Oral Squamous Cell Carcinoma in Elderly vs Young Patients: A Comparative Analysis using STNMP STaging System

摘要

Background: Oral squamous cell carcinoma (OSCC) is theforemost type of oral cancer usually seen in elderly patients.The intention of this study is to correlate clinicopathological featuresand recurrence of OSCC between patients who are above40 years of age with that of patients below 40 years of age usingsite, tumor, node, metastasis and pathology (STNMP) system.Materials and methods: This study was conducted on 75patients who reported with OSCC and underwent treatment.A total of 50 patients above 40 years of age (group I) and 25patients below 40 years of age (group II) were included. Clinicopathologicdata, treatment, and follow-up for 5 years wereobtained from archives of concerned departments. The relevantdetails required for STNMP grading of patients and recurrencewithin a period of 5 years was recorded. Chi-square test wasused for statistical analysis.Results: Out of all the patients reported with OSCC in 8 years,22.14% were below 40 years of which 64% were males. Amongyounger patients, overall STNMP stages were in higher stageswhen compared with elder patients. Comparison of percentageof uncontrolled cases between groups did not show anysignifi cant difference; also this study showed higher the stageat diagnosis more the recurrence after treatment in both groups.Interpretation and conclusion: OSCC is in alarming raiseamong young patients, showing higher stages clinicopathologicallyat presentation. However, these higher stages at diagnosisdid not affecting the treatment outcome when comparedto elder patients hence, advanced studies on OSCC affectingyounger patients are very crucial.