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Histopathology of Oral Cavity Cancer and Potentially Malignant Disorders

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Contemporary Oral Oncology
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Abstract

Oral carcinoma is a devastating disease with only minimal improvement in survival in the last decades despite progress made both in the understanding of molecular alterations involved and in the array of therapeutic options available. The most common malignant neoplasm is squamous cell carcinoma comprising over 90 % of oral cancers. Squamous cell carcinoma is an extremely heterogeneous neoplasm and probably in no other oncologic field collaboration between various specialties (surgeon, dentist, medical oncologist, radiation oncologist, pathologist) is as critical for the correct diagnosis, staging, and accurate characterization of the tumor essential for the appropriate management with the best chance for cure.

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References

  1. Wenig BM, Cohen JM. General principles of head and neck pathology. In: Harrison LB, Sessions RB, Kies MS, editors. Head and neck cancer: a multidisciplinary approach, fourth electronic edition. Philadelphia: LWW; 2014.

    Google Scholar 

  2. Barnes L, Fan CY. Pathology of head and neck: basic consideration and new concepts. In: Myers EN, Suen JY, Myers JN, Hanna EYN, editors. Cancer of the head and neck. 4th ed. Philadelphia: Saunders; 2003. p. 29–48.

    Google Scholar 

  3. Rosai J. Why microscopy will remain a cornerstone of surgical pathology. Lab Invest. 2007;87:403–8.

    PubMed  Google Scholar 

  4. Merzianu M. Anatomic pathology in North America: a short but Rich Journey. Noesis XXXIV 2009:145–158.

    Google Scholar 

  5. Banks PM, Kraybill WG. Surgeon and pathologist. In: Banks PM, Kraybill WG, editors. Pathology for the surgeon. Philadelphia: WB Saunders Company; 1996. p. 1–19.

    Google Scholar 

  6. http://www.acgme.org/acgmeweb/portals/0/pfassets/programrequirements/440_general_surgery_07012014.pdf. Accessed 08/18/15.

  7. Nakhleh RE, Myers JL, Allen TC, DeYoung BR, Fitzgibbons PL, Funkhouser WK, Mody DR, Lynn A, Fatheree LA, Smith AT, Lal A, Silverman JF. Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. Arch Pathol Lab Med. 2012;136(2):148–54.

    PubMed  Google Scholar 

  8. Slootweg PJ, De Groot JAM. Surgical pathological anatomy of head and neck specimens. London: Springer-Verlag; 1999.

    Google Scholar 

  9. Lester SC. Manual of surgical pathology. Head and neck. Philadelphia: Elsevier; 2006. p. 477–90.

    Google Scholar 

  10. The Royal College of Pathologists. Tissue pathways for head and neck pathology. https://www.rcpath.org/resourceLibrary/head-and-neck-pathology--may-2014-.html. Accessed 11.18.15.

  11. College of American Pathologists. Protocol for the examination of specimens from patients with carcinomas of the lip and oral cavity http://www.cap.org/ShowProperty?nodePath=/UCMCon/Contribution%20Folders/WebContent/pdf/liporalcaversion-13protocol.pdf. Accessed 4.18.15.

  12. The Royal College of Pathologists. Dataset for histopathology reporting of mucosal malignancies of the oral cavity. https://www.rcpath.org/resourceLibrary/dataset-for-histopathology-reporting-of-mucosal-malignancies-of-the-oral-cavity.html. Accessed 11.18.15.

  13. Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral Oncol. 2009;45(4–5):309–16.

    PubMed  Google Scholar 

  14. Slootweg PJ, Eveson JW. Tumors of the oral cavity and oropharynx: introduction. In: Barnes L, Eveson JW, Reichart P, Sidransky D, editors. World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005. p. 166–7.

    Google Scholar 

  15. Patel S, Shah JP. Lip and oral cavity. In: Edge SB, Byrd DR, Carducci MA, Compton CA, editors. AJCC cancer staging manual. New York: Springer; 2009. p. 29–40.

    Google Scholar 

  16. Jemal A, Tiwari RC, Murray T, Ghafoor A, Samuels A, Ward E, Feuer EJ, Thun MJ, American Cancer Society. Cancer statistics, 2004. CA Cancer J Clin. 2004;54(1):8–29.

    PubMed  Google Scholar 

  17. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2013. CA Cancer J Clin. 2013;63(1):11–30.

    Google Scholar 

  18. Johnson N, Franceschi S, Ferlay J, et al. Squamous cell carcinoma. In: Barnes L, Eveson JW, Reichart P, Sidransky D, editors. World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005. p. 168–75.

    Google Scholar 

  19. El-Mofty SK, Lewis JS. Cancer of the oral cavity and oropharynx. In: Barnes L, editor. Surgical pathology of the head and neck. New York: Informa Healthcare; 2009. p. 267–84.

    Google Scholar 

  20. Neville BW, Day TA. Oral cancer and precancerous lesions. CA Cancer J Clin. 2002;52(4):195–215.

    PubMed  Google Scholar 

  21. Cooper JS, Porter K, Mallin K, Hoffman HT, Weber RS, Ang KK, Gay EG, Langer CJ. National Cancer Database report on cancer of the head and neck: 10-year update. Head Neck. 2009;31(6):748–58.

    PubMed  Google Scholar 

  22. Allon I, Allon DM, Anavi Y, Kaplan I. The significance of surface ulceration as a sign of malignancy in exophytic oral mucosal lesions: myth or fact? Head Neck Pathol. 2013;7(2):149–54.

    PubMed  Google Scholar 

  23. Waldron CA, Shafer WG. Leukoplakia revisited: a clinicopathologic study of 3256 oral leukoplakias. Cancer. 1975;36(4):1386–92.

    CAS  PubMed  Google Scholar 

  24. Pentenero M, Navone R, Motta F, et al. Clinical features of microinvasive stage I oral carcinoma. Oral Dis. 2011;17(3):298–303.

    CAS  PubMed  Google Scholar 

  25. Kandel Amatya S, Jayaprakash V, Merzianu M. Oral dysplasia adjacent to small t1 oral squamous cell carcinomas with superficial invasion. Mod Pathol. 2013;26(S2):307–308A.

    Google Scholar 

  26. Mashberg A, Samit A. Early diagnosis of asymptomatic oral and oropharyngeal squamous cancers. CA Cancer J Clin. 1995;45(6):328–51.

    CAS  PubMed  Google Scholar 

  27. Sciubba JJ. Oral cancer. The importance of early diagnosis and treatment. Am J Clin Dermatol. 2001;2(4):239–51.

    CAS  PubMed  Google Scholar 

  28. Mashberg A, Meyers H. Anatomical site and size of 222 early asymptomatic oral squamous cell carcinomas: a continuing prospective study of oral cancer. II. Cancer. 1976;37(5):2149–57.

    CAS  PubMed  Google Scholar 

  29. Batsakis JG. Tumors of the head and neck: clinical and pathological considerations. Baltimore: Williams and Wilkins; 1979.

    Google Scholar 

  30. Allon I, Allon DM, Gal G, Anavi Y, Chaushu G, Kaplan I. Re-evaluation of common paradigms regarding the clinical appearance of oral mucosal malignancies. J Oral Pathol Med. 2013;42(9):670–5.

    PubMed  Google Scholar 

  31. Olson CM, Burda BU, Beil T, Whitlock EP. Screening for oral cancer: a targeted evidence update for the U.S., Preventive Services Task Force. Evidence Synthesis No. 102. AHRQ Publication No. 13-05186-EF-1. Rockville: Agency for Healthcare Research and Quality; 2013.

    Google Scholar 

  32. American Cancer Society. American cancer society guidelines for the early detection of cancer. Atlanta: American Cancer Society; 2013. Accessed at http://www.cancer.org/healthy/findcancerearly/cancerscreeningguidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer on 27 April 2015.

  33. Rethman MP, Carpenter W, Cohen EE, Epstein J, Evans CA, Flaitz CM, et al. Evidence-based clinical recommendations regarding screening for oral squamous cell carcinomas. J Am Dent Assoc. 2010;141(5):509–20.

    PubMed  Google Scholar 

  34. Hornig JD, Malin BT, Oconnell B. Clinical evaluation of the head and neck cancer patient. In: Harrison LB, Sessions RB, Kies MS, editors. Head and neck cancer: a multidisciplinary approach, Fourth Electronic Edition. Philadelphia: LWW; 2014.

    Google Scholar 

  35. National Institute of Dental and Craniofacial Research. Detecting oral cancer: a guide for health care professionals. Bethesda: National Institutes of Health; 2011. http://www.nidcr.nih.gov/OralHealth/Topics/OralCancer/DetectingOralCancer.htm. Accessed on 27 Apr 2015.

    Google Scholar 

  36. Holmstrup P, Vedtofte P, Reibel J, Stoltze K. Oral premalignant lesions: is a biopsy reliable? J Oral Pathol Med. 2007;36(5):262–6.

    CAS  PubMed  Google Scholar 

  37. Rapidis AD, Langdon JD, Patel MF, Harvey PW. STNMP: a new system for the clinico-pathological classification and identification of intra-oral carcinomata. Cancer. 1977;39(1):204–9.

    CAS  PubMed  Google Scholar 

  38. Farr HW, Goldfarb PM, Farr CM. Epidermoid carcinoma of the mouth and pharynx at the Sloan Kettering Cancer Center. Am J Surg. 1980;140:563–7.

    CAS  PubMed  Google Scholar 

  39. Boldrup L, Coates PJ, Laurell G, Nylander K. Differences in p63 expression in SCCHN tumours of different sub-sites within the oral cavity. Oral Oncol. 2011;47:861–965.

    CAS  PubMed  Google Scholar 

  40. Siriwardena BS, Rasnayaka RM, Masood Y, Masood M, Kumarasiri PV, Tilakaratne WM. Predictive model of oral cancer metastasis for different cancer sites and age groups. J Invest Clin Dent. 2015. doi:10.1111/jicd.12145 [Epub ahead of print].

    Article  Google Scholar 

  41. Moore C, Catlin D. Anatomic origins and locations of oral cancer. Am J Surg. 1967;114(4):510–3.

    CAS  PubMed  Google Scholar 

  42. Sugerman PB, Savage NW. Oral cancer in Australia: 1983–1996. Aust Dent J. 2002;47(1):45–56.

    CAS  PubMed  Google Scholar 

  43. Stein AL, Tahan SR. Histologic correlates of metastasis in primary invasive squamous cell carcinoma of the lip. J Cutan Pathol. 1994;21(1):16–21.

    CAS  PubMed  Google Scholar 

  44. Saywell MS, Weedon D. Histological correlates of metastasis in primary invasive squamous cell carcinoma of the lip. Australas J Dermatol. 1996;37(4):193–5.

    CAS  PubMed  Google Scholar 

  45. Wermker K, Belok F, Schipmann S, Klein M, Schulze HJ, Hallermann C. Prediction model for lymph node metastasis and recommendations for elective neck dissection in lip cancer. J Craniomaxillofac Surg. 2015;43(4):545–52.

    Google Scholar 

  46. de Visscher JG, van den Elsaker K, Grond AJ, van der Wal JE, van der Waal I. Surgical treatment of squamous cell carcinoma of the lower lip: evaluation of long-term results and prognostic factors – a retrospective analysis of 184 patients. J Oral Maxillofac Surg. 1998;56(7):814–20.

    PubMed  Google Scholar 

  47. Frierson Jr HF, Cooper PH. Prognostic factors in squamous cell carcinoma of the lower lip. Hum Pathol. 1986;17(4):346–54.

    PubMed  Google Scholar 

  48. de Visscher JG, Schaapveld M, Grond AJ, van der Waal I. Relationship of tumor thickness in punch biopsy and subsequent surgical specimens in stage I squamous cell carcinoma of the lower lip. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(2):141–4.

    PubMed  Google Scholar 

  49. Santos HB, Silva AL, Cavalcante LH, Alves PM, Godoy GP, Nonaka CF. Histopathological grading systems and their relationship with clinical parameters in lower lip squamous cell carcinoma. Int J Oral Maxillofac Surg. 2014;43(5):539–45.

    PubMed  Google Scholar 

  50. Piccirillo JF, Costas I, Reichman ME. “Cancers of the Head and Neck” in SEER survival monograph: cancer survival among adults: US SEER program, 1988–2001. In: Ries LAG YJ, Keel GE, Eisner MP, editors. Patient and tumor characteristics. Bethesda: National Cancer Institute, SEER Program, NIH; 2007.

    Google Scholar 

  51. Pietersma NS, de Bock GH, de Visscher JG, Roodenburg JL, van Dijk BA. No evidence for a survival difference between upper and lower lip squamous cell carcinoma. Int J Oral Maxillofac Surg. 2015;44(5):549–54.

    CAS  PubMed  Google Scholar 

  52. Rath GK, Parikh PM, Hukku S, Rajan B, Kumar S, Malhotra H, Vuthaluru S, Sharma DN, Vora A, Shukla DK, Kaur T, Gandhi AK. Indian Council of Medical Research consensus document for the management of buccal mucosa cancer. Indian J Med Paediatr Oncol. 2014;35(2):136–9.

    PubMed  PubMed Central  Google Scholar 

  53. Chiou WY, Lin HY, Hsu FC, Lee MS, Ho HC, Su YC, Lee CC, Hsieh CH, Wang YC, Hung SK. Buccal mucosa carcinoma: surgical margin less than 3 mm, not 5 mm, predicts locoregional recurrence. Radiat Oncol. 2010;5:79.

    PubMed  PubMed Central  Google Scholar 

  54. Shaw RJ, McGlashan G, Woolgar JA, Lowe D, Brown JS, Vaughan ED, Rogers SN. Prognostic importance of site in squamous cell carcinoma of the buccal mucosa. Br J Oral Maxillofac Surg. 2009;47(5):356–9.

    CAS  PubMed  Google Scholar 

  55. Diaz Jr EM, Holsinger FC, Zuniga ER, Roberts DB, Sorensen DM. Squamous cell carcinoma of the buccal mucosa: one institution’s experience with 119 previously untreated patients. Head Neck. 2003;25(4):267–73.

    PubMed  Google Scholar 

  56. Tai SK, Li WY, Yang MH, Chu PY, Wang YF, Chang PM. Perineural invasion as a major determinant for the aggressiveness associated with increased tumor thickness in t1–2 oral tongue and buccal squamous cell carcinoma. Ann Surg Oncol. 2013;20(11):3568–74.

    PubMed  Google Scholar 

  57. Camilon PR, Stokes WA, Fuller CW, Nguyen SA, Lentsch EJ. Does buccal cancer have worse prognosis than other oral cavity cancers? Laryngoscope. 2014;124(6):1386–91.

    PubMed  Google Scholar 

  58. Bachar G, Goldstein DP, Barker E, Lea J, O’Sullivan B, Brown DH, Gullane PJ, Gilbert RW, Xu W, Su J, Irish JC. Squamous cell carcinoma of the buccal mucosa: outcomes of treatment in the modern era. Laryngoscope. 2012;122(7):1552–7.

    PubMed  Google Scholar 

  59. DeConde A, Miller ME, Palla B, Lai C, Elashoff D, Chhetri D, St John MA. Squamous cell carcinoma of buccal mucosa: a 40-year review. Am J Otolaryngol. 2012;33(6):673–7.

    PubMed  Google Scholar 

  60. Pathak KA, Nason R, Talole S, Abdoh A, Pai P, Deshpande M, Chaturvedi P, Chaukar D, D’Cruz A, Bhalavat R. Cancer of the buccal mucosa: a tale of two continents. Int J Oral Maxillofac Surg. 2009;38(2):146–50.

    CAS  PubMed  Google Scholar 

  61. Soo KC, Spiro RH, King W, Harvey W, Strong EW. Squamous carcinoma of the gums. Am J Surg. 1988;156(4):281–5.

    CAS  PubMed  Google Scholar 

  62. Bodner L, Manor E, Friger MD, van der Waal I. Oral squamous cell carcinoma in patients twenty years of age or younger – review and analysis of 186 reported cases. Oral Oncol. 2014;50(2):84–9.

    PubMed  Google Scholar 

  63. Woolgar JA, Triantafyllou A. Pitfalls and procedures in the histopathological diagnosis of oral and oropharyngeal squamous cell carcinoma and a review of the role of pathology in prognosis. Oral Oncol. 2009;45(4–5):361–85.

    PubMed  Google Scholar 

  64. Willén R, Nathanson A, Moberger G, Anneroth G. Squamous cell carcinoma of the gingiva. Histological classification and grading of malignancy. Acta Otolaryngol. 1975;79(1–2):146–54.

    PubMed  Google Scholar 

  65. Eicher SA, Overholt SM, el-Naggar AK, Byers RM, Weber RS. Lower gingival carcinoma. Clinical and pathologic determinants of regional metastases. Arch Otolaryngol Head Neck Surg. 1996;122(6):634–8.

    CAS  PubMed  Google Scholar 

  66. Osaki T, Hirota J, Yoneda K, Yamamoto T, Ueta E. Clinical and histopathologic characteristics of tongue and gingiva carcinomas with occult and clinically evident cervical lymph-node metastasis. Int J Oral Maxillofac Surg. 1996;25(4):274–8.

    CAS  PubMed  Google Scholar 

  67. Shaw RJ, Brown JS, Woolgar JA, Lowe D, Rogers SN, Vaughan ED. The influence of the pattern of mandibular invasion on recurrence and survival in oral squamous cell carcinoma. Head Neck. 2004;26(10):861–9.

    PubMed  Google Scholar 

  68. Marchetta FC, Sako K, Murphy JB. The periosteum of the mandible and intra oral carcinoma. Am J Surg. 1964;108:505–7.

    CAS  PubMed  Google Scholar 

  69. Carter RL, Tsao SW, Burman JF, Pittam MR, Clifford P, Shaw HJ. Patterns and mechanisms of bone invasion by squamous carcinomas of the head and neck. Am J Surg. 1983;146:451455.

