CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors
Main Author: | |
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Publication Date: | 2009 |
Other Authors: | , , |
Format: | Article |
Language: | eng |
Source: | Brazilian Oral Research |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242009000200017 |
Summary: | Oral cancers have a tendency to invade the surrounding bone structures, and this has a direct influence on the treatment management and on outcomes. The objective of this study was to correlate the clinical parameters (location, clinical presentation and TNM staging) of oral malignant tumors that can be associated with a potential of bone invasion and determine the accuracy of clinical examination to predict bone involvement, using computed tomography (CT). Twenty five patients, with oral malignant tumors were submitted to clinical and CT examinations. CT was considered the standard parameter to evaluate the presence of bone involvement. Clinical assessment of location, presentation form and TNM staging of the tumors were then compared to the CT findings in predicting bone involvement. Bone involvement was observed in 68% of the cases. It was predicted that tumors located in the retromolar trigone and hard palate, with a clinical aspect of infiltrative ulcer or nodule and classified in stage IV had a high potential to cause bone involvement. The clinical examination assessment of these tumors showed to be a valuable tool to predict bone invasion, with high sensitivity (82%) and specificity (87.5%), based on the results found in the CT images. No statistical significance was found between the CT and clinical examinations regarding bone involvement. The identification of some clinical parameters such as location, clinical presentation, and TNM stage, associated with a detailed clinical examination, was considered a valuable tool for the assessment of bone destruction by oral malignant tumors. |
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CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumorsOral cancerDiagnosis, clinicalTomography, X-ray computedOral cancers have a tendency to invade the surrounding bone structures, and this has a direct influence on the treatment management and on outcomes. The objective of this study was to correlate the clinical parameters (location, clinical presentation and TNM staging) of oral malignant tumors that can be associated with a potential of bone invasion and determine the accuracy of clinical examination to predict bone involvement, using computed tomography (CT). Twenty five patients, with oral malignant tumors were submitted to clinical and CT examinations. CT was considered the standard parameter to evaluate the presence of bone involvement. Clinical assessment of location, presentation form and TNM staging of the tumors were then compared to the CT findings in predicting bone involvement. Bone involvement was observed in 68% of the cases. It was predicted that tumors located in the retromolar trigone and hard palate, with a clinical aspect of infiltrative ulcer or nodule and classified in stage IV had a high potential to cause bone involvement. The clinical examination assessment of these tumors showed to be a valuable tool to predict bone invasion, with high sensitivity (82%) and specificity (87.5%), based on the results found in the CT images. No statistical significance was found between the CT and clinical examinations regarding bone involvement. The identification of some clinical parameters such as location, clinical presentation, and TNM stage, associated with a detailed clinical examination, was considered a valuable tool for the assessment of bone destruction by oral malignant tumors.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2009-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242009000200017Brazilian Oral Research v.23 n.2 2009reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/S1806-83242009000200017info:eu-repo/semantics/openAccessAlbuquerque,Marco Antonio PortelaKuruoshi,Marcia EtsukoOliveira,Ilka Regina SouzaCavalcanti,Marcelo Gusmão Paraísoeng2009-10-20T00:00:00Zoai:scielo:S1806-83242009000200017Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2009-10-20T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false |
dc.title.none.fl_str_mv |
CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors |
title |
CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors |
spellingShingle |
CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors Albuquerque,Marco Antonio Portela Oral cancer Diagnosis, clinical Tomography, X-ray computed |
title_short |
CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors |
title_full |
CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors |
title_fullStr |
CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors |
title_full_unstemmed |
CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors |
title_sort |
CT assessment of the correlation between clinical examination and bone involvement in oral malignant tumors |
author |
Albuquerque,Marco Antonio Portela |
author_facet |
Albuquerque,Marco Antonio Portela Kuruoshi,Marcia Etsuko Oliveira,Ilka Regina Souza Cavalcanti,Marcelo Gusmão Paraíso |
author_role |
author |
author2 |
Kuruoshi,Marcia Etsuko Oliveira,Ilka Regina Souza Cavalcanti,Marcelo Gusmão Paraíso |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Albuquerque,Marco Antonio Portela Kuruoshi,Marcia Etsuko Oliveira,Ilka Regina Souza Cavalcanti,Marcelo Gusmão Paraíso |
dc.subject.por.fl_str_mv |
Oral cancer Diagnosis, clinical Tomography, X-ray computed |
topic |
Oral cancer Diagnosis, clinical Tomography, X-ray computed |
description |
Oral cancers have a tendency to invade the surrounding bone structures, and this has a direct influence on the treatment management and on outcomes. The objective of this study was to correlate the clinical parameters (location, clinical presentation and TNM staging) of oral malignant tumors that can be associated with a potential of bone invasion and determine the accuracy of clinical examination to predict bone involvement, using computed tomography (CT). Twenty five patients, with oral malignant tumors were submitted to clinical and CT examinations. CT was considered the standard parameter to evaluate the presence of bone involvement. Clinical assessment of location, presentation form and TNM staging of the tumors were then compared to the CT findings in predicting bone involvement. Bone involvement was observed in 68% of the cases. It was predicted that tumors located in the retromolar trigone and hard palate, with a clinical aspect of infiltrative ulcer or nodule and classified in stage IV had a high potential to cause bone involvement. The clinical examination assessment of these tumors showed to be a valuable tool to predict bone invasion, with high sensitivity (82%) and specificity (87.5%), based on the results found in the CT images. No statistical significance was found between the CT and clinical examinations regarding bone involvement. The identification of some clinical parameters such as location, clinical presentation, and TNM stage, associated with a detailed clinical examination, was considered a valuable tool for the assessment of bone destruction by oral malignant tumors. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242009000200017 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242009000200017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1806-83242009000200017 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
dc.source.none.fl_str_mv |
Brazilian Oral Research v.23 n.2 2009 reponame:Brazilian Oral Research instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO) instacron:SBPQO |
instname_str |
Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
instacron_str |
SBPQO |
institution |
SBPQO |
reponame_str |
Brazilian Oral Research |
collection |
Brazilian Oral Research |
repository.name.fl_str_mv |
Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
repository.mail.fl_str_mv |
pob@edu.usp.br||bor@sbpqo.org.br |
_version_ |
1750318321637523456 |