radiological findings. The consistency of the clinical stages with pathological stages was evaluated with Mc Nemar Analysis and Kappa test.
RESULTS: For tumor (T) stage, the clinical and pathological stage estimate was 60.6% compatible whereas for cervical lymph node (N) stage it was 54.5%. There was poor agreement between clinical and pathological stages.
DISCUSSION AND CONCLUSION: In order to make more accurate clinical staging and to overcome poor agreement between clinical and pathological staging, more detailed and additional radiological imaging with a comprehensive physical examination are required. Routine preoperative positron emission tomography scanning and radiological examination of the tumor by an expert head and neck radiologist and evaluation by a pathologist experienced in head and neck malignancies is recommended.

Keywords: Cancer staging, neck dissection; prognosis; tongue cancer

Bilge Türk, Kerem Sami Kaya, Özlem Ünsal, Fatih Tetik, Irfan Çelebi, Gülpembe Bozkurt, Berna Uslu Coşkun. What is the consistency between clinical and pathological staging in tongue cancer?. Tr-ENT. 2018; 28(4): 173-180

Corresponding Author: Bilge Türk, Türkiye
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