    Google Scholar 

  70. McGregor IA, McDonald DG. Spread of squamous cell carcinoma to the non-irradiated edentulous mandible – a preliminary report. Head Neck. 1987;9:157–61.

    CAS  Google Scholar 

  71. Brown JS, Lowe D, Kalavrezos N, D’Souza J, Magennis P, Woolgar J. Patterns of invasion and routes of tumor entry into the mandible by oral squamous cell carcinoma. Head Neck. 2002;24(4):370–83.

    PubMed  Google Scholar 

  72. Nomura T, Shibahara T, Cui NH, Noma H. Patterns of mandibular invasion by gingival squamous cell carcinoma. J Oral Maxillofac Surg. 2005;63(10):1489–93.

    PubMed  Google Scholar 

  73. Slootweg PJ, Muller H. Mandibular invasion by oral squamous cell carcinoma. J Craniomaxillofac Surg. 1989;17:69–74.

    CAS  PubMed  Google Scholar 

  74. Brown JS, Browne RM. Factors influencing the patterns of invasion of the mandible by oral squamous cell carcinoma. Int J Oral Maxillofac Surg. 1995;24(6):417–26.

    CAS  PubMed  Google Scholar 

  75. Lam KH, Lam LK, Ho CM, Wei WI. Mandibular invasion in carcinoma of the lower alveolus. Am J Otolaryngol. 1999;20:267–72.

    CAS  PubMed  Google Scholar 

  76. O’Brien CJ, Carter RL, Soo K-C, Barr LC, Hamlyn PJ, Shaw HJ. Invasion of the mandible by squamous carcinomas of the oral cavity and oropharynx. Head Neck Surg. 1986;8:247–56.

    PubMed  Google Scholar 

  77. Politi M, Costa F, Robiony M, Rinaldo A, Ferlito A. Review of segmental and marginal resection of the mandible in patients with oral cancer. Acta Otolaryngol. 2000;120(5):569–79.

    CAS  PubMed  Google Scholar 

  78. Genden EM, Rinaldo A, Jacobson A, Shaha AR, Suárez C, Lowry J, Urquhart AC, Werner JA, Gullane PJ, Ferlito A. Management of mandibular invasion: when is a marginal mandibulectomy appropriate? Oral Oncol. 2005;41(8):776–82.

    PubMed  Google Scholar 

  79. Funk GF, Karnell LH, Robinson RA, Zhen WK, Trask DK, Hoffman HT. Presentation, treatment, and outcome of oral cavity cancer: a National Cancer Data Base report. Head Neck. 2002;24(2):165–80.

    PubMed  Google Scholar 

  80. Barnes L, Verbin RS, Guggenheimer J. Cancer of the oral cavity and oropharynx. In: Barnes L, editor. Surgical pathology of the head and neck. New York: Marcel Dekker; 2001. p. 369–438.

    Google Scholar 

  81. Slootweg PJ, Richardson M. Squamous cell carcinoma of the upper aerodigestive system. In: Gnepp DR, editor. Diagnostic surgical pathology of the head and neck. Philadelphia: Saunders Elsevier; 2009. p. 45–110.

    Google Scholar 

  82. Genden EM, Ferlito A, Shaha AR, Rinaldo A. Management of cancer of the retromolar trigone. Oral Oncol. 2003;39(7):633–7.

    PubMed  Google Scholar 

  83. Ayad T, Guertin L, Soulières D, Belair M, Temam S, Nguyen-Tân PF. Controversies in the management of retromolar trigone carcinoma. Head Neck. 2009;31(3):398–405.

    PubMed  Google Scholar 

  84. Antoniades K, Lazaridis N, Vahtsevanos K, Hadjipetrou L, Antoniades V, Karakasis D. Treatment of squamous cell carcinoma of the anterior faucial pillar-retromolar trigone. Oral Oncol. 2003;39(7):680–6.

    CAS  PubMed  Google Scholar 

  85. Deo SV, Shukla NK, Kallianpur AA, Mohanti BK, Thulkar SP. Aggressive multimodality management of locally advanced retromolar trigone tumors. Head Neck. 2013;35(9):1269–73.

    PubMed  Google Scholar 

  86. Byers RM, Anderson B, Schwarz EA, Fields RS, Meoz R. Treatment of squamous carcinoma of the retromolar trigone. Am J Clin Oncol. 1984;7(6):647–52.

    CAS  PubMed  Google Scholar 

  87. Binahmed A, Nason RW, Abdoh AA, Sándor GK. Population-based study of treatment outcomes in squamous cell carcinoma of the retromolar trigone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(5):662–5.

    PubMed  Google Scholar 

  88. Hao SP, Tsang NM, Chang KP, Chen CK, Huang SS. Treatment of squamous cell carcinoma of the retromolar trigone. Laryngoscope. 2006;116(6):916–20.

    PubMed  Google Scholar 

  89. Cheng A, Cox D, Schmidt BL. Oral squamous cell carcinoma margin discrepancy after resection and pathologic processing. J Oral Maxillofac Surg. 2008;66(3):523–9.

    PubMed  Google Scholar 

  90. Binahmed A, Nason RW, Hussain A, Abdoh AA, Sándor GK. Treatment outcomes in squamous cell carcinoma of the maxillary alveolus and palate: a population-based study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(6):750–4.

    PubMed  Google Scholar 

  91. Mourouzis C, Pratt C, Brennan PA. Squamous cell carcinoma of the maxillary gingiva, alveolus, and hard palate: is there a need for elective neck dissection? Br J Oral Maxillofac Surg. 2010;48(5):345–8.

    PubMed  Google Scholar 

  92. Morris LGT, Patel SG, Shah JP, Ganly I. High rates of regional failure in squamous cell carcinoma of the hard palate and maxillary alveolus. Head Neck. 2011;33:824–30.

    PubMed  Google Scholar 

  93. Brown JS, Bekiroglu F, Shaw RJ, Woolgar JA, Rogers SN. Management of the neck and regional recurrence in squamous cell carcinoma of the maxillary alveolus and hard palate compared with other sites in the oral cavity. Head Neck. 2013;35(2):265–9.

    PubMed  Google Scholar 

  94. Eskander A, Givi B, Gullane PJ, Irish J, Brown D, Gilbert RW, Hope A, Weinreb I, Xu W, Goldstein DP. Outcome predictors in squamous cell carcinoma of the maxillary alveolus and hard palate. Laryngoscope. 2013;123(10):2453–8a.

    PubMed  Google Scholar 

  95. Kumar V, Sindhu VA, Rathanaswamy S, Jain J, Pogal JR, Akhtar N, Gupta S. Cancers of upper gingivobuccal sulcus, hard palate and maxilla: a tertiary care centre study in North India. Natl J Maxillofac Surg. 2013;4(2):202–5.

    PubMed  PubMed Central  Google Scholar 

  96. Yang Z, Deng R, Sun G, Huang X, Tang E. Cervical metastases from squamous cell carcinoma of hard palate and maxillary alveolus: a retrospective study of 10 years. Head Neck. 2014;36(7):969–75.

    PubMed  Google Scholar 

  97. Yang X, Song X, Chu W, Li L, Ma L, Wu Y. Clinicopathological characteristics and outcome predictors in squamous cell carcinoma of the maxillary gingiva and hard palate. J Oral Maxillofac Surg. 2015;73(7):1429–36.

    PubMed  Google Scholar 

  98. Meng FY, Ko JY, Lou PJ, Wang CP, Yang TL, Chang CH, Chang YL, Chen TC. The determining risk factors for treatment outcomes in patients with squamous cell carcinoma of the hard palate. Ann Surg Oncol. 2012;19(6):2003–10.

    PubMed  Google Scholar 

  99. Loree TR, Strong EW. Significance of positive margins in oral cavity squamous carcinoma. Am J Surg. 1990;160:410–4.

    CAS  PubMed  Google Scholar 

  100. Jovanovic A, Schulten EA, Kostense PJ, Snow GB, van der Waal I. Tobacco and alcohol related to the anatomical site of oral squamous cell carcinoma. J Oral Pathol Med. 1993;22(10):459–62.

    CAS  PubMed  Google Scholar 

  101. Barasch A, Morse DE, Krutchkoff DJ, Eisenberg E. Smoking, gender, and age as risk factors for site-specific intraoral squamous cell carcinoma. A case-series analysis. Cancer. 1994;73(3):509–13.

    CAS  PubMed  Google Scholar 

  102. Shafer WG, Waldron CA. Erythroplakia of the oral cavity. Cancer. 1975;36:1021–8.

    CAS  PubMed  Google Scholar 

  103. DiNardo LJ. Lymphatics of the submandibular space: an anatomic, clinical, and pathologic study with applications to floor-of-mouth carcinoma. Laryngoscope. 1998;108(2):206–14.

    CAS  PubMed  Google Scholar 

  104. Brown B, Barnes L, Mazariegos J, Taylor F, Johnson J, Wagner RL. Prognostic factors in mobile tongue and floor of mouth carcinoma. Cancer. 1989;64(6):1195–202.

    CAS  PubMed  Google Scholar 

  105. Hicks Jr WL, Loree TR, Garcia RI, Maamoun S, Marshall D, Orner JB, Bakamjian VY, Shedd DP. Squamous cell carcinoma of the floor of mouth: a 20-year review. Head Neck. 1997;19(5):400–5.

    PubMed  Google Scholar 

  106. Binahmed A, Nason RW, Abdoh AA. The clinical significance of the positive surgical margin in oral cancer. Oral Oncol. 2007;43(8):780–4.

    PubMed  Google Scholar 

  107. Lawaetz M, Homøe P. Risk factors for and consequences of inadequate surgical margins in oral squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(6):642–6.

    PubMed  Google Scholar 

  108. Luryi AL, Chen MM, Mehra S, Roman SA, Sosa JA, Judson BL. Positive surgical margins in early stage oral cavity cancer: an analysis of 20,602 cases. Otolaryngol Head Neck Surg. 2014;151(6):984–90.

    PubMed  Google Scholar 

  109. Weijers M, Snow GB, Bezemer PD, van der Wal JE, van der Waal I. The clinical relevance of epithelial dysplasia in the surgical margins of tongue and floor of mouth squamous cell carcinoma: an analysis of 37 patients. J Oral Pathol Med. 2002;31(1):11–5.

    CAS  PubMed  Google Scholar 

  110. Crissman JD, Gluckman J, Whiteley J, Quenelle D. Squamous-cell carcinoma of the floor of the mouth. Head Neck Surg. 1980;3(1):2–7.

    CAS  PubMed  Google Scholar 

  111. Bryne M, Koppang HS, Lilleng R, Kjaerheim A. Malignancy grading of the deep invasive margins of oral squamous cell carcinomas has high prognostic value. J Pathol. 1992;166:375–81.

    CAS  PubMed  Google Scholar 

  112. Bundgaard T, Rossen K, Henriksen SD, Charabi S, Sogaard H, Grau C. Histopathologic parameters in the evaluation of T1 squamous cell carcinomas of the oral cavity. Head Neck. 2002;24:656–60.

    PubMed  Google Scholar 

  113. Woolgar JA, Scott J. Prediction of cervical lymph node metastasis in squamous cell carcinoma of the tongue/floor of mouth. Head Neck. 1995;17(6):463–72.

    CAS  PubMed  Google Scholar 

  114. Mohit-Tabatabai MA, Sobel HJ, Rush BF, Mashberg A. Relation of thickness of floor of mouth stage I and II cancers to regional metastasis. Am J Surg. 1986;152(4):351–3.

    CAS  PubMed  Google Scholar 

  115. Spiro RH, Huvos AG, Wong GY, Spiro JD, Gnecco CA, Strong EW. Predictive value of tumor thickness in squamous carcinoma confined to the tongue and floor of the mouth. Am J Surg. 1986;152(4):345–50.

    CAS  PubMed  Google Scholar 

  116. McGuirt Jr WF, Johnson JT, Myers EN, Rothfield R, Wagner R. Floor of mouth carcinoma. The management of the clinically negative neck. Arch Otolaryngol Head Neck Surg. 1995;121(3):278–82.

    PubMed  Google Scholar 

  117. Balasubramanian D, Ebrahimi A, Gupta R, Gao K, Elliott M, Palme CE, Clark JR. Tumour thickness as a predictor of nodal metastases in oral cancer: comparison between tongue and floor of mouth subsites. Oral Oncol. 2014;50(12):1165–8.

    PubMed  Google Scholar 

  118. Larsen SR, Johansen J, Sørensen JA, Krogdahl A. The prognostic significance of histological features in oral squamous cell carcinoma. J Oral Pathol Med. 2009;38(8):657–62.

    CAS  PubMed  Google Scholar 

  119. Prestin S, Rothschild SI, Betz CS, Kraft M. Measurement of epithelial thickness within the oral cavity using optical coherence tomography. Head Neck. 2012;34(12):1777–81.

    PubMed  Google Scholar 

  120. Jones AS. Prognosis in mouth cancer: tumour factors. Eur J Cancer B Oral Oncol. 1994;30B(1):8–15.

    CAS  PubMed  Google Scholar 

  121. Weijers M, Snow GB, Bezemer PD, van der Waal I. Malignancy grading is no better than conventional histopathological grading in small squamous cell carcinoma of tongue and floor of mouth: retrospective study in 128 patients. J Oral Pathol Med. 2009;38(4):343–7.

    CAS  PubMed  Google Scholar 

  122. Brandwein-Gensler M, Teixeira MS, Lewis CM, Lee B, Rolnitzky L, Hille JJ, Genden E, Urken ML, Wang BY. Oral squamous cell carcinoma: histologic risk assessment, but not margin status, is strongly predictive of local disease-free and overall survival. Am J Surg Pathol. 2005;29(2):167–78.

    PubMed  Google Scholar 

  123. Ballard BR, Suess GR, Pickren JW, Greene Jr GW, Shedd DP. Squamous-cell carcinoma of the floor of the mouth. Oral Surg Oral Med Oral Pathol. 1978;45(4):568–79.

    CAS  PubMed  Google Scholar 

  124. Kelner N, Vartanian JG, Pinto CA, Coutinho-Camillo CM, Kowalski LP. Does elective neck dissection in T1/T2 carcinoma of the oral tongue and floor of the mouth influence recurrence and survival rates? Br J Oral Maxillofac Surg. 2014;52(7):590–7.

    PubMed  Google Scholar 

  125. Shah JP, Candela FC, Poddar AK. The patterns of cervical lymph node metastases from squamous carcinoma of the oral cavity. Cancer. 1990;66(1):109–13.

    CAS  PubMed  Google Scholar 

  126. Alvarez J, Bidaguren A, McGurk M, Diaz-Basterra G, Brunsó J, Andikoetxea B, Martín JC, Barbier L, Arteagoitia I, Santamaría JA. Sentinel node biopsy in relation to survival in floor of the mouth carcinoma. Int J Oral Maxillofac Surg. 2014;43(3):269–73.

    CAS  PubMed  Google Scholar 

  127. Spiro RH, Guillamondegui Jr O, Paulino AF, Huvos AG. Pattern of invasion and margin assessment in patients with oral tongue cancer. Head Neck. 1999;21(5):408–13.

    CAS  PubMed  Google Scholar 

  128. Högmo A, Kuylenstierna R, Lindholm J, Munck-Wikland E. Predictive value of malignancy grading systems, DNA content, p53, and angiogenesis for stage I tongue carcinomas. J Clin Pathol. 1999;52(1):35–40.

    PubMed  PubMed Central  Google Scholar 

  129. Scholl P, Byers RM, Batsakis JG, Wolf P, Santini H. Microscopic cut-through of cancer in the surgical treatment of squamous carcinoma of the tongue. Prognostic and therapeutic implications. Am J Surg. 1986;152(4):354–60.

    CAS  PubMed  Google Scholar 

  130. Iseli TA, Lin MJ, Tsui A, Guiney A, Wiesenfeld D, Iseli CE. Are wider surgical margins needed for early oral tongue cancer? J Laryngol Otol. 2012;126(3):289–94.

    CAS  PubMed  Google Scholar 

  131. Jakobsson PA, Eneroth CM, Killander D, Moberger G, Martensson B. Histologic classification and grading of malignancy in carcinoma of the larynx. Acta Radiol Ther Phys Biol. 1973;12:1–8.

    CAS  PubMed  Google Scholar 

  132. Holm LE, Lundquist PG, Silfverswärd C, Sobin A. Histological grading of malignancy in squamous cell carcinoma of the oral tongue. Acta Otolaryngol. 1982;94(1–2):185–92.

    CAS  PubMed  Google Scholar 

  133. Anneroth G, Hansen LS, Silverman Jr S. Malignancy grading in oral squamous cell carcinoma. I. Squamous cell carcinoma of the tongue and floor of mouth: histologic grading in the clinical evaluation. J Oral Pathol. 1986;15(3):162–8.

    CAS  PubMed  Google Scholar 

  134. Bryne M, Koppang HS, Lilleng R, Stene T, Bang G, Dabelsteen E. New malignancy grading is a better prognostic indicator than Broders’ grading in oral squamous cell carcinomas. J Oral Pathol Med. 1989;18(8):432–7.

    CAS  PubMed  Google Scholar 

  135. Odell EW, Jani P, Sherriff M, Ahluwalia SM, Hibbert J, Levison DA, Morgan PR. The prognostic value of individual histologic grading parameters in small lingual squamous cell carcinomas. The importance of the pattern of invasion. Cancer. 1994;74(3):789–94.

    CAS  PubMed  Google Scholar 

  136. Högmo A, Kuylenstierna R, Lindholm J, Nathansson A, Auer G, Munck-Wikland E. Nuclear DNA content and p53 overexpression in stage I squamous cell carcinoma of the tongue compared with advanced tongue carcinomas. Mol Pathol. 1998;51(5):268–72.

    PubMed  PubMed Central  Google Scholar 

  137. Brandwein-Gensler M, Smith RV, Wang B, et al. Validation of the histologic risk model in a new cohort of patients with head and neck squamous cell carcinoma. Am J Surg Pathol. 2010;34:677–88.

