Interim report for the BAOMS/FSRF-Saving Faces Joint Fellowship
Summary of Research
Oral cancer is the commonest type of head and neck cancer and remains a debilitating and devastating disease. Its incidence is growing in the UK and advances in the management of this disease have made little impact on the overall survival for the condition. The most adverse factor for survival in oral cancer is extracapsular spread (ECS). In this instance the disease spreads from the mouth to lymph nodes in the neck and subsequently spills out from these lymph nodes.
Biopsy tissue was collected from 110 patients with oral cancer at University Hospital Aintree in Liverpool, one of the largest head and neck cancer referral centres in the UK. This tissue was used to determine the important molecular events in the development of ECS. Clinical data from patient follow-up after surgery confirmed the dire consequences of ECS. The findings were comparable with a larger previous study in which less than one quarter of the patients with ECS survived after 5 years.
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