关键词: Depth of invasion TNM staging oral and maxillofacial pathologists oral squamous cell carcinoma

来  源:   DOI:10.4103/jomfp.jomfp_1_23   PDF(Pubmed)

Abstract:
UNASSIGNED: To understand the approach to interpretation along with challenges encountered in assessing pathological depth of invasion (pDOI) in oral squamous cell carcinoma (OSCC) as per 8th Edition of TNM-AJCC staging among oral and maxillofacial pathologists in India.
UNASSIGNED: A cross-sectional web-based survey was conducted (May 2021-October 2021) with a pre-validated 21-item questionnaire. Responses were stored in a Microsoft Excel worksheet and analysed by descriptive statistics using SPSS v 25.0.
UNASSIGNED: About 69.7% of the 267 respondents correctly defined pDOI while 13.1% measured the same from tumour surface. Among those not reporting pDOI, one-third of respondents (36.6%) lacked requisite awareness about 8th edition staging while more than half of them (55.4%) lacked proper tools to measure. The vst majority of the oral pathologists found pDOI measurement practically challenging (85.8%), mostly with difficulty in obtaining adjacent normal mucosa (77.9%). Selection of reference points of adjacent normal mucosa was divided between deepest point of rete ridge (43.1%), the closest rete ridge (28.8%) and the tip of highest submucosal papilla (15%).
UNASSIGNED: Underreporting of pDOI was observed owing to inherent challenges in measurement, thus ostensibly substituted with tumour thickness. Elaboration on reference points of adjacent normal mucosa is awaited.
摘要:
了解解释方法以及在根据第8版TNM-AJCC分期评估口腔鳞状细胞癌(OSCC)的病理浸润深度(pDOI)时遇到的挑战。印度。
进行了基于网络的横断面调查(2021年5月至2021年10月),其中包含预先验证的21项问卷。反应存储在MicrosoftExcel工作表中,并使用SPSSv25.0通过描述性统计进行分析。
267名受访者中约有69.7%正确定义了pDOI,而13.1%的人从肿瘤表面测量了pDOI。在那些没有报告pDOI的人中,三分之一的受访者(36.6%)缺乏对第8版分期的必要认识,而超过一半的受访者(55.4%)缺乏适当的测量工具。vst大多数口腔病理学家发现pDOI测量实际上具有挑战性(85.8%),大多数难以获得邻近的正常粘膜(77.9%)。选择邻近正常粘膜参考点划分为网脊最深点(43.1%),最接近的网状脊(28.8%)和最高的粘膜下乳头尖端(15%)。
由于测量中固有的挑战,观察到pDOI的漏报,因此表面上被肿瘤厚度取代。等待对邻近正常粘膜参考点的详细说明。
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