    Google Scholar 

  138. Chatzistamou I, Rodriguez J, Jouffroy T, et al. Prognostic significance of tumor shape and stromal chronic inflammatory infiltration in squamous cell carcinomas of the oral tongue. J Oral Pathol Med. 2010;39:667–71.

    PubMed  Google Scholar 

  139. Almangush A, Bello IO, Keski-Säntti H, Mäkinen LK, Kauppila JH, Pukkila M, Hagström J, Laranne J, Tommola S, Nieminen O, Soini Y, Kosma VM, Koivunen P, Grénman R, Leivo I, Salo T. Depth of invasion, tumor budding, and worst pattern of invasion: prognostic indicators in early-stage oral tongue cancer. Head Neck. 2014;36(6):811–8.

    PubMed  Google Scholar 

  140. Almangush A, Coletta RD, Bello IO, Bitu C, Keski-Säntti H, Mäkinen LK, Kauppila JH, Pukkila M, Hagström J, Laranne J, Tommola S, Soini Y, Kosma VM, Koivunen P, Kowalski LP, Nieminen P, Grénman R, Leivo I, Salo T. A simple novel prognostic model for early stage oral tongue cancer. Int J Oral Maxillofac Surg. 2015;44(2):143–50.

    CAS  PubMed  Google Scholar 

  141. Huang SH, Hwang D, Lockwood G, Goldstein DP, O’Sullivan B. Predictive value of tumor thickness for cervical lymph-node involvement in squamous cell carcinoma of the oral cavity: a meta-analysis of reported studies. Cancer. 2009;115(7):1489–97.

    CAS  PubMed  Google Scholar 

  142. Ebrahimi A, Gil Z, Amit M, Yen TC, Liao CT, Chaturvedi P, Agarwal JP, Kowalski LP, Kreppel M, Cernea CR, Brandao J, Bachar G, Bolzoni Villaret A, Fliss D, Fridman E, Robbins KT, Shah JP, Patel SG, Clark JR. Primary tumor staging for oral cancer and a proposed modification incorporating depth of invasion: an international multicenter retrospective study. International Consortium for Outcome Research (ICOR) in Head and Neck Cancer. JAMA Otolaryngol Head Neck Surg. 2014;140(12):1138–48.

    PubMed  Google Scholar 

  143. Peng KA, Chu AC, Lai C, Grogan T, Elashoff D, Abemayor E, St John MA. Is there a role for neck dissection in T1 oral tongue squamous cell carcinoma? The UCLA experience. Am J Otolaryngol. 2014;35(6):741–6.

    PubMed  PubMed Central  Google Scholar 

  144. Morton RP, Ferguson CM, Lambie NK, Whitlock RM. Tumor thickness in early tongue cancer. Arch Otolaryngol Head Neck Surg. 1994;120(7):717–20.

    CAS  PubMed  Google Scholar 

  145. Tai SK, Li WY, Chu PY, Chang SY, Tsai TL, Wang YF, Huang JL. Risks and clinical implications of perineural invasion in T1-2 oral tongue squamous cell carcinoma. Head Neck. 2012;34(7):994–1001.

    PubMed  Google Scholar 

  146. Matsushita Y, Yanamoto S, Takahashi H, Yamada S, Naruse T, Sakamoto Y, Ikeda H, Shiraishi T, Fujita S, Ikeda T, Asahina I, Umeda M. A clinicopathological study of perineural invasion and vascular invasion in oral tongue squamous cell carcinoma. Int J Oral Maxillofac Surg. 2015;44(5):543–8.

    CAS  PubMed  Google Scholar 

  147. Roh J, Muelleman T, Tawfik O, Thomas SM. Perineural growth in head and neck squamous cell carcinoma: a review. Oral Oncol. 2015;51(1):16–23.

    PubMed  Google Scholar 

  148. Miller ME, Palla B, Chen Q, et al. A novel classification system for perineural invasion in noncutaneous head and neck squamous cell carcinoma: histologic subcategories and patient outcomes. Am J Otolaryngol. 2012;33(2):212–5.

    PubMed  Google Scholar 

  149. Amit M, Yen TC, Liao CT, Binenbaum Y, Chaturvedi P, Agarwal JP, Kowalski LP, Ebrahimi A, Clark JR, Cernea CR, Brandao SJ, Kreppel M, Zöller J, Fliss D, Bachar G, Shpitzer T, Bolzoni VA, Patel PR, Jonnalagadda S, Robbins KT, Shah JP, Patel SG, Gil Z, International Consortium for Outcome Research (ICOR) in Head and Neck Cancer. Clinical nodal stage is a significant predictor of outcome in patients with oral cavity squamous cell carcinoma and pathologically negative neck metastases: results of the international consortium for outcome research. Ann Surg Oncol. 2013;20(11):3575–81.

    CAS  PubMed  Google Scholar 

  150. Hinni ML, Ferlito A, Brandwein-Gensler MS, Takes RP, Silver CE, Westra WH, Seethala RR, Rodrigo JP, Corry J, Bradford CR, Hunt JL, Strojan P, Devaney KO, Gnepp DR, Hartl DM, Kowalski LP, Rinaldo A, Barnes L. Surgical margins in head and neck cancer: a contemporary review. Head Neck. 2013;35(9):1362–70.

    PubMed  Google Scholar 

  151. Woolgar JA, Triantafyllou A, Lewis Jr JS, Hunt J, Williams MD, Takes RP, Thompson LD, Slootweg PJ, Devaney KO, Ferlito A. Prognostic biological features in neck dissection specimens. Eur Arch Otorhinolaryngol. 2013;270(5):1581–92.

    PubMed  Google Scholar 

  152. Maxwell JH, Thompson LD, Brandwein-Gensler MS, Weiss BG, Canis M, Purgina B, Prabhu AV, Lai C, Shuai Y, Carroll WR, Morlandt A, Duvvuri U, Kim S, Johnson JT, Ferris RL, Seethala R, Chiosea SI. Early oral tongue squamous cell carcinoma: sampling of margins from tumor bed and worse local control. JAMA Otolaryngol Head Neck Surg. 2015;30:1–8.

    Google Scholar 

  153. Farr HW, Arthur K. Epidermoid carcinoma of the mouth and pharynx 1960–1964. J Laryngol Otol. 1972;86(3):243–53.

    CAS  PubMed  Google Scholar 

  154. Siriwardena BS, Tilakaratne A, Amaratunga EA, Udagama MN, Ogawa I, Kudo Y, Takata T, Tilakaratne WM. Analysis of histopathological and immunohistochemical differences of oral squamous cell carcinoma in young and old patients in Sri Lanka. J Oral Pathol Med. 2007;36(6):357–62.

    CAS  PubMed  Google Scholar 

  155. Kurokawa H, Yamashita Y, Takeda S, Zhang M, Fukuyama H, Takahashi T. Risk factors for late cervical lymph node metastases in patients with stage I or II carcinoma of the tongue. Head Neck. 2002;24(8):731–6.

    PubMed  Google Scholar 

  156. Arduino PG, Carrozzo M, Chiecchio A, Broccoletti R, Tirone F, Borra E, Bertolusso G, Gandolfo S. Clinical and histopathologic independent prognostic factors in oral squamous cell carcinoma: a retrospective study of 334 cases. J Oral Maxillofac Surg. 2008;66(8):1570–9.

    PubMed  Google Scholar 

  157. González-García R, Naval-Gías L, Román-Romero L, Sastre-Pérez J, Rodríguez-Campo FJ. Local recurrences and second primary tumors from squamous cell carcinoma of the oral cavity: a retrospective analytic study of 500 patients. Head Neck. 2009;31(9):1168–80.

    PubMed  Google Scholar 

  158. Gutiérrez-Pascual M, Vicente-Martín FJ, Fernández-Álvarez JG, Martín-López R, Pinedo-Moraleda F, López-Estebaranz JL. Squamous cell carcinoma of the lip. A retrospective study of 146 patients. J Eur Acad Dermatol Venereol. 2012;26(9):1116–21.

    PubMed  Google Scholar 

  159. Borges AM, Shrikhande SS, Ganesh B. Surgical pathology of squamous carcinoma of the oral cavity: its impact on management. Semin Surg Oncol. 1989;5(5):310–7.

    CAS  PubMed  Google Scholar 

  160. Hubert Low TH, Gao K, Elliott M, Clark JR. Tumor classification for early oral cancer: re-evaluate the current TNM classification. Head Neck. 2015;37(2):223–8.

    PubMed  Google Scholar 

  161. Moore C, Kuhns JG, Greenberg RA. Thickness as prognostic aid in upper aerodigestive tract cancer. Arch Surg. 1986;121(12):1410–4.

    CAS  PubMed  Google Scholar 

  162. Shinghaki S, Suzuki I, Wakajima T. Evaluation of histopathologic parameters in predicting cervical lymph node metastasis of oral and oropharyngeal carcinomas. Oral Surg Oral Med Oral Pathol. 1988;66:683–8.

    Google Scholar 

  163. Ambrosch P, Kron M, Fischer G. Micrometastases in carcinoma of the upper aerodigestive tract: detection, risk of metastasizing, and prognostic value of depth of invasion. Head Neck. 1995;17:473–9.

    CAS  PubMed  Google Scholar 

  164. Gonzalez-Moles MA, Esteban F, Rodriguez-Archilla A, Ruiz-Avila I, Gonzales-Moles S. Importance of tumour thickness measurement in prognosis of tongue cancer. Oral Oncol. 2002;38:394–7.

    PubMed  Google Scholar 

  165. O-charoenrat P, Pillai G, Patel S, Fisher C, Archer D, Eccles S, et al. Tumour thickness predicts cervical nodal metastases and survival in early tongue cancer. Oral Oncol. 2003;39:386–90.

    CAS  PubMed  Google Scholar 

  166. Goerkem M, Braun J, Stoeckli SJ. Evaluation of clinical and histomorphological parameters as potential predictors of occult metastases in sentinel lymph nodes of early squamous cell carcinoma of the oral cavity. Ann Surg Oncol. 2010;17(2):527–35.

    PubMed  Google Scholar 

  167. Pentenero M, Gandolfo S, Carrozzo M. Importance of tumor thickness and depth of invasion in nodal involvement and prognosis of oral squamous cell carcinoma: a review of the literature. Head Neck. 2005;27(12):1080–91.

    PubMed  Google Scholar 

  168. Howaldt HP, Kainz M, Euler B, Vorast H. Proposal for modification of the TNM staging classification for cancer of the oral cavity. DOSAK. J Craniomaxillofac Surg. 1999;27(5):275–88.

    CAS  PubMed  Google Scholar 

  169. Baqai S, Sule N, Tan W, Wilding G, Merzianu M. Reliability of tumor depth and thickness measurements in T1 oral cancer. Mod Pathol. 2016;S2:29–318A.

    Google Scholar 

  170. O’Brien CJ, Lauer CS, Fredricks S, Clifford AR, McNeil EB, Bagia JS, Koulmandas C. Tumor thickness influences prognosis of T1 and T2 oral cavity cancer – but what thickness? Head Neck. 2003;25(11):937–45.

    PubMed  Google Scholar 

  171. Kane SV, Gupta M, Kakade AC, D’Cruz A. Depth of invasion is the most significant histological predictor of subclinical cervical lymph node metastasis in early squamous carcinomas of the oral cavity. Eur J Surg Oncol. 2006;32:795–803.

    CAS  PubMed  Google Scholar 

  172. Sparano A, Weinstein G, Chalian A, Yodul M, Weber R. Multivariate predictors of occult neck metastasis in early oral tongue cancer. Otolaryngol Head Neck Surg. 2004;131:472–6.

    PubMed  Google Scholar 

  173. Swain N, Patel S, Pathak J. Comment on : “Tumour thickness as a predictor of nodal metastases in oral cancer: comparison between tongue and floor of mouth subsites” by Balasubramanian D et al. Oral Oncol. 2015;51(5):e26.

    PubMed  Google Scholar 

  174. Breslow A. Thickness, cross-sectional areas and depth of invasion in the prognosis of cutaneous melanoma. Ann Surg. 1970;172(5):902–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  175. Breslow A. Tumor thickness, level of invasion and node dissection in stage I cutaneous melanoma. Ann Surg. 1975;182(5):572–5.

    CAS  PubMed  PubMed Central  Google Scholar 

  176. Wilder-Smith P, Lee K, Guo S, Zhang J, Osann K, Chen Z, Messadi D. In vivo diagnosis of oral dysplasia and malignancy using optical coherence tomography: preliminary studies in 50 patients. Lasers Surg Med. 2009;41(5):353–7.

    PubMed  PubMed Central  Google Scholar 

  177. Yuen AP, Lam KY, Wei WI, et al. A comparison of the prognostic significance of tumor diameter, length, width, thickness, area, volume, and clinicopathological features of oral tongue carcinoma. Am J Surg. 2000;180(2):139–43.

    CAS  PubMed  Google Scholar 

  178. Alkureishi LW, Ross GL, Shoaib T, Soutar DS, Robertson AG, Sorensen JA, et al. Does tumor depth affect nodal upstaging in squamous cell carcinoma of the head and neck? Laryngoscope. 2008;118:629–34.

    PubMed  Google Scholar 

  179. Brandwein-Gensler M, Smith RV. Prognostic indicators in head and neck oncology including the new 7th edition of the AJCC staging system. Head Neck Pathol. 2010;4(1):53–61.a.

    PubMed  PubMed Central  Google Scholar 

  180. Ganly I, Patel S, Shah J. Early stage squamous cell cancer of the oral tongue – clinicopathologic features affecting outcome. Cancer. 2012;118:101–11.

    PubMed  Google Scholar 

  181. Ganly I, Goldstein D, Carlson DL, Patel SG, O’Sullivan B, Lee N, Gullane P, Shah JP. Long-term regional control and survival in patients with “low-risk,” early stage oral tongue cancer managed by partial glossectomy and neck dissection without postoperative radiation: the importance of tumor thickness. Cancer. 2013;119(6):1168–76.

    PubMed  Google Scholar 

  182. Melchers LJ, Schuuring E, van Dijk BA, de Bock GH, Witjes MJ, van der Laan BF, van der Wal JE, Roodenburg JL. Tumour infiltration depth ≥4 mm is an indication for an elective neck dissection in pT1cN0 oral squamous cell carcinoma. Oral Oncol. 2012;48(4):337–42.

    CAS  PubMed  Google Scholar 

  183. Melkane AE, Mamelle G, Wycisk G, Temam S, Janot F, Casiraghi O, Lumbroso J. Sentinel node biopsy in early oral squamous cell carcinomas: a 10-year experience. Laryngoscope. 2012;122(8):1782–8.

    PubMed  Google Scholar 

  184. Yuen AP, Ng RW, Lam PK, Ho A. Preoperative measurement of tumor thickness of oral tongue carcinoma with intraoral ultrasonography. Head Neck. 2008;30(2):230–4.

    PubMed  Google Scholar 

  185. Jerjes W, Upile T, Conn B, Hamdoon Z, Betz CS, McKenzie G, Radhi H, Vourvachis M, El Maaytah M, Sandison A, Jay A, Hopper C. In vitro examination of suspicious oral lesions using optical coherence tomography. Br J Oral Maxillofac Surg. 2010;48(1):18–25.

    PubMed  Google Scholar 

  186. Hamdoon Z, Jerjes W, Al-Delayme R, McKenzie G, Jay A, Hopper C. Structural validation of oral mucosal tissue using optical coherence tomography. Head Neck Oncol. 2012;4:29.

    PubMed  PubMed Central  Google Scholar 

  187. Hamdoon Z, Jerjes W, Upile T, McKenzie G, Jay A, Hopper C. Optical coherence tomography in the assessment of suspicious oral lesions: an immediate ex vivo study. Photodiagnosis Photodyn Ther. 2013;10(1):17–27.

    PubMed  Google Scholar 

  188. http://www.nccn.org/professionals/physician_gls/pdf/head-and-neck.pdf. Accessed on 12/04/15.

  189. Broders AC. Squamous cell cancer of the lip: a study of five hundred and thirty-seven cases. JAMA. 1920;74:656–64.

    Google Scholar 

  190. Hiratsuka H, Miyakawa A, Nakamori K, Kido Y, Sunakawa H, Kohama G. Multivariate analysis of occult lymph node metastasis as a prognostic indicator for patients with squamous cell carcinoma of the oral cavity. Cancer. 1997;80(3):351–6.

    CAS  PubMed  Google Scholar 

  191. Wong RJ, Keel SB, Glynn RJ, Varvares MA. Histological pattern of mandibular invasion by oral squamous cell carcinoma. Laryngoscope. 2000;110(1):65–72.

    CAS  PubMed  Google Scholar 

  192. Kang CJ, Lin CY, Wang HM, Fan KH, Ng SH, Lee LY, Chen IH, Huang SF, Liao CT, Yen TC. The number of pathologically positive lymph nodes and pathological tumor depth predicts prognosis in patients with poorly differentiated squamous cell carcinoma of the oral cavity. Int J Radiat Oncol Biol Phys. 2011;81(4):e223–30.

    PubMed  Google Scholar 

  193. Lindenblatt Rde C, Martinez GL, Silva LE, Faria PS, Camisasca DR, Lourenço SQ. Oral squamous cell carcinoma grading systems – analysis of the best survival predictor. J Oral Pathol Med. 2012;41(1):34–9.

    PubMed  Google Scholar 

  194. Liao CT, Lee LY, Hsueh C, Lin CY, Fan KH, Wang HM, Ng SH, Lin CH, Tsao CK, Chen IH, Chang KP, Huang SF, Kang CJ, Fang KH, Wang YC, Chang YL, Huang YC, Tsai CY, Yen TC. Comparative outcomes in oral cavity cancer with resected pT4a and pT4b. Oral Oncol. 2013;49(3):230–6.

