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  • Title: Management of the neck and regional recurrence in squamous cell carcinoma of the maxillary alveolus and hard palate compared with other sites in the oral cavity.
    Author: Brown JS, Bekiroglu F, Shaw RJ, Woolgar JA, Rogers SN.
    Journal: Head Neck; 2013 Feb; 35(2):265-9. PubMed ID: 22308020.
    Abstract:
    BACKGROUND: The aim of this article was to assess the management of the neck and regional recurrence for squamous cell carcinoma of the maxillary alveolus and hard palate (n = 43) and compare that to the rest of the oral cancer sites (n = 465). METHODS: This is a retrospective report through database and case note review. RESULTS: The incidence of nodal metastases (pathologic node-positive necks added to regional recurrence for clinical N0 and pathologic N0) was 37% (16/43) for maxillary alveolus and hard palate compared with 40% (187/465) for the oral cavity in general. Regional recurrence occurred in 26% (11/43) in the maxillary alveolus and hard palate compared with 7% (31/465) in the remaining oral cavity sites (p = .001). CONCLUSIONS: Squamous cell carcinoma arising in the maxillary alveolus and hard palate has a similar risk of regional metastasis as the rest of the oral cavity, and a lower propensity for selective neck dissection is resulting in higher regional recurrence and lower survival rates.
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