%0 Journal Article
%T Correla  o entre dados cl¨ªnico-patol¨®gicos e margens cir¨²rgicas em pacientes com carcinoma epidermoide da cavidade oral Correlation between clinical and pathological data and surgical margins in patients with squamous cell carcinoma of the oral cavity
%A F¨¢bio Murad¨¢s Girardi
%A Virg¨ªlio Gonzales Zanella
%A Ricardo Galicchio Kroef
%J Brazilian Journal of Otorhinolaryngology
%D 2013
%I Associa??o Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial
%X H¨¢ d¨¦cadas se conhece a importancia de se obter margens livres de neoplasia quando da ressec  o de neoplasias de boca. OBJETIVO: Correlacionar achados cl¨ªnico-patol¨®gicos com status de margem cir¨²rgica em pacientes com carcinoma espinocelular da l¨ªngua e do assoalho da boca. M¨¦TODO: Forma de estudo: Estudo de coorte hist¨®rico, com corte transversal, envolvendo todos os pacientes submetidos ¨¤ ressec  o de carcinomas espinocelulares da l¨ªngua oral e assoalho bucal entre os anos de 2007 e 2011 pelo Servi o de Cirurgia de Cabe a e Pesco o da nossa Institui  o. RESULTADOS: Foram inclu¨ªdos 117 casos, sendo 68.3% dos tumores localizados na l¨ªngua. A rela  o homem:mulher foi de 2.3:1 e a m¨¦dia de idade foi de 57,6 anos. Ao todo, 23,0% dos casos tiveram margens de ressec  o livres e amplas, 60,6% ex¨ªguas e 16,2% comprometidas. Diametro tumoral e espessura apresentaram correla  o com margens de ressec  o, sendo os tumores de est¨¢dio T mais elevados mais propensos ¨¤ ressec  o com margem insatisfat¨®ria. Casos operados com margens livres e amplas tiveram seus tumores ressecados mais comumente com t¨¦cnicas trans-orais. CONCLUS ES: Evidenciamos correla  o entre tumores de maior volume, tanto em diametro quanto em espessura, com margens de ressec  o insatisfat¨®rias. T¨¦cnicas cir¨²rgicas de maior complexidade n o tiveram associa  o com melhores margens de ressec  o. The importance of having tumor-free margins when resecting oral neoplasms has been known for decades. OBJECTIVE: To correlate clinical and pathology data to surgical margin status in patients with squamous cell carcinoma of the tongue and floor of the mouth. METHOD: This historical cohort cross-sectional study included all patients submitted to squamous cell carcinoma resection for tumors of the oral tongue and floor of the mouth between 2007 and 2011 at the Head and Neck Surgery service of our institution. RESULTS: In the 117 cases included, 68.3% had tongue tumors. The male-to-female ratio was 2.3:1 and patient mean age was 57.6 years. Broad free resection margins were seen in 23.0% of the cases; narrow margins in 60.6% of the cases; and compromised margins in 16.2%. Tumor diameter and thickness were correlated to resection margins. Tumors in more advanced T-stages presented more unsatisfactory margins. Patients operated with broad free margins had their tumors resected more commonly through transoral approaches. CONCLUSIONS: Tumors of larger volume both in terms of diameter and thickness were more correlated to unsatisfactory resection margins. Higher complexity procedures were not associated with better r
%K cirurgia bucal
%K neoplasias
%K neoplasias bucais
%K neoplasias da l¨ªngua
%K mouth neoplasms
%K neoplasms
%K surgery
%K oral
%K tongue neoplasms
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942013000200011