    PubMed  Google Scholar 

  195. Piffkò J, Bànkfalvi A, Ofner D, Bryne M, Rasch D, Joos U, Böcker W, Schmid KW. Prognostic value of histobiological factors (malignancy grading and AgNOR content) assessed at the invasive tumour front of oral squamous cell carcinomas. Br J Cancer. 1997;75(10):1543–6.

    PubMed  Google Scholar 

  196. Søland TM, Brusevold IJ, Koppang HS, Schenck K, Bryne M. Nerve growth factor receptor (p75 NTR) and pattern of invasion predict poor prognosis in oral squamous cell carcinoma. Histopathology. 2008;53(1):62–72.

    PubMed  Google Scholar 

  197. Violaris NS, O’Neil D, Helliwell TR, Caslin AW, Roland NJ, Jones AS. Soft tissue cervical metastases of squamous carcinoma of the head and neck. Clin Otolaryngol Allied Sci. 1994;19(5):394–9.

    CAS  PubMed  Google Scholar 

  198. Lim SC, Zhang S, Ishii G, Endoh Y, Kodama K, Miyamoto S, Hayashi R, Ebihara S, Cho JS, Ochiai A. Predictive markers for late cervical metastasis in stage I and II invasive squamous cell carcinoma of the oral tongue. Clin Cancer Res. 2004;10(1 Pt 1):166–72.

    CAS  PubMed  Google Scholar 

  199. Umeda M, Yokoo S, Take Y, Omori A, Nakanishi K, Shimada K. Lymph node metastasis in squamous cell carcinoma of the oral cavity: correlation between histologic features and the prevalence of metastasis. Head Neck. 1992;14(4):263–72.

    CAS  PubMed  Google Scholar 

  200. Sawair FA, Irwin CR, Gordon DJ, Leonard AG, Stephenson M, Napier SS. Invasive front grading: reliability and usefulness in the management of oral squamous cell carcinoma. J Oral Pathol Med. 2003;32(1):1–9.

    PubMed  Google Scholar 

  201. Anneroth G, Batsakis J, Luna M. Review of the literature and a recommended system of malignancy grading in oral squamous cell carcinomas. Scand J Dent Res. 1987;95:229–49.

    CAS  PubMed  Google Scholar 

  202. Martínez-Gimeno C, Rodríguez EM, Vila CN, Varela CL. Squamous cell carcinoma of the oral cavity: a clinicopathologic scoring system for evaluating risk of cervical lymph node metastasis. Laryngoscope. 1995;105(7 Pt 1):728–33.

    PubMed  Google Scholar 

  203. Martínez-Gimeno C, Molinero AP, Castro V, Sastre MJ, Castro EE, Aguirre-Jaime A. Prospective validation of the Martinez-Gimeno clinicopathologic scoring system (MGSS) for evaluating risk of cervical lymph node metastases of squamous cell carcinoma of the oral cavity. Head Neck. 2005;27(4):320–5.

    PubMed  Google Scholar 

  204. Kurokawa H, Zhang M, Matsumoto S, Yamashita Y, Tomoyose T, Tanaka T, Fukuyama H, Takahashi T. The high prognostic value of the histologic grade at the deep invasive front of tongue squamous cell carcinoma. J Oral Pathol Med. 2005;34(6):329–33.

    CAS  PubMed  Google Scholar 

  205. Li Y, Bai S, Carroll W, Dayan D, Dort JC, Heller K, Jour G, Lau H, Penner C, Prystowsky M, Rosenthal E, Schlecht NF, Smith RV, Urken M, Vered M, Wang B, Wenig B, Negassa A, Brandwein-Gensler M. Validation of the risk model: high-risk classification and tumor pattern of invasion predict outcome for patients with low-stage oral cavity squamous cell carcinoma. Head Neck Pathol. 2013;7(3):211–23.

    CAS  PubMed  Google Scholar 

  206. Sinha P, Lewis Jr JS, Piccirillo JF, et al. Extracapsular spread and adjuvant therapy in human papillomavirus-related, p16-positive oropharyngeal carcinoma. Cancer. 2012;118(14):3519–30.

    CAS  PubMed  Google Scholar 

  207. Vered M, Dayan D, Dobriyan A, Yahalom R, Shalmon B, Barshack I, Bedrin L, Talmi YP, Taicher S. Oral tongue squamous cell carcinoma: recurrent disease is associated with histopathologic risk score and young age. J Cancer Res Clin Oncol. 2010;136(7):1039–48.

    PubMed  Google Scholar 

  208. de Matos FR, Lima E, Queiroz LM, da Silveira EJ. Analysis of inflammatory infiltrate, perineural invasion, and risk score can indicate concurrent metastasis in squamous cell carcinoma of the tongue. J Oral Maxillofac Surg. 2012;70(7):1703–10.

    PubMed  Google Scholar 

  209. Lundqvist L, Stenlund H, Laurell G, Nylander K. The importance of stromal inflammation in squamous cell carcinoma of the tongue. J Oral Pathol Med. 2012;41(5):379–83.

    PubMed  Google Scholar 

  210. Wang C, Huang H, Huang Z, et al. Tumor budding correlates with poor prognosis and epithelial-mesenchymal transition in tongue squamous cell carcinoma. J Oral Pathol Med. 2011;40:545–51.

    PubMed  PubMed Central  Google Scholar 

  211. Xie N, Wang C, Liu X, Li R, Hou J, Chen X, Huang H. Tumor budding correlates with occult cervical lymph node metastasis and poor prognosis in clinical early-stage tongue squamous cell carcinoma. J Oral Pathol Med. 2015;44(4):266–72.

    PubMed  Google Scholar 

  212. Angadi PV, Patil PV, Hallikeri K, Mallapur MD, Hallikerimath S, Kale AD. Tumor budding is an independent prognostic factor for prediction of lymph node metastasis in oral squamous cell carcinoma. Int J Surg Pathol. 2015;23(2):102–10.

    CAS  PubMed  Google Scholar 

  213. Silva SD, Perez DE, Nishimoto IN, Alves FA, Pinto CA, Kowalski LP, Graner E. Fatty acid synthase expression in squamous cell carcinoma of the tongue: clinicopathological findings. Oral Dis. 2008;14(4):376–82.

    CAS  PubMed  Google Scholar 

  214. Fang KH, Kao HK, Cheng MH, Chang YL, Tsang NM, Huang YC, Lee LY, Yu JS, Hao SP, Chang KP. Histological differentiation of primary oral squamous cell carcinomas in an area of betel quid chewing prevalence. Otolaryngol Head Neck Surg. 2009;141(6):743–9.

    PubMed  Google Scholar 

  215. Ling W, Mijiti A, Moming A. Survival pattern and prognostic factors of patients with squamous cell carcinoma of the tongue: a retrospective analysis of 210 cases. J Oral Maxillofac Surg. 2013;71(4):775–85.

    PubMed  Google Scholar 

  216. Thiagarajan S, Nair S, Nair D, Chaturvedi P, Kane SV, Agarwal JP, D’Cruz AK. Predictors of prognosis for squamous cell carcinoma of oral tongue. J Surg Oncol. 2014;109(7):639–44.

    PubMed  Google Scholar 

  217. Liebig C, Ayala G, Wilks JA, Berger DH, Albo D. Perineural invasion in cancer: a review of the literature. Cancer. 2009;115(15):3379–91.

    CAS  PubMed  Google Scholar 

  218. Kurtz KA, Hoffman HT, Zimmerman MB, Robinson RA. Perineural and vascular invasion in oral cavity squamous carcinoma: increased incidence on re-review of slides and by using immunohistochemical enhancement. Arch Pathol Lab Med. 2005;129(3):354–9.

    PubMed  Google Scholar 

  219. Shen WR, Wang YP, Chang JY, Yu SY, Chen HM, Chiang CP. Perineural invasion and expression of nerve growth factor can predict the progression and prognosis of oral tongue squamous cell carcinoma. J Oral Pathol Med. 2014;43(4):258–64.

    PubMed  Google Scholar 

  220. Fagan JJ, Collins B, Barnes L, D’Amico F, Myers EN, Johnson JT. Perineural invasion in squamous cell carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg. 1998;124(6):637–40.

    CAS  PubMed  Google Scholar 

  221. Chang AM, Kim SW, Duvvuri U, Johnson JT, Myers EN, Ferris RL, Gooding WE, Seethala RR, Chiosea SI. Early squamous cell carcinoma of the oral tongue: comparing margins obtained from the glossectomy specimen to margins from the tumor bed. Oral Oncol. 2013;49(11):1077–82.

    PubMed  Google Scholar 

  222. Suzuki M, Suzuki T, Asai M, Ichimura K, Nibu K, Sugasawa M, et al. Clinicopathological factors related to cervical lymph node metastasis in a patient with carcinoma of the oral floor. Acta Otolaryngol Suppl. 2007;559:129–35.

    Google Scholar 

  223. Montebugnoli L, Gissi DB, Flamminio F, Gentile L, Dallera V, Leonardi E, Beccarini T, Foschini MP. Clinicopathologic parameters related to recurrence and locoregional metastasis in 180 oral squamous cell carcinomas. Int J Surg Pathol. 2014;22(1):55–62.

    PubMed  Google Scholar 

  224. Yeh CF, Li WY, Yang MH, Chu PY, Lu YT, Wang YF, Chang PM, Tai SK. Neck observation is appropriate in T1–2, cN0 oral squamous cell carcinoma without perineural invasion or lymphovascular invasion. Oral Oncol. 2014;50(9):857–62.

    PubMed  Google Scholar 

  225. Durr ML, van Zante A, Li D, Kezirian EJ, Wang SJ. Oral tongue squamous cell carcinoma in never-smokers: analysis of clinicopathologic characteristics and survival. Otolaryngol Head Neck Surg. 2013;149(1):89–96.

    PubMed  Google Scholar 

  226. Close LG, Brown PM, Vuitch MF, Reisch J, Schaefer SD. Microvascular invasion and survival in cancer of the oral cavity and oropharynx. Arch Otolaryngol Head Neck Surg. 1989;115(11):1304–9.

    CAS  PubMed  Google Scholar 

  227. Huang TY, Hsu LP, Wen YH, Huang TT, Chou YF, Lee CF, Yang MC, Chang YK, Chen PR. Predictors of locoregional recurrence in early stage oral cavity cancer with free surgical margins. Oral Oncol. 2010;46(1):49–55.

    PubMed  Google Scholar 

  228. Bundgaard T, Bentzen SM, Wildt J, Sørensen FB, Søgaard H, Nielsen JE. Histopathologic, stereologic, epidemiologic, and clinical parameters in the prognostic evaluation of squamous cell carcinoma of the oral cavity. Head Neck. 1996;18(2):142–52.

    CAS  PubMed  Google Scholar 

  229. Garzino-Demo P, Dell’Acqua A, Dalmasso P, Fasolis M, La Terra Maggiore GM, Ramieri G, Berrone S, Rampino M, Schena M. Clinicopathological parameters and outcome of 245 patients operated for oral squamous cell carcinoma. J Craniomaxillofac Surg. 2006;34(6):344–50.

    PubMed  Google Scholar 

  230. Hilly O, Shkedy Y, Hod R, Soudry E, Mizrachi A, Hamzany Y, Bachar G, Shpitzer T. Carcinoma of the oral tongue in patients younger than 30 years: comparison with patients older than 60 years. Oral Oncol. 2013;49(10):987–90.

    PubMed  Google Scholar 

  231. Chen TC, Wang CP, Ko JY, Yang TL, Hsu CW, Yeh KA, Chang YL, Lou PJ. The impact of perineural invasion and/or lymphovascular invasion on the survival of early-stage oral squamous cell carcinoma patients. Ann Surg Oncol. 2013;20(7):2388–95.

    PubMed  Google Scholar 

  232. Brennan S, Corry J, Kleid S, Porceddu S, Yuen K, Rischin D, Peters LJ. Prospective trial to evaluate staged neck dissection or elective neck radiotherapy in patients with CT-staged T1-2 N0 squamous cell carcinoma of the oral tongue. Head Neck. 2010;32(2):191–8.

    PubMed  Google Scholar 

  233. Woolgar JA. Histopathological prognosticators in oral and oropharyngeal squamous cell carcinoma. Oral Oncol. 2006;42(3):229–39.

    PubMed  Google Scholar 

  234. King B, Corry J. Pathology reporting in head and neck cancer – snapshot of current status. Head Neck. 2009;31(2):227–31; discussion 232–3.

    PubMed  Google Scholar 

  235. Ebrahimi A, Murali R, Gao K, Elliott MS, Clark JR. The prognostic and staging implications of bone invasion in oral squamous cell carcinoma. Cancer. 2011;117:4460–7.

    PubMed  Google Scholar 

  236. Vincent N, Dassonville O, Chamorey E, Poissonnet G, Pierre CS, Nao EE, Peyrade F, Benezery K, Viel D, Sudaka A, Marcy PY, Vallicioni J, Demard F, Santini J, Bozec A. Clinical and histological prognostic factors in locally advanced oral cavity cancers treated with primary surgery. Eur Ann Otorhinolaryngol Head Neck Dis. 2012;129(6):291–6.

    CAS  PubMed  Google Scholar 

  237. Fried D, Mullins B, Weissler M, Shores C, Zanation A, Hackman T, Shockley W, Hayes N, Chera BS. Prognostic significance of bone invasion for oral cavity squamous cell carcinoma considered T1/T2 by American joint committee on cancer size criteria. Head Neck. 2014;36(6):776–81.

    PubMed  Google Scholar 

  238. Sobin LH, Gospodarowicz MK, Wittekind C. TNM classification of malignant tumours. 7th ed. Oxford: Wiley-Blackwell; 2009.

    Google Scholar 

  239. Ash CS, Nason RW, Abdoh AA, Cohen MA. Prognostic implications of mandibular invasion in oral cancer. Head Neck. 2000;22:794–8.

    CAS  PubMed  Google Scholar 

  240. Mücke T, Hölzle F, Wagenpfeil S, Wolff KD, Kesting M. The role of tumor invasion into the mandible of oral squamous cell carcinoma. J Cancer Res Clin Oncol. 2011;137(1):165–71.

    PubMed  Google Scholar 

  241. Pandey M, Rao LP, Das SR, Shukla M. Tumor stage and resection margins not the mandibular invasion determines the survival in patients with cancers of oro-mandibular region. Eur J Surg Oncol. 2009;35(12):1337–42.

    CAS  PubMed  Google Scholar 

  242. Nakayama E, Yoshiura K, Ozeki S, Nakayama H, Yamaguchi T, Yoshikawa H, Kanda S, Ohishi M, Shirasuna. The correlation of histologic features with a panoramic radiography pattern and a computed tomography pattern of bone destruction in carcinoma of the mandibular gingiva. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(6):774–82.

    PubMed  Google Scholar 

  243. Pandey M, Rao LP, Das SR, Mathews A, Chacko EM, Naik BR. Patterns of mandibular invasion in oral squamous cell carcinoma of the mandibular region. World J Surg Oncol. 2007;5:12.

    PubMed  PubMed Central  Google Scholar 

  244. Bilodeau EA, Chiosea S. Oral squamous cell carcinoma with mandibular bone invasion: intraoperative evaluation of bone margins by routine frozen section. Head Neck Pathol. 2011;5(3):216–20.

    PubMed  PubMed Central  Google Scholar 

  245. Wysluch A, Stricker I, Holzle F, et al. Intraoperative evaluation of bony margins with frozen-section analysis and trephine drill extraction technique: a preliminary study. Head Neck. 2010;32:1473–8.

    PubMed  Google Scholar 

  246. Forrest LA, Schuller DE, Lucas JG, Sullivan MJ. Rapid analysis of mandibular margins. Laryngoscope. 1995;105:475–7.

    CAS  PubMed  Google Scholar 

  247. Mahmood S, Conway DI, Ramesar K. Use of intra-operative cytological assessment of mandibular marrow scrapings to predict resection margin status in patients with squamous cell carcinoma. J Oral Maxillofac Surg. 2001;59:1138–41.

    CAS  PubMed  Google Scholar 

  248. Nieberler M, Häusler P, Drecoll E, Stoeckelhuber M, Deppe H, Hölzle F, Kolk A, Wolff KD, Kesting MR, Weirich G. Evaluation of intraoperative cytological assessment of bone resection margins in patients with oral squamous cell carcinoma. Cancer Cytopathol. 2014;122(9):646–56.

    PubMed  Google Scholar 

  249. Chen TY, Emrich LJ, Driscoll DL. The clinical significance of pathological findings in surgically resected margins of the primary tumor in head and neck carcinoma. Int J Radiat Oncol Biol Phys. 1987;13:833–7.

    CAS  PubMed  Google Scholar 

  250. Sutton DN, Brown JS, Rogers SN, Vaughan ED, Woolgar JA. The prognostic implications of the surgical margin in oral squamous cell carcinoma. Int J Oral Maxillofac Surg. 2003;32:30–4.

    CAS  PubMed  Google Scholar 

  251. El-Husseiny G, Kandil A, Jamshed A, et al. Squamous cell carcinoma of the oral tongue: an analysis of prognostic factors. Br J Oral Maxillofac Surg. 2000;38:193–9.

    CAS  PubMed  Google Scholar 

  252. Meier JD, Oliver DA, Varvares MA. Surgical margin determination in head and neck oncology: current clinical practice. The results of an International American Head and Neck Society Member Survey. Head Neck. 2005;27:952–8.

    PubMed  Google Scholar 

  253. Patel RS, Goldstein DP, Guillemaud J, et al. Impact of positive frozen section microscopic tumor cut-through revised to negative on oral carcinoma control and survival rates. Head Neck. 2010;32(11):1444–51.

    PubMed  Google Scholar 

  254. Wong LS, McMahon J, Devine J, McLellan D, Thompson E, Farrow A, Moos K, Ayoub A. Influence of close resection margins on local recurrence and disease-specific survival in oral and oropharyngeal carcinoma. Br J Oral Maxillofac Surg. 2012;50(2):102–8.

    PubMed  Google Scholar 

  255. Nason RW, Binahmed A, Pathak KA, Abdoh AA, Sándor GK. What is the adequate margin of surgical resection in oral cancer? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(5):625–9.

    PubMed  Google Scholar 

  256. Ravasz LA, Slootweg PJ, Hordijk GJ, Smit F, van der Tweel I. The status of the resection margin as a prognostic factor in the treatment of head and neck carcinoma. J Cranio-Maxillofac Surg. 1991;19:314–8.

    CAS  Google Scholar 

  257. Woolgar JA, Triantafyllou A. A histopathological appraisal of surgical margins in oral and oropharyngeal cancer resection specimens. Oral Oncol. 2005;41:1034–43.

    PubMed  Google Scholar 

  258. Weijers M, Snow GB, Bezemer DP, van dr Wal JE, van der Waal I. The status of the deep surgical margins in tongue and floor of mouth squamous cell carcinoma and risk of local recurrence; an analysis of 68 patients. Int J Oral Maxillofac Surg. 2004;33(2):146–9.

    CAS  PubMed  Google Scholar 

  259. Ord RA, Aisner S. Accuracy of frozen sections in assessing margins in oral cancer resection. J Oral Maxillofac Surg. 1997;55(7):663–9; discussion 669–71.

    CAS  PubMed  Google Scholar 

  260. de Visscher JG, Gooris PJ, Vermey A, Roodenburg JL. Surgical margins for resection of squamous cell carcinoma of the lower lip. Int J Oral Maxillofac Surg. 2002;31(2):154–7.

    PubMed  Google Scholar 

  261. Ribeiro NF, Godden DR, Wilson GE, Butterworth DM, Woodwards RT. Do frozen sections help achieve adequate surgical margins in the resection of oral carcinoma? Int J Oral Maxillofac Surg. 2003;32(2):152–8.

    CAS  PubMed  Google Scholar 

  262. Sharma SM, Prasad BR, Pushparaj S, Poojary D. Accuracy of intraoperative frozen section in assessing margins in oral cancer resection. J Maxillofac Oral Surg. 2009;8(4):357–61.

    CAS  PubMed  Google Scholar 

  263. Olson SM, Hussaini M, Lewis Jr JS. Frozen section analysis of margins for head and neck tumor resections: reduction of sampling errors with a third histologic level. Mod Pathol. 2011;24:665–70.

    PubMed  Google Scholar 

  264. Cooley ML, Hoffman HT, Robinson RA. Discrepancies in frozen section mucosal margin tissue in laryngeal squamous cell carcinoma. Head Neck. 2002;24(3):262–7.

    PubMed  Google Scholar 

  265. Pathak KA, Nason RW, Penner C, Viallet NR, Sutherland D, Kerr PD. Impact of use of frozen section assessment of operative margins on survival in oral cancer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(2):235–9.

    PubMed  Google Scholar 

  266. Batsakis JG. Surgical excision margins: a pathologist’s perspective. Adv Anat Pathol. 1999;6:140–8.

    CAS  PubMed  Google Scholar 

  267. Mistry RC, Qureshi SS, Kumaran C. Post-resection mucosal margin shrinkage in oral cancer: quantification and significance. J Surg Oncol. 2005;91:131–3.

    PubMed  Google Scholar 

  268. Johnson RE, Sigman JD, Funk GF, Robinson RA, Hoffman HT. Quantification of surgical margin shrinkage in the oral cavity. Head Neck. 1997;19:281–6.

    CAS  PubMed  Google Scholar 

  269. El-Fol HA, Noman SA, Beheiri MG, Khalil AM, Kamel MM. Significance of post-resection tissue shrinkage on surgical margins of oral squamous cell carcinoma. J Craniomaxillofac Surg. 2015;43(4):475–82.

    PubMed  Google Scholar 

  270. Black C, Marotti J, Zarovnaya E, Paydarfar J. Critical evaluation of frozen section margins in head and neck cancer resections. Cancer. 2006;107(12):2792–800.

    PubMed  Google Scholar 

  271. Miyawaki A, Hijioka H, Ishida T, Nozoe E, Nakamura N, Oya R. Intraoperative frozen section histological analysis of resection samples is useful for the control of primary lesions in patients with oral squamous cell carcinoma. Mol Clin Oncol. 2015;3(1):55–62.

    PubMed  Google Scholar 

  272. Ch’ng S, Corbett-Burns S, Stanton N, Gao K, Shannon K, Clifford A, Gupta R, Clark JR. Close margin alone does not warrant postoperative adjuvant radiotherapy in oral squamous cell carcinoma. Cancer. 2013;119(13):2427–37.

    PubMed  Google Scholar 

  273. Wang SJ, Patel SG, Shah JP, Goldstein DP, Irish JC, Carvalho AL, Kowalski LP, Lockhart JL, Holland JM, Gross ND. An oral cavity carcinoma nomogram to predict benefit of adjuvant radiotherapy. JAMA Otolaryngol Head Neck Surg. 2013;139(6):554–9.

    PubMed  Google Scholar 

  274. Camisasca DR, Silami MA, Honorato J, Dias FL, de Faria PA, Lourenço Sde Q. Oral squamous cell carcinoma: clinicopathological features in patients with and without recurrence. ORL J Otorhinolaryngol Relat Spec. 2011;73(3):170–6.

    Google Scholar 

  275. Maleki S, Schlecht NF, Keller C, Diaz J, Moss J, Prystowsky MB, Macian F, Brandwein-Gensler M. Lymphocytic host response to oral squamous cell carcinoma: an adaptive T-cell response at the tumor interface. Head Neck Pathol. 2011;5(2):117–22. 3(3):170–6.

    PubMed  PubMed Central  Google Scholar 

  276. Breuninger H, Schaumburg-Lever G, Holzschuh J, Horny HP. Desmoplastic squamous cell carcinoma of skin and vermilion surface: a highly malignant subtype of skin cancer. Cancer. 1997;79(5):915–9.

    CAS  PubMed  Google Scholar 

  277. Vered M, Dobriyan A, Dayan D, Yahalom R, Talmi YP, Bedrin L, et al. Tumor-host histopathologic variables, stromal myofibroblasts and risk score, are significantly associated with recurrent disease in tongue cancer. Cancer Sci. 2010;101(1):274–80.

    CAS  PubMed  Google Scholar 

  278. Kellerman MG, Sobral LM, da Silva SD, Zecchin KG, Graner E, Lopes MA, et al. Myofibroblasts in the stroma of oral squamous cell carcinoma are associated with poor prognosis. Histopathology. 2007;51(6):849–53.

    Google Scholar 

  279. Marsh D, Suchak K, Moutasim KA, et al. Stromal features are predictive of disease mortality in oral cancer patients. J Pathol. 2011;223:470–81.

    CAS  PubMed  Google Scholar 

  280. Bello IO, Vered M, Dayan D, et al. Cancer-associated fibroblasts, a parameter of the tumor microenvironment, overcomes carcinoma-associated parameters in the prognosis of patients with mobile tongue cancer. Oral Oncol. 2011;47:33–8.

    CAS  PubMed  Google Scholar 

  281. Montero PH, Yu C, Palmer FL, Patel PD, Ganly I, Shah JP, Shaha AR, Boyle JO, Kraus DH, Singh B, Wong RJ, Morris LG, Kattan MW, Patel SG. Nomograms for preoperative prediction of prognosis in patients with oral cavity squamous cell carcinoma. Cancer. 2014;120(2):214–21.

    PubMed  Google Scholar 

  282. Ackerman L. Verrucous carcinoma of the oral cavity. Surgery. 1948;23:670–8.

    CAS  PubMed  Google Scholar 

  283. Rekha KP, Angadi PV. Verrucous carcinoma of the oral cavity: a clinico-pathologic appraisal of 133 cases in Indians. Oral Maxillofac Surg. 2010;14(4):211–8.

    CAS  PubMed  Google Scholar 

  284. Huang TT, Hsu LP, Hsu YH, Chen PR. Surgical outcome in patients with oral verrucous carcinoma: long-term follow-up in an endemic betel quid chewing area. ORL J Otorhinolaryngol Relat Spec. 2009;71(6):323–8.

    PubMed  Google Scholar 

  285. Koch BB, Trask DK, Hoffman HT, Lucy H, Karnell LH, Robinson RA, Zhen W, et al. National survey of head and neck verrucous carcinoma. Patterns of presentation care and outcome. Cancer. 2001;92:110–20.

    CAS  PubMed  Google Scholar 

  286. Samman M, Wood H, Conway C, Berri S, Pentenero M, Gandolfo S, Cassenti A, Cassoni P, Al Ajlan A, Barrett AW, Chengot P, MacLennan K, High AS, Rabbitts P. Next-generation sequencing analysis for detecting human papillomavirus in oral verrucous carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(1):117–25.

    PubMed  Google Scholar 

  287. Stokes A, Guerra E, Bible J, Halligan E, Orchard G, Odell E, Thavaraj S. Human papillomavirus detection in dysplastic and malignant oral verrucous lesions. J Clin Pathol. 2012;65(3):283–6.

    PubMed  Google Scholar 

  288. Walvekar RR, Chaukar DA, Deshpande MS, Pai PS, Chaturvedi P, Kakade A, Kane SV, D’Cruz AK. Verrucous carcinoma of the oral cavity: a clinical and pathological study of 101 cases. Oral Oncol. 2009;45(1):47–51.

    PubMed  Google Scholar 

  289. Medina JE, Dichtel W, Luna MA. Verrucous-squamous carcinomas of the oral cavity. A clinicopathologic study of 104 cases. Arch Otolaryngol. 1984;110(7):437–40.

    CAS  PubMed  Google Scholar 

  290. McGuirt WF. Snuff dipper’s carcinoma. Arch Otolaryngol. 1983;109(11):757–60.

    CAS  PubMed  Google Scholar 

  291. Cooper JR, Hellquist HB, Michaels L. Image analysis in the discrimination of verrucous carcinoma and squamous papilloma. J Pathol. 1992;166(4):383–7.

    CAS  PubMed  Google Scholar 

  292. Padilla RJ, Murrah VA. Carcinoma cuniculatum of the oral mucosa: a potentially underdiagnosed entity in the absence of clinical correlation. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(6):684–93.

    PubMed  Google Scholar 

  293. Murrah VA, Batsakis JG. Proliferative verrucous leukoplakia and verrucous hyperplasia. Ann Otol Rhinol Laryngol. 1994;103(8 Pt 1):660–3.

    CAS  PubMed  Google Scholar 

  294. Oliveira DT, de Moraes RV, Fiamengui Filho JF, Fanton Neto J, Landman G, Kowalski LP. Oral verrucous carcinoma: a retrospective study in São Paulo Region. Braz Clin Oral Invest. 2006;10(3):205–9.

    Google Scholar 

  295. Candau-Alvarez A, Dean-Ferrer A, Alamillos-Granados FJ, Heredero-Jung S, García-García B, Ruiz-Masera JJ, Arévalo-Arévalo R, Zafra-Camacho F, Valenzuela-Salas B. Verrucous carcinoma of the oral mucosa: an epidemiological and follow-up study of patients treated with surgery in 5 last years. Med Oral Patol Oral Cir Bucal. 2014;19(5):e506–11.

    PubMed  PubMed Central  Google Scholar 

  296. Gokavarapu S, Chandrasekhara Rao LM, Patnaik SC, Parvataneni N, Raju KV, Chander R, Kumar KA. Reliability of incision biopsy for diagnosis of oral verrucous carcinoma: a multivariate clinicopathological study. J Maxillofac Oral Surg. 2015;14(3):599–604.

    PubMed  Google Scholar 

  297. Cardesa A, Zidar N, Nadal A, et al. Papillary squamous cell carcinoma. Pathology and genetics of head and neck tumours. In: Barnes EL, Eveson JW, Reichart P, et al., editors. World Health Organization classification of tumours. Lyons: IARC Press; 2005. p. 126.

    Google Scholar 

  298. Thompson LDR, Wenig BM, Heffner DK, et al. Exophytic and papillary squamous cell carcinoma of the larynx: a clinicopathologic series of 104 cases. Otolaryngol Head Neck Surg. 1999;120:718.

    CAS  PubMed  Google Scholar 

  299. Suarez PA, Adler-Storthz K, Luna MA, El-Naggar AK, Abdul-Karim FW, Batsakis JG. Papillary squamous cell carcinomas of the upper aerodigestive tract: a clinicopathologic and molecular study. Head Neck. 2000;22(4):360–8.

    CAS  PubMed  Google Scholar 

  300. Mehrad M, Carpenter DH, Chernock RD, Wang H, Ma XJ, Luo Y, Luo J, Lewis Jr JS, El-Mofty SK. Papillary squamous cell carcinoma of the head and neck: clinicopathologic and molecular features with special reference to human papillomavirus. Am J Surg Pathol. 2013;37(9):1349–56.

    PubMed  PubMed Central  Google Scholar 

  301. Ishiyama A, Eversole LR, Ross DA, et al. Papillary squamous neoplasms of the head and neck. Laryngoscope. 1994;104:1446–52.

    CAS  PubMed  Google Scholar 

  302. Jo VY, Mills SE, Stoler MH, Stelow EB. Papillary squamous cell carcinoma of the head and neck: frequent association with human papillomavirus infection and invasive carcinoma. Am J Surg Pathol. 2009;33(11):1720–4.

    PubMed  Google Scholar 

  303. Cobo F, Talavera P, Concha A. Review article: relationship of human papillomavirus with papillary squamous cell carcinoma of the upper aerodigestive tract: a review. Int J Surg Pathol. 2008;16(2):127–36.

    PubMed  Google Scholar 

  304. Stelow EB, Mills SE. Squamous cell carcinoma variants of the upper aerodigestive tract. Am J Clin Pathol. 2005;124(Suppl):S96–109. Review.

    PubMed  Google Scholar 

  305. El-Mofty SK. Human papillomavirus-related head and neck squamous cell carcinoma variants. Semin Diagn Pathol. 2015;32(1):23–31.

    PubMed  Google Scholar 

  306. Batsakis JG, Suarez P. Papillary squamous carcinoma: will the real one please stand up? Adv Anat Pathol. 2000;7(1):2–8. Review.

    CAS  PubMed  Google Scholar 

  307. Lewis Jr JS, Westra WH, Thompson LD, Barnes L, Cardesa A, Hunt JL, Williams MD, Slootweg PJ, Triantafyllou A, Woolgar JA, Devaney KO, Rinaldo A, Ferlito A. The sinonasal tract: another potential “hot spot” for carcinomas with transcriptionally-active human papillomavirus. Head Neck Pathol. 2014;8(3):241–9.

    PubMed  Google Scholar 

  308. Wenig BM. Squamous cell carcinoma of the upper aerodigestive tract: precursors and problematic variants. Mod Pathol. 2002;15(3):229–54. Review.

    PubMed  Google Scholar 

  309. Wain SL, Kier R, Vollmer RT, Bossen EH. Basaloid-squamous carcinoma of the tongue, hypopharynx, and larynx: report of 10 cases. Hum Pathol. 1986;17(11):1158–66.

    CAS  PubMed  Google Scholar 

  310. Fritsch VA, Lentsch EJ. Basaloid squamous cell carcinoma of the head and neck: location means everything. J Surg Oncol. 2014;109(6):616–22.

    PubMed  Google Scholar 

  311. Linton OR, Moore MG, Brigance JS, Gordon CA, Summerlin DJ, McDonald MW. Prognostic significance of basaloid squamous cell carcinoma in head and neck cancer. JAMA Otolaryngol Head Neck Surg. 2013;139(12):1306–11.

    PubMed  Google Scholar 

  312. Fritsch VA, Gerry DR, Lentsch EJ. Basaloid squamous cell carcinoma of the oral cavity: an analysis of 92 cases. Laryngoscope. 2014;124(7):1573–8.

    PubMed  Google Scholar 

  313. Woolgar JA, Lewis Jr JS, Devaney KO, Rinaldo A, Coskun HH, Takes RP, Hartl DM, Zárate CE, Zbären P, Ferlito A. Basaloid squamous cell carcinoma of the upper aerodigestive tract: a single squamous cell carcinoma subtype or two distinct entities hiding under one histologic pattern? Eur Arch Otorhinolaryngol. 2011;268(2):161–4.

    PubMed  Google Scholar 

  314. Lassen P, Eriksen JG, Hamilton-Dutoit S, et al. Effect of HPV-associated p16INK4A expression on response to radiotherapy and survival in squamous cell carcinoma of the head and neck. J Clin Oncol. 2009;27:1992–8.

    CAS  PubMed  Google Scholar 

  315. Ang KK, Harris J, Wheeler R, Weber R, Rosenthal DI, Nguyen-Tân PF, Westra WH, Chung CH, Jordan RC, Lu C, Kim H, Axelrod R, Silverman CC, Redmond KP, Gillison ML. Human papillomavirus and survival of patients with oropharyngeal cancer. N Engl J Med. 2010;363(1):24–35.

    CAS  PubMed  PubMed Central  Google Scholar 

  316. Chernock RD, Lewis Jr JS, Zhang Q, El-Mofty SK. Human papillomavirus-positive basaloid squamous cell carcinomas of the upper aerodigestive tract: a distinct clinicopathologic and molecular subtype of basaloid squamous cell carcinoma. Hum Pathol. 2010;41(7):1016–23.

    CAS  PubMed  Google Scholar 

  317. El-Mofty SK. Histopathologic risk factors in oral and oropharyngeal squamous cell carcinoma variants: an update with special reference to HPV-related carcinomas. Med Oral Patol Oral Cir Bucal. 2014;19(4):e377–85.

    PubMed  PubMed Central  Google Scholar 

  318. Begum S, Westra WH. Basaloid squamous cell carcinoma of the head and neck is a mixed variant that can be further resolved by HPV status. Am J Surg Pathol. 2008;32(7):1044–50.

    PubMed  Google Scholar 

  319. Ereño C, Gaafar A, Garmendia M, Etxezarraga C, Bilbao FJ, López JI. Basaloid squamous cell carcinoma of the head and neck: a clinicopathological and follow-up study of 40 cases and review of the literature. Head Neck Pathol. 2008;2(2):83–91.

    PubMed  PubMed Central  Google Scholar 

  320. Jayasooriya PR, Tilakaratne WM, Mendis BR, Lombardi T. A literature review on oral basaloid squamous cell carcinomas, with special emphasis on etiology. Ann Diagn Pathol. 2013;17(6):547–51.

    PubMed  Google Scholar 

  321. Choi HR, Sturgis EM, Rosenthal DI, Luna MA, Batsakis JG, El-Naggar AK. Sarcomatoid carcinoma of the head and neck: molecular evidence for evolution and progression from conventional squamous cell carcinomas. Am J Surg Pathol. 2003;27:1216–20.

    PubMed  Google Scholar 

  322. Thompson LDR, Wieneke JA, Miettinen M, Heffner DK. Spindle cell (sarcomatoid) carcinomas of the larynx. A clinicopathologic study of 187 cases. Am J Surg Pathol. 2002;26:153–70.

    PubMed  Google Scholar 

  323. Olsen KD, Lewis JE, Suman VJ. Spindle cell carcinoma of the larynx and hypopharynx. Otolaryngol Head Neck Surg. 1997;116(1):47–52.

    CAS  PubMed  Google Scholar 

  324. Ellis GL, Corio RL. Spindle cell carcinoma of the oral cavity. A clinicopathologic assessment of fifty-nine cases. Oral Surg. 1980;50:523–34.

    CAS  PubMed  Google Scholar 

  325. Romañach MJ, Azevedo RS, Carlos R, de Almeida OP, Pires FR. Clinicopathological and immunohistochemical features of oral spindle cell carcinoma. J Oral Pathol Med. 2010;39(4):335–41.

    PubMed  Google Scholar 

  326. Ellis GL, Langloss JM, Heffner DK, Hyams VJ. Spindle cell carcinoma of the aerodigestive tract: an immunohistochemical analysis of 21 cases. Am J Surg Pathol. 1987;11:335–42.

    CAS  PubMed  Google Scholar 

  327. Slootweg PJ, Roholl PJ, Müller H, Lubsen H. Spindle-cell carcinoma of the oral cavity and larynx. Immunohistochemical aspects. J Craniomaxillofac Surg. 1989;17(5):234–6.

    CAS  PubMed  Google Scholar 

  328. Viswanathan S, Rahman K, Pallavi S, Sachin J, Patil A, Chaturvedi P, D’Cruz A, Agarwal J, Kane SV. Sarcomatoid (spindle cell) carcinoma of the head and neck mucosal region: a clinicopathologic review of 103 cases from a tertiary referral cancer centre. Head Neck Pathol. 2010;4(4):265–75.

    PubMed  PubMed Central  Google Scholar 

  329. Gerughty RM, Hennigar GR, Brown FM. Adenosquamous carcinoma of the nasal, oral and laryngeal cavities. A clinicopathologic survey of ten cases. Cancer. 1968;22(6):1140–55.

    CAS  PubMed  Google Scholar 

  330. Schick U, Pusztaszeri M, Betz M, Ghadjar P, Demiroz C, Kaanders JH, Ozsahin M. Adenosquamous carcinoma of the head and neck: report of 20 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116(3):313–20.

    PubMed  Google Scholar 

  331. Alos L, Castillo M, Nadal A, Caballero M, Mallofre C, Palacin A, Cardesa A. Adenosquamous carcinoma of the head and neck: criteria for diagnosis in a study of 12 cases. Histopathology. 2004;44(6):570–9.

    CAS  PubMed  Google Scholar 

  332. Fonseca FP, Ramos LM, Vargas PA, de Almeida OP, Lopes MA, Santos-Silva AR. Oral adenosquamous carcinoma: evidence that it arises from the surface mucosal epithelium. Histopathology. 2012;61(2):321–3.

    PubMed  Google Scholar 

  333. Masand RP, El-Mofty SK, Ma XJ, Luo Y, Flanagan JJ, Lewis Jr JS. Adenosquamous carcinoma of the head and neck: relationship to human papillomavirus and review of the literature. Head Neck Pathol. 2011;5(2):108–16.

    PubMed  PubMed Central  Google Scholar 

  334. Keelawat S, Liu CZ, Roehm PC, Barnes L. Adenosquamous carcinoma of the upper aerodigestive tract: a clinicopathologic study of 12 cases and review of the literature. Am J Otolaryngol. 2002;23(3):160–8.

    PubMed  Google Scholar 

  335. Martinez-Madrigal F, Baden E, Casiraghi O, Micheau C. Oral and pharyngeal adenosquamous carcinoma. A report of four cases with immunohistochemical studies. Eur Arch Otorhinolaryngol. 1991;248(5):255–8.

    CAS  PubMed  Google Scholar 

  336. Napier SS, Gormely JS, Newlands C, Ramsay-Baggs P. Adenosquamous carcinoma. A rare neoplasm with an aggressive course. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(5):607–11.

    CAS  PubMed  Google Scholar 

  337. Scully C, Porter SR, Speight PM, Eveson JW, Gale D. Adenosquamous carcinoma of the mouth: a rare variant of squamous cell carcinoma. Int J Oral Maxillofac Surg. 1999;28(2):125–8.

    CAS  PubMed  Google Scholar 

  338. Cardesa A, Zidar N, Nadal A, et al. Acantholytic squamous cell carcinoma. Pathology and genetics of head and neck tumours. In: Barnes EL, Eveson JW, Reichart P, et al., editors. World Health Organization classification of tumours. Lyons: IARC Press; 2005. p. 129.

    Google Scholar 

  339. Kerawala CJ. Acantholytic squamous cell carcinoma of the oral cavity: a more aggressive entity? Br J Oral Maxillofac Surg. 2009;47(2):123–5.

    PubMed  Google Scholar 

  340. Papadopoulou E, Tosios KI, Nikitakis N, Papadogeorgakis N, Sklavounou-Andrikopoulou A. Acantholytic squamous cell carcinoma of the gingiva: report of a case and review of the literature. Oral Surg Oral Med Oral Patholral Radiol Endod. 2010;109(6):e67–71.

    Google Scholar 

  341. Terada T. Adenoid squamous cell carcinoma of the oral cavity. Int J Clin Exp Pathol. 2012;5(5):442–7.

    PubMed  PubMed Central  Google Scholar 

  342. Gu X, Jiang R, Fowler MR. Acantholytic squamous cell carcinoma in upper aerodigestive tract: histopathology, immunohistochemical profile and epithelial mesenchymal transition phenotype change. Head Neck Pathol. 2012;6(4):438–44.

    PubMed  PubMed Central  Google Scholar 

  343. Mardi K, Singh N. Acantholytic squamous cell carcinoma of the oral cavity: a rare entity. J Oral Maxillofac Pathol. 2014;18 Suppl 1:S128–30.

    PubMed  PubMed Central  Google Scholar 

  344. Jones AC, Freedman PD, Kerpel SM. Oral adenoid squamous cell carcinoma: a report of three cases and review of the literature. J Oral Maxillofac Surg. 1993;51(6):676–81.

    CAS  PubMed  Google Scholar 

  345. Batsakis JG, Huser J. Squamous carcinomas with gland-like (adenoid) features. Ann Otol Rhinol Laryngol. 1990;99(1):87–8.

    CAS  PubMed  Google Scholar 

  346. Ferlito A, Devaney KO, Rinaldo A, Milroy CM, Carbone A. Mucosal adenoid squamous cell carcinoma of the head and neck. Ann Otol Rhinol Laryngol. 1996;105(5):409–13.

    CAS  PubMed  Google Scholar 

  347. Rytkönen AE, Hirvikoski PP, Salo TA. Lymphoepithelial carcinoma: two case reports and a systematic review of oral and sinonasal cases. Head Neck Pathol. 2011;5(4):327–34.

    PubMed  PubMed Central  Google Scholar 

  348. Tsang WYW, Chan JKC, Westra W. Lymphoepithelial carcinoma. In: Barnes L, Eveson JW, Reichart P, Sidransky D, editors. World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005. p. 176.

    Google Scholar 

  349. Worley NK, Daroca Jr PJ. Lymphoepithelial carcinoma of the minor salivary gland. Arch Otolaryngol Head Neck Surg. 1997;123(6):638–40.

    CAS  PubMed  Google Scholar 

  350. Mahomed F, Grayson W. A rare case of lymphoepithelial carcinoma of the lip. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(5):e49–52.

    PubMed  Google Scholar 

  351. Möller P, Wirbel R, Hofmann W, Schwechheimer K. Lymphoepithelial carcinoma (Schmincke type) as a derivate of the tonsillar crypt epithelium. Virchows Arch A Pathol Anat Histopathol. 1984;405(1):85–93.

    PubMed  Google Scholar 

  352. Singhi AD, Stelow EB, Mills SE, et al. Lymphoepithelial-like carcinoma of the oropharynx: a morphologic variant of HPV-related head and neck carcinoma. Am J Surg Pathol. 2010;34:800–5.

    PubMed  Google Scholar 

  353. Mamelle G, Pampurik J, Luboinski B, et al. Lymph node prognostic factors in head and neck squamous cell carcinomas. Am J Surg. 1994;168(5):494–8.

    CAS  PubMed  Google Scholar 

  354. Kowalski LP, Medina JE. Nodal metastases: predictive factors. Otolaryngol Clin North Am. 1998;31(4):621–37.

    CAS  PubMed  Google Scholar 

  355. Kim S, Smith BD, Haffty BG. Prognostic factors in patients with head and neck cancer. In: Harrison LB, Sessions RB, Kies MS, editors. Head and neck cancer: a multidisciplinary approach, fourth electronic edition. Philadelphia: LWW; 2014.

    Google Scholar 

  356. Woolgar JA. Histological distribution of cervical lymph node metastases from intraoral/oropharyngeal squamous cell carcinomas. Br J Oral Maxillofac Surg. 1999;37(3):175–80.

    CAS  PubMed  Google Scholar 

  357. Woolgar JA. The topography of cervical lymph node metastases revisited: the histological findings in 526 sides of neck dissection from 439 previously untreated patients. Int J Oral Maxillofac Surg. 2007;36(3):219–25.

    CAS  PubMed  Google Scholar 

  358. Paleri V, Kumar Subramaniam S, Oozeer N, Rees G, Krishnan S. Dissection of the submuscular recess (sublevel IIb) in squamous cell cancer of the upper aerodigestive tract: prospective study and systematic review of the literature. Head Neck. 2008;30(2):194–200.

    PubMed  Google Scholar 

  359. Contaldo M, Di Napoli A, Pannone G, Franco R, Ionna F, Feola A, De Rosa A, Santoro A, Sbordone C, Longo F, Pasquali D, Loreto C, Ricciardiello F, Esposito G, D’Angelo L, Itro A, Bufo P, Tombolini V, Serpico R, Di Domenico M. Prognostic implications of node metastatic features in OSCC: a retrospective study on 121neck dissections. Oncol Rep. 2013;30(6):2697–704.

    PubMed  Google Scholar 

  360. Robbins KT, Shaha AR, Medina JE, et al. Consensus statement on the classification and terminology of neck dissection. Arch Otolaryngol Head Neck Surg. 2008;134:536–8.

    PubMed  Google Scholar 

  361. Kalnins IK, Leonard AG, Sako K, Razack MS, Shedd DP. Correlation between prognosis and degree of lymph node involvement in carcinoma of the oral cavity. Am J Surg. 1977;134:450–4.

    CAS  PubMed  Google Scholar 

  362. Agrama MT, Reiter D, Cunnane MF, Topham A, Keane WM. Nodal yield in neck dissection and the likelihood of metastases. Otolaryngol Head Neck Surg. 2003;128:185–90.

    PubMed  Google Scholar 

  363. Köhler HF, Kowalski LP. How many nodes are needed to stage a neck? A critical appraisal. Eur Arch Otorhinolaryngol. 2010;267(5):785–91.

    PubMed  Google Scholar 

  364. Patel SG, Amit M, Yen TC, Liao CT, Chaturvedi P, Agarwal JP, Kowalski LP, Ebrahimi A, Clark JR, Cernea CR, Brandao SJ, Kreppel M, Zöller J, Fliss D, Fridman E, Bachar G, Shpitzer T, Bolzoni VA, Patel PR, Jonnalagadda S, Robbins KT, Shah JP, Gil Z, International Consortium for Outcome Research (ICOR) in Head and Neck Cancer. Lymph node density in oral cavity cancer: results of the International Consortium for Outcomes Research. Br J Cancer. 2013;109(8):2087–95.

    CAS  PubMed  PubMed Central  Google Scholar 

  365. Gil Z, Carlson DL, Boyle J, et al. Lymph node density is a significant predictor of outcome in patients with oral cancer. Cancer. 2009;115:5700–10.

    PubMed  Google Scholar 

  366. Ebrahimi A, Zhang WJ, Gao K, Clark JR. Nodal yield and survival in oral squamous cancer: defining the standard of care. Cancer. 2011;117(13):2917–25.

    PubMed  Google Scholar 

  367. Friedman M, Lim JW, Dickey W, Tanyeri H, Kirshenbaum GL, Phadke DM, Caldarelli D. Quantification of lymph nodes in selective neck dissection. Laryngoscope. 1999;109(3):368–70.

    CAS  PubMed  Google Scholar 

  368. Jose J, Coatesworth AP, MacLennan K. Cervical metastases in upper aerodigestive tract squamous cell carcinoma: histopathologic analysis and reporting. Head Neck. 2003;25(3):194–7.

    PubMed  Google Scholar 

  369. Ebrahimi A, Clark JR, Amit M, Yen TC, Liao CT, Kowalski LP, Kreppel M, Cernea CR, Bachar G, Villaret AB, Fliss D, Fridman E, Robbins KT, Shah JP, Patel SG, Gil Z. Minimum nodal yield in oral squamous cell carcinoma: defining the standard of care in a multicenter international pooled validation study. Ann Surg Oncol. 2014;21(9):3049–55.

    PubMed  Google Scholar 

  370. Koren R, Shvero J, Yaniv E, Veltman V, Konichezky M, Groushko I, Sadov R, Feinmesser R, Gal R. Neck-dissection surgical specimens treated by lymph node revealing solution. Otolaryngol Head Neck Surg. 2001;124(1):72–5.

    CAS  PubMed  Google Scholar 

  371. van den Brekel MW, Stel HV, van der Valk P, van der Waal I, Meyer CJ, Snow GB. Micrometastases from squamous cell carcinoma in neck dissection specimens. Eur Arch Otorhinolaryngol. 1992;249(6):349–53.

    PubMed  Google Scholar 

  372. Ferlito A, Partridge M, Brennan J, Hamakawa H. Lymph node micrometastases in head and neck cancer: a review. Acta Otolaryngol. 2001;121:660–5.

    CAS  PubMed  Google Scholar 

  373. Devaney KO, Rinaldo A, Ferlito A. Micrometastases in cervical lymph nodes from patients with squamous carcinoma of the head and neck: should they be actively sought? Maybe. Am J Otolaryngol. 2007;28(4):271–4.

    PubMed  Google Scholar 

  374. Broglie MA, Haerle SK, Huber GF, Haile SR, Stoeckli SJ. Occult metastases detected by sentinel node biopsy in patients with early oral and oropharyngeal squamous cell carcinomas: impact on survival. Head Neck. 2013;35(5):660–6.

    PubMed  Google Scholar 

  375. Shaw RJ, Lowe D, Woolgar JA, Brown JS, Vaughan ED, Evans C, Lewis-Jones H, Hanlon R, Hall GL, Rogers SN. Extracapsular spread in oral squamous cell carcinoma. Head Neck. 2010;32(6):714–22.

    PubMed  Google Scholar 

  376. Woolgar JA, Rogers SN, Lowe D, Brown JS, Vaughan ED. Cervical lymph node metastasis in oral cancer: the importance of even microscopic extracapsular spread. Oral Oncol. 2003;39(2):130–7.

    CAS  PubMed  Google Scholar 

  377. Brannon AG, Johnstone PAS, Cooper J. Extracapsular tumor extension in cervical lymph nodes: reconciling the literature and seer data. Head and Neck. 2011;33:525–8.

    Google Scholar 

  378. Lodder WL, van den Brekel MW. Re: extracapsular tumor extension in cervical lymph nodes: reconciling the literature and seer data. Head Neck. 2011;33(12):1809.

    PubMed  Google Scholar 

  379. Lodder WL, Lange CA, van Velthuysen ML, Hauptmann M, Balm AJ, van den Brekel MW, Pameijer FA. Can extranodal spread in head and neck cancer be detected on MR imaging. Oral Oncol. 2013;49(6):626–33.

    PubMed  Google Scholar 

  380. van den Brekel MW, Lodder WL, Stel HV, Bloemena E, Leemans CR, van der Waal I. Observer variation in the histopathologic assessment of extranodal tumor spread in lymph node metastases in the neck. Head Neck. 2012;34(6):840–5.

    PubMed  Google Scholar 

  381. Jose J, Coatesworth AP, Johnston C, MacLennan K. Cervical node metastases in squamous cell carcinoma of the upper aerodigestive tract: the significance of extracapsular spread and soft tissue deposits. Head Neck. 2003;25(6):451–6.

    PubMed  Google Scholar 

  382. Jose J, Moor JW, Coatesworth AP, Johnston C, MacLennan K. Soft tissue deposits in neck dissections of patients with head and neck squamous cell carcinoma: prospective analysis of prevalence, survival, and its implications. Arch Otolaryngol Head Neck Surg. 2004;130(2):157–60.

    PubMed  Google Scholar 

  383. Moor JW, Jose J, Johnston C, Coatesworth AP, MacLennan KA. Upper aerodigestive tract squamous cell carcinoma: distribution of extracapsular spread and soft tissue deposits in the neck. Acta Otolaryngol. 2004;124(1):97–101.

    PubMed  Google Scholar 

  384. Govers TM, Hannink G, Merkx MA, Takes RP, Rovers MM. Sentinel node biopsy for squamous cell carcinoma of the oral cavity and oropharynx: a diagnostic meta-analysis. Oral Oncol. 2013;49(8):726–32.

    PubMed  Google Scholar 

  385. Stoeckli SJ, Pfaltz M, Steinert H, Schmid S. Histopathological features of occult metastasis detected by sentinel lymph node biopsy in oral and oropharyngeal squamous cell carcinoma. Laryngoscope. 2002;112(1):111–5.

    PubMed  Google Scholar 

  386. Alkureishi LW, Ross GL, Shoaib T, Soutar DS, Robertson AG, Thompson R, Hunter KD, Sorensen JA, Thomsen J, Krogdahl A, Alvarez J, Barbier L, Santamaria J, Poli T, Sesenna E, Kovács AF, Grünwald F, Barzan L, Sulfaro S, Alberti F. Sentinel node biopsy in head and neck squamous cell cancer: 5-year follow-up of a European multicenter trial. Ann Surg Oncol. 2010;17(9):2459–64.

    PubMed  Google Scholar 

  387. Flach GB, Bloemena E, Klop WM, van Es RJ, Schepman KP, Hoekstra OS, Castelijns JA, Leemans CR, de Bree R. Sentinel lymph node biopsy in clinically N0 T1–T2 staged oral cancer: the Dutch multicenter trial. Oral Oncol. 2014;50(10):1020–4.

    PubMed  Google Scholar 

  388. Alkureishi LW, Burak Z, Alvarez JA, Ballinger J, Bilde A, Britten AJ, Calabrese L, Chiesa C, Chiti A, de Bree R, Gray HW, Hunter K, Kovacs AF, Lassmann M, Leemans CR, Mamelle G, McGurk M, Mortensen J, Poli T, Shoaib T, Sloan P, Sorensen JA, Stoeckli SJ, Thomsen JB, Trifiro G, Werner J, Ross GL, European Association of Nuclear Medicine Oncology Committee, European Sentinel Node Biopsy Trial Committee. Joint practice guidelines for radionuclide lymphoscintigraphy for sentinel node localization in oral/oropharyngeal squamous cell carcinoma. Ann Surg Oncol. 2009;16(11):3190–210.

    CAS  PubMed  PubMed Central  Google Scholar 

  389. Civantos FJ, Zitsch RP, Schuller DE, Agrawal A, Smith RB, Nason R, Petruzelli G, Gourin CG, Wong RJ, Ferris RL, El Naggar A, Ridge JA, Paniello RC, Owzar K, McCall L, Chepeha DB, Yarbrough WG, Myers JN. Sentinel lymph node biopsy accurately stages the regional lymph nodes for T1–T2 oral squamous cell carcinomas: results of a prospective multi-institutional trial. J Clin Oncol. 2010;28(8):1395–400.

    PubMed  PubMed Central  Google Scholar 

  390. Thompson CF, St John MA, Lawson G, Grogan T, Elashoff D, Mendelsohn AH. Diagnostic value of sentinel lymph node biopsy in head and neck cancer: a meta-analysis. Eur Arch Otorhinolaryngol. 2013;270(7):2115–22.

    CAS  PubMed  Google Scholar 

  391. Sloan P. Head and neck sentinel lymph node biopsy: current state of the art. Head Neck Pathol. 2009;3(3):231–7.

    PubMed  PubMed Central  Google Scholar 

  392. Stoeckli SJ, Pfaltz M, Ross GL, et al. The second international conference on sentinel node biopsy in mucosal head and neck cancer. Ann Surg Oncol. 2005;12:919–24.

    PubMed  Google Scholar 

  393. Seethala RR. Current state of neck dissection in the United States. Head Neck Pathol. 2009;3(3):238–45.

    PubMed  PubMed Central  Google Scholar 

  394. Bell RB, Markiewicz MR, Dierks EJ, Gregoire CE, Rader A. Thin serial step sectioning of sentinel lymph node biopsy specimen may not be necessary to accurately stage the neck in oral squamous cell carcinoma. J Oral Maxillofac Surg. 2013;71(7):1268–77.

    PubMed  Google Scholar 

  395. Jefferson GD, Sollaccio D, Gomez-Fernandez CR, Civantos Jr F. Evaluation of immunohistochemical fine sectioning for sentinel lymph node biopsy in oral squamous cell carcinoma. Otolaryngol Head Neck Surg. 2011;144(2):216–9.

    PubMed  Google Scholar 

  396. Thomsen JB, Christensen RK, Sorensen JA, Krogdahl A. Sentinel lymph nodes in cancer of the oral cavity: is central step sectioning enough? J Oral Pathol Med. 2007;36:425–9.

    PubMed  Google Scholar 

  397. Cochran AJ, Ohsie SJ, Binder SW. Pathobiology of the sentinel node. Curr Opin Oncol. 2008;20:190–5.

    PubMed  Google Scholar 

  398. Denoth S, Broglie MA, Haerle SK, Huber GF, Haile SR, Soltermann A, Jochum W, Stoeckli SJ. Histopathological mapping of metastatic tumor cells in sentinel lymph nodes of oral and oropharyngeal squamous cell carcinomas. Head Neck. 2015;37(10):1477–82.

    PubMed  Google Scholar 

  399. Trivedi NP, Ravindran HK, Sundram S, Iyer S, Kekatpure V, Durah S, Kuriakose MA. Pathologic evaluation of sentinel lymph nodes in oral squamous cell carcinoma. Head Neck. 2010;32(11):1437–43.

    PubMed  Google Scholar 

  400. Vorburger MS, Broglie MA, Soltermann A, Haerle SK, Haile SR, Huber GF, Stoeckli SJ. Validity of frozen section in sentinel lymph node biopsy for the staging in oral and oropharyngeal squamous cell carcinoma. J Surg Oncol. 2012;106(7):816–9.

    PubMed  Google Scholar 

  401. Terada A, Hasegawa Y, Yatabe Y, Hyodo I, Ogawa T, Hanai N, et al. Intraoperative diagnosis of cancer metastasis in sentinel lymph node of oral cancer patients. Oral Oncol. 2008;44:838–43.

    PubMed  Google Scholar 

  402. Tschopp L, Nuyens M, Stauffer E, Krause T, Zbaren P. The value of frozen section analysis of the sentinel lymph node in clinically N0 squamous cell carcinoma of the oral cavity and oropharynx. Otolaryngol Head Neck Surg. 2005;132:99–102.

    PubMed  Google Scholar 

  403. Terada A, Hasegawa Y, Yatabe Y, Hanai N, Ozawa T, Hirakawa H, Maruo T, Kawakita D, Mikami S, Suzuki A, Miyazaki T, Nakashima T. Follow-up after intraoperative sentinel node biopsy of N0 neck oral cancer patients. Eur Arch Otorhinolaryngol. 2011;268(3):429–35.

    PubMed  Google Scholar 

  404. Nieuwenhuis EJ, van der Waal I, Leemans CR, Kummer A, Pijpers R, Castelijns JA, Brakenhoff RH, Snow GB. Histopathologic validation of the sentinel node concept in oral and oropharyngeal squamous cell carcinoma. Head Neck. 2005;27(2):150–8.

    PubMed  Google Scholar 

  405. Yang H, Bullock MJ, Hart RD, Nasser JG, Trites JR, Taylor SM, Barnes D. Comparison of two sentinel lymph node biopsy processing protocols in clinically N0 head and neck squamous cell carcinoma (HNSCC). Histopathology. 2006;49(5):541–2.

    CAS  PubMed  Google Scholar 

  406. de Bree R, Takes RP, Castelijns JA, Medina JE, Stoeckli SJ, Mancuso AA, Hunt JL, Rodrigo JP, Triantafyllou A, Teymoortash A, Civantos FJ, Rinaldo A, Pitman KT, Hamoir M, Robbins KT, Silver CE, Hoekstra OS, Ferlito A. Advances in diagnostic modalities to detect occult lymph node metastases in head and neck squamous cell carcinoma. Head Neck. 2015;37(12):1829–39.

    PubMed  Google Scholar 

  407. Ferris RL, Xi L, Seethala RR, Chan J, Desai S, Hoch B, Gooding W, Godfrey TE. Intraoperative qRT-PCR for detection of lymph node metastasis in head and neck cancer. Clin Cancer Res. 2011;17(7):1858–66.

    CAS  PubMed  PubMed Central  Google Scholar 

  408. Sturgis EM, Cinciripini PM. Trends in head and neck cancer incidence in relation to smoking prevalence: an emerging epidemic of human papillomavirus-associated cancers? Cancer. 2007;110:1429–35.

    PubMed  Google Scholar 

  409. Chaturvedi AK, Engels EA, Pfeiffer RM, Hernandez BY, Xiao W, Kim E, Jiang B, Goodman MT, Sibug-Saber M, Cozen W, Liu L, Lynch CF, Wentzensen N, Jordan RC, Altekruse S, Anderson WF, Rosenberg PS, Gillison ML. Human papillomavirus and rising oropharyngeal cancer incidence in the United States. J Clin Oncol. 2011;29(32):4294–301.

    PubMed  PubMed Central  Google Scholar 

  410. D’Souza G, Cullen K, Bowie J, Thorpe R, Fakhry C. Differences in oral sexual behaviors by gender, age, and race explain observed differences in prevalence of oral human papillomavirus infection. PLoS One. 2014;9(1):e86023.

    PubMed  PubMed Central  Google Scholar 

  411. Goldenberg D, Begum S, Westra WH, Khan Z, Sciubba J, Pai SI, Califano JA, Tufano RP, Koch WM. Cystic lymph node metastasis in patients with head and neck cancer: an HPV-associated phenomenon. Head Neck. 2008;30(7):898–903.

    PubMed  Google Scholar 

  412. Yasui T, Morii E, Yamamoto Y, Yoshii T, Takenaka Y, Nakahara S, Todo T, Inohara H. Human papillomavirus and cystic node metastasis in oropharyngeal cancer and cancer of unknown primary origin. PLoS One. 2014;9(4):e95364.

    PubMed  PubMed Central  Google Scholar 

  413. Schache AG, Liloglou T, Risk JM, Filia A, Jones TM, Sheard J, Woolgar JA, Helliwell TR, Triantafyllou A, Robinson M, Sloan P, Harvey-Woodworth C, Sisson D, Shaw RJ. Evaluation of human papilloma virus diagnostic testing in oropharyngeal squamous cell carcinoma: sensitivity, specificity, and prognostic discrimination. Clin Cancer Res. 2011;17(19):6262–71.

    CAS  PubMed  PubMed Central  Google Scholar 

  414. Jordan RC, Lingen MW, Perez-Ordonez B, et al. Validation of methods for oropharyngeal cancer HPV status determination in US cooperative group trials. Am J Surg Pathol. 2012;36:945–54.

    PubMed  PubMed Central  Google Scholar 

  415. Bishop JA, Ma XJ, Wang H, et al. Detection of transcriptionally active high-risk HPV in patients with head and neck squamous cell carcinoma as visualized by a novel E6/E7 mRNA in situ hybridization method. Am J Surg Pathol. 2012;36:1874–82.

    PubMed  PubMed Central  Google Scholar 

  416. Lewis Jr JS, Ukpo OC, Ma XJ, et al. Transcriptionally-active high-risk human papillomavirus is rare in oral cavity and laryngeal/hypopharyngeal squamous cell carcinomas – a tissue microarray study utilizing E6/E7 mRNA in situ hybridization. Histopathology. 2012;60:982–91.

    PubMed  Google Scholar 

  417. Merzianu M, Kanehira K, Sule N, Marimuthu S, Jayaprakash V. Interobserver variability in assessing p16 expression in head and neck squamous cell carcinoma. Mod Pathol. 2014;27:S2–325A.

    Google Scholar 

  418. Schlecht NF, Brandwein-Gensler M, Nuovo GJ, Li M, Dunne A, Kawachi N, Smith RV, Burk RD, Prystowsky MB. A comparison of clinically utilized human papillomavirus detection methods in head and neck cancer. Mod Pathol. 2011;24(10):1295–305.

    CAS  PubMed  PubMed Central  Google Scholar 

  419. Cai C, Chernock RD, Pittman ME, El-Mofty SK, Thorstad WL, Lewis Jr JS. Keratinizing-type squamous cell carcinoma of the oropharynx: p16 overexpression is associated with positive high-risk HPV status and improved survival. Am J Surg Pathol. 2014;38(6):809–15.

    PubMed  Google Scholar 

  420. Lewis Jr JS, Thorstad WL, Chernock RD, Haughey BH, Yip JH, Zhang Q, El-Mofty SK. p16 positive oropharyngeal squamous cell carcinoma: an entity with a favorable prognosis regardless of tumor HPV status. Am J Surg Pathol. 2010;34(8):1088–96.

    PubMed  Google Scholar 

  421. Lingen MW, Xiao W, Schmitt A, et al. Low etiologic fraction for high-risk human papillomavirus in oral cavity squamous cell carcinomas. Oral Oncol. 2013;49:1–8.

    PubMed  Google Scholar 

  422. Poling JS, Ma XJ, Bui S, et al. Human papillomavirus (HPV) status of nontobacco related squamous cell carcinomas of the lateral tongue. Oral Oncol. 2014;50:306–10.

    CAS  PubMed  PubMed Central  Google Scholar 

  423. Kreimer AR, Clifford GM, Boyle P, Franceschi S. Human papillomavirus types in head and neck squamous cell carcinomas worldwide: a systematic review. Cancer Epidemiol Biomarkers Prev. 2005;14:467–75.

    CAS  PubMed  Google Scholar 

  424. Termine N, Panzarella V, Falaschini S, et al. HPV in oral squamous cell carcinoma vs. head and neck squamous cell carcinoma biopsies: a metaanalysis (1988–2007). Ann Oncol. 2008;19:1681–90.

    CAS  PubMed  Google Scholar 

  425. Mirghani H, Amen F, Moreau F, Lacau St Guily J. Do high-risk human papillomaviruses cause oral cavity squamous cell carcinoma? Oral Oncol. 2015;51(3):229–36.

    CAS  PubMed  Google Scholar 

  426. Bishop JA, Lewis Jr JS, Rocco JW, Faquin WC. HPV-related squamous cell carcinoma of the head and neck: an update on testing in routine pathology practice. Semin Diagn Pathol. 2015;32(5):344–51.

    PubMed  Google Scholar 

  427. Myers JN, Elkins T, Roberts D, Byers RM. Squamous cell carcinoma of the tongue in young adults: increasing incidence and factors that predict treatment outcomes. Otolaryngol Head Neck Surg. 2000;122(1):44–51.

    CAS  PubMed  Google Scholar 

  428. Müller S, Pan Y, Li R, Chi AC. Changing trends in oral squamous cell carcinoma with particular reference to young patients: 1971–2006. The Emory University experience. Head Neck Pathol. 2008;2(2):60–6.

    PubMed  PubMed Central  Google Scholar 

  429. Patel SC, Carpenter WR, Tyree S, Couch ME, Weissler M, Hackman T, et al. Increasing incidence of oral tongue squamous cell carcinoma in young white women age 18 to 44 years. J Clin Oncol. 2011;29:1488–94.

    PubMed  Google Scholar 

  430. Hirota SK, Braga FP, Penha SS, Sugaya NN, Migliari DA. Risk factors for oral squamous cell carcinoma in young and older Brazilian patients: a comparative analysis. Med Oral Patol Oral Cir Bucal. 2008;13(4):E227–31.

    PubMed  Google Scholar 

  431. Sherin N, Simi T, Shameena P, Sudha S. Changing trends in oral cancer. Indian J Cancer. 2008;45(3):93–6.

    CAS  PubMed  Google Scholar 

  432. De Paula AM, Souza LR, Farias LC, Corrêa GT, Fraga CA, Eleutério NB, Silveira AC, Santos FB, Haikal DS, Guimarães AL, Gomez RS. Analysis of 724 cases of primary head and neck squamous cell carcinoma (HNSCC) with a focus on young patients and p53 immunolocalization. Oral Oncol. 2009;45(9):777–82.

    PubMed  Google Scholar 

  433. Toner M, O’Regan EM. Head and neck squamous cell carcinoma in the young: a spectrum or a distinct group? Part 1. Head Neck Pathol. 2009;3(3):246–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  434. O’Regan EM, Toner ME, Finn SP, Fan CY, Ring M, Hagmar B, Timon C, Smyth P, Cahill S, Flavin R, Sheils OM, O’Leary JJ. p16(INK4A) genetic and epigenetic profiles differ in relation to age and site in head and neck squamous cell carcinomas. Hum Pathol. 2008;39(3):452–8.

    PubMed  Google Scholar 

  435. Santos-Silva AR, Ribeiro AC, Soubhia AM, Miyahara GI, Carlos R, Speight PM, Hunter KD, Torres-Rendon A, Vargas PA, Lopes MA. High incidences of DNA ploidy abnormalities in tongue squamous cell carcinoma of young patients: an international collaborative study. Histopathology. 2011;58(7):1127–35.

    PubMed  Google Scholar 

  436. van Monsjou HS, Wreesmann VB, van den Brekel MW, Balm AJ. Head and neck squamous cell carcinoma in young patients. Oral Oncol. 2013;49(12):1097–102.

    PubMed  Google Scholar 

  437. Tremblay S, Pintor Dos Reis P, Bradley G, Galloni NN, Perez-Ordonez B, Freeman J, Brown D, Gilbert R, Gullane P, Irish J, Kamel-Reid S. Young patients with oral squamous cell carcinoma: study of the involvement of GSTP1 and deregulation of the Fanconi anemia genes. Arch Otolaryngol Head Neck Surg. 2006;132(9):958–66.

    PubMed  Google Scholar 

  438. Ur Rahaman SM, Ahmed Mujib B. Histopathological correlation of oral squamous cell carcinoma among younger and older patients. J Oral Maxillofac Pathol. 2014;18(2):183–8.

    PubMed  PubMed Central  Google Scholar 

  439. Troeltzsch M, Knösel T, Eichinger C, Probst F, Troeltzsch M, Woodlock T, Mast G, Ehrenfeld M, Otto S. Clinicopathologic features of oral squamous cell carcinoma: do they vary in different age groups? J Oral Maxillofac Surg. 2014;72(7):1291–300.

    PubMed  Google Scholar 

  440. Llewellyn CD, Linklater K, Bell J, Johnson NW, Warnakulasuriya S. An analysis of risk factors for oral cancer in young people: a case-control study. Oral Oncol. 2004;40(3):304–13.

    PubMed  Google Scholar 

  441. Majchrzak E, Szybiak B, Wegner A, Pienkowski P, Pazdrowski J, Luczewski L, Sowka M, Golusinski P, Malicki J, Golusinski W. Oral cavity and oropharyngeal squamous cell carcinoma in young adults: a review of the literature. Radiol Oncol. 2014;48(1):1–10.

    PubMed  PubMed Central  Google Scholar 

  442. Bachar G, Hod R, Goldstein DP, Irish JC, Gullane PJ, Brown D, Gilbert RW, Hadar T, Feinmesser R, Shpitzer T. Outcome of oral tongue squamous cell carcinoma in patients with and without known risk factors. Oral Oncol. 2011;47(1):45–50.

    CAS  PubMed  Google Scholar 

  443. Verschuur HP, Irish JC, O’Sullivan B, Goh C, Gullane PJ, Pintilie M. A matched control study of treatment outcome in young patients with squamous cell carcinoma of the head and neck. Laryngoscope. 1999;109(2 Pt 1):249–58.

    CAS  PubMed  Google Scholar 

  444. Tiu J, Li H, Rassekh C, van der Sloot P, Kovach R, Zhang P. Molecular basis of posttransplant squamous cell carcinoma: the potential role of cyclosporine a in carcinogenesis. Laryngoscope. 2006;116(5):762–9.

    CAS  PubMed  Google Scholar 

  445. Chow CW, Tabrizi SN, Tiedemann K, Waters KD. Squamous cell carcinomas in children and young adults: a new wave of a very rare tumor? J Pediatr Surg. 2007;42(12):2035–9.

    PubMed  Google Scholar 

  446. Curtis RE, Metayer C, Rizzo JD, Socié G, Sobocinski KA, Flowers ME, Travis WD, Travis LB, Horowitz MM, Deeg HJ. Impact of chronic GVHD therapy on the development of squamous-cell cancers after hematopoietic stem-cell transplantation: an international case-control study. Blood. 2005;105(10):3802–11.

    CAS  PubMed  PubMed Central  Google Scholar 

  447. Wang WL, Chang WL, Yang HB, Chang IW, Lee CT, Chang CY, Lin JT, Sheu BS. Quantification of tumor infiltrating Foxp3+ regulatory T cells enables the identification of high-risk patients for developing synchronous cancers over upper aerodigestive tract. Oral Oncol. 2015;51(7):698–703.

    CAS  PubMed  Google Scholar 

  448. Shah AT, Wu E, Wein RO. Oral squamous cell carcinoma in post-transplant patients. Am J Otolaryngol. 2013;34(2):176–9.

    PubMed  Google Scholar 

  449. Epstein JB, Kish RV, Hallajian L, Sciubba J. Head and neck, oral, and oropharyngeal cancer: a review of medicolegal cases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(2):177–86.

    PubMed  Google Scholar 

  450. Westra WH, Kronz JD, Eisele DW. The impact of second opinion surgical pathology on the practice of head and neck surgery: a decade experience at a large referral hospital. Head Neck. 2002;24(7):684–93.

    PubMed  Google Scholar 

  451. Kronz JD, Westra WH. The role of second opinion pathology in the management of lesions in the head and neck. Curr Opin Otolaryngol Head Neck Surg. 2005;13:81–4.

    PubMed  Google Scholar 

  452. Manion E, Cohen MB, Weydert J. Mandatory second opinion in surgical pathology referral material: clinical consequences of major disagreements. Am J Surg Pathol. 2008;32:732–7.

    PubMed  Google Scholar 

  453. Jones K, Jordan CK. Patterns of second-opinion diagnosis in oral and maxillofacial pathology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109:865–9.

    PubMed  Google Scholar 

  454. Mullin MH, Brierley DJ, Speight PM. Second opinion reporting in head and neck pathology: the pattern of referrals and impact on final diagnosis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(6):656–60.

    CAS  PubMed  Google Scholar 

  455. Woolgar JA, Triantafyllou A, Thompson LD, Hunt JL, Lewis Jr JS, Williams MD, Cardesa A, Rinaldo A, Barnes L, Slootweg PJ, Devaney KO, Gnepp DR, Westra WH, Ferlito A. Double reporting and second opinion in head and neck pathology. Eur Arch Otorhinolaryngol. 2014;271(5):847–54.

    PubMed  Google Scholar 

  456. Batsakis JG, Rice DH, Howard DR. The pathology of head and neck tumors: spindle cell lesions (sarcomatoid carcinomas, nodular fasciitis, and fibrosarcoma) of the aerodigestive tracts, part 14. Head Neck Surg. 1982;4(6):499–513.

    CAS  PubMed  Google Scholar 

  457. Dunlap CL, Barker BF. Diagnostic problems in oral pathology. Semin Diagn Pathol. 1985;2(1):16–30.

    CAS  PubMed  Google Scholar 

  458. Kong M, Drill EN, Morris L, West L, Klimstra D, Gonen M, Ghossein R, Katabi N. Prognostic factors in myoepithelial carcinoma of salivary glands: a clinicopathologic study of 48 cases. Am J Surg Pathol. 2015;39(7):931–8.

    PubMed  PubMed Central  Google Scholar 

  459. Skálová A, Weinreb I, Hyrcza M, Simpson RH, Laco J, Agaimy A, Vazmitel M, Majewska H, Vanecek T, Talarčik P, Manajlovic S, Losito SN, Šteiner P, Klimkova A, Michal M. Clear cell myoepithelial carcinoma of salivary glands showing EWSR1 rearrangement: molecular analysis of 94 salivary gland carcinomas with prominent clear cell component. Am J Surg Pathol. 2015;39(3):338–48.

    PubMed  Google Scholar 

  460. Meer S, Altini M. CK7+/CK20- immunoexpression profile is typical of salivary gland neoplasia. Histopathology. 2007;51(1):26–32.

    CAS  PubMed  Google Scholar 

  461. Regauer S, Beham A, Mannweiler S. CK7 expression in carcinomas of the Waldeyer’s ring area. Hum Pathol. 2000;31(9):1096–101.

    CAS  PubMed  Google Scholar 

  462. Seethala RR, Dacic S, Cieply K, Kelly LM, Nikiforova MN. A reappraisal of the MECT1/MAML2 translocation in salivary mucoepidermoid carcinomas. Am J Surg Pathol. 2010;34(8):1106–21.

    PubMed  Google Scholar 

  463. Antonescu CR, Katabi N, Zhang L, Sung YS, Seethala RR, Jordan RC, Perez-Ordoñez B, Have C, Asa SL, Leong IT, Bradley G, Klieb H, Weinreb I. EWSR1-ATF1 fusion is a novel and consistent finding in hyalinizing clear-cell carcinoma of salivary gland. Genes Chromosomes Cancer. 2011;50(7):559–70.

    CAS  PubMed  Google Scholar 

  464. Stenman G. Fusion oncogenes in salivary gland tumors: molecular and clinical consequences. Head Neck Pathol. 2013;7 Suppl 1:S12–9.

    PubMed  Google Scholar 

  465. Fonseca FP, Sena Filho M, Altemani A, Speight PM, Vargas PA. Molecular signature of salivary gland tumors: potential use as diagnostic and prognostic marker. J Oral Pathol Med. 2015. doi:10.1111/jop.12329 [Epub ahead of print].

    Article  PubMed  Google Scholar 

  466. Williams L, Thompson LD, Seethala RR, Weinreb I, Assaad AM, Tuluc M, Ud Din N, Purgina B, Lai C, Griffith CC, Chiosea SI. Salivary duct carcinoma: the predominance of apocrine morphology, prevalence of histologic variants, and androgen receptor expression. Am J Surg Pathol. 2015;39(5):705–13.

    PubMed  Google Scholar 

  467. Lewis Jr JS. Spindle cell lesions – neoplastic or non-neoplastic?: spindle cell carcinoma and other atypical spindle cell lesions of the head and neck. Head Neck Pathol. 2008;2(2):103–10.

    PubMed  PubMed Central  Google Scholar 

  468. Pantanowitz L, Balogh K. Significance of the juxtaoral organ (of Chievitz). Head Neck. 2003;25:400–5.

    PubMed  Google Scholar 

  469. El-Khoury J, Kibbi AG, Abbas O. Mucocutaneous pseudoepitheliomatous hyperplasia: a review. Am J Dermatopathol. 2012;34(2):165–75.

    PubMed  Google Scholar 

  470. Ling YH, Zhu CM, Wen SH, Luo RZ, Li P, Cao Y, Rao HL, Lin SX, Cai MY. Pseudoepitheliomatous hyperplasia mimicking invasive squamous cell carcinoma in extranodal natural killer/T-cell lymphoma: a report of 34 cases. Histopathology. 2015;67(3):404–9.

    PubMed  Google Scholar 

  471. Meleti M, Mooi WJ, van der Waal I. Oral malignant melanoma associated with pseudoepitheliomatous hyperplasia. Report of a case. J Cutan Pathol. 2006;33(4):331–3.

    PubMed  Google Scholar 

  472. Isaac U, Issac JS, Ahmed KN. Histopathologic features of oral submucous fibrosis: a study of 35 biopsy specimens. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(4):556–60.

    PubMed  Google Scholar 

  473. Viswanathan S, Chawla N, D’Cruz A, Kane SV. Head and neck histoplasmosis – a nightmare for clinicians and pathologists! Experience at a tertiary referral cancer centre. Head Neck Pathol. 2007;1(2):169–72.

    PubMed  PubMed Central  Google Scholar 

  474. Shibata T, Yamashita D, Hasegawa S, Saito M, Otsuki N, Hashikawa K, Tahara S, Nibu K. Oral candidiasis mimicking tongue cancer. Auris Nasus Larynx. 2011;38(3):418–20.

    PubMed  Google Scholar 

  475. Dojcinov SD, Venkataraman G, Raffeld M, et al. EBV positive mucocutaneous ulcer – a study of 26 cases associated with various sources of immunosuppression. Am J Surg Pathol. 2010;34(3):405–17.

    PubMed  PubMed Central  Google Scholar 

  476. Everett JB, Falck VG, Dort JC, Matthews TW. Mandibular pseudoepitheliomatous hyperplasia following treatment for oral squamous cell carcinoma. J Otolaryngol Head Neck Surg. 2011;40(1):E1–4.

    PubMed  Google Scholar 

  477. Hansen T, Kunkel M, Weber A, James Kirkpatrick C. Osteonecrosis of the jaws in patients treated with bisphosphonates – histomorphologic analysis in comparison with infected osteoradionecrosis. J Oral Pathol Med. 2006;35(3):155–60.

    PubMed  Google Scholar 

  478. Seoane J, González-Mosquera A, García-Martín JM, García-Caballero L, Seoane-Romero JM, Varela-Centelles P. Pseudoepitheliomatous hyperplasia after diode laser oral surgery. An experimental study. Med Oral Patol Oral Cir Bucal. 2015;20(5):e554–9.

    PubMed  PubMed Central  Google Scholar 

  479. Johnston WH, Miller TA, Frileck SP. Atypical pseudoepitheliomatous hyperplasia and squamous cell carcinoma in chronic cutaneous sinuses and fistulas. Plast Reconstr Surg. 1980;66(3):395–400.

    CAS  PubMed  Google Scholar 

  480. Zarovnaya E, Black C. Distinguishing pseudoepitheliomatous hyperplasia from squamous cell carcinoma in mucosal biopsy specimens from the head and neck. Arch Pathol Lab Med. 2005;129(8):1032–6.

    PubMed  Google Scholar 

  481. You TK, Kim KM, Noh SJ, Bae JS, Jang KY, Chung MJ, Moon WS, Kang MJ, Lee DG, Park HS. Expressions of E-cadherin, cortactin and MMP-9 in pseudoepitheliomatous hyperplasia and squamous cell carcinoma of the head and neck: their relationships with clinicopathologic factors and prognostic implication. Korean J Pathol. 2012;46(4):331–40.

    PubMed  PubMed Central  Google Scholar 

  482. Su A, Ra S, Li X, Zhou J, Binder S. Differentiating cutaneous squamous cell carcinoma and pseudoepitheliomatous hyperplasia by multiplex qRT-PCR. Mod Pathol. 2013;26(11):1433–7.

    CAS  PubMed  Google Scholar 

  483. Abrams AM, Melrose RJ, Howell FV. Necrotizing sialometaplasia: a disease simulating malignancy. Cancer. 1973;32:130–5.

    CAS  PubMed  Google Scholar 

  484. Brannon RB, Fowler CB, Hartman KS. Necrotizing sialometaplasia. A clinicopathologic study of sixty-nine cases and review of the literature. Oral Surg Oral Med Oral Pathol. 1991;72(3):317–25.

    CAS  PubMed  Google Scholar 

  485. Schöning H, Emshoff R, Kreczy A. Necrotizing sialometaplasia in two patients with bulimia and chronic vomiting. Int J Oral Maxillofac Surg. 1998;27(6):463–5.

    PubMed  Google Scholar 

  486. Solomon LW, Merzianu M, Sullivan M, Rigual NR. Necrotizing sialometaplasia associated with bulimia: case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(2):e39–42.

    PubMed  Google Scholar 

  487. Rizkalla H, Toner M. Necrotizing sialometaplasia versus invasive carcinoma of the head and neck: the use of myoepithelial markers and keratin subtypes as an adjunct to diagnosis. Histopathology. 2007;51(2):184–9.

    CAS  PubMed  Google Scholar 

  488. Carlson DL. Necrotizing sialometaplasia: a practical approach to the diagnosis. Arch Pathol Lab Med. 2009;133(5):692–8.

    PubMed  Google Scholar 

  489. Fajardo LF. Radiation injury in surgical pathology of the head and neck. Balnes L(ed) Dekker 2001. p. 2171–80.

    Google Scholar 

  490. Bonan PR, Kaminagakura E, Pires FR, Vargas PA, de Almeida OP. Histomorphometry and immunohistochemical features of grade I (WHO) oral radiomucositis. Oral Dis. 2007;13(2):170–6.

    CAS  PubMed  Google Scholar 

  491. Warter A, Walter P, Meyer C, Barrière P, Galatir L, Wilk A. Mandibular pseudocarcinomatous hyperplasia. Histopathology. 2000;37(2):115–7.

    CAS  PubMed  Google Scholar 

  492. Warnakulasuriya S, Johnson NW, van der Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med. 2007;36(10):575–80.

    CAS  PubMed  Google Scholar 

  493. Petti S. Pooled estimate of world leukoplakia prevalence: a systematic review. Oral Oncol. 2003;39(8):770–80.

    PubMed  Google Scholar 

  494. Napier SS, Speight PM. Natural history of potentially malignant oral lesions and conditions: an overview of the literature. J Oral Pathol Med. 2008;37(1):1–10.

    PubMed  Google Scholar 

  495. Dionne KR, Warnakulasuriya S, Zain RB, Cheong SC. Potentially malignant disorders of the oral cavity: current practice and future directions in the clinic and laboratory. Int J Cancer. 2015;136(3):503–15.

    CAS  PubMed  Google Scholar 

  496. Downer MC, Petti S. Leukoplakia prevalence estimate lower than expected. Evid Based Dent. 2005;6(1):12.

    PubMed  Google Scholar 

  497. Bancozy J, Sugar L. Longitudinal studies in oral leukoplakias. J Oral Pathol. 1972;1:265–72.

    Google Scholar 

  498. Silverman Jr S, Gorsky M, Lozada F. Oral leukoplakia and malignant transformation. A follow-up study of 257 patients. Cancer. 1984;53(3):563–8.

    PubMed  Google Scholar 

  499. Holmstrup P, Vedtofte P, Reibel J, Stoltze K. Long-term treatment outcome of oral premalignant lesions. Oral Oncol. 2006;42(5):461–74.

    CAS  PubMed  Google Scholar 

  500. Liu W, Shi LJ, Wu L, Feng JQ, Yang X, Li J, Zhou ZT, Zhang CP. Oral cancer development in patients with leukoplakia-clinicopathological factors affecting outcome. PLoS One. 2012;7(4):e34773.

    CAS  PubMed  PubMed Central  Google Scholar 

  501. van der Waal I, Axe´ll T. Oral leukoplakia: a proposal for uniform reporting. Oral Oncol. 2002;38:521–6.

    PubMed  Google Scholar 

  502. Gale N, Pilch BZ, Sidransky D, Westra WH, Califano JA. Epithelial precursor lesions. In: Barnes L, Eveson JW, Reichart P, Sidransky D, editors. World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005. p. 140–3.

    Google Scholar 

  503. van der Waal I. Potentially malignant disorders of the oral and oropharyngeal mucosa; present concepts of management. Oral Oncol. 2010;46(6):423–5.

    PubMed  Google Scholar 

  504. van der Waal I. Oral potentially malignant disorders: is malignant transformation predictable and preventable? Med Oral Patol Oral Cir Bucal. 2014;19(4):e386–90.

    PubMed  PubMed Central  Google Scholar 

  505. Arduino PG, Bagan J, El-Naggar AK, Carrozzo M. Urban legends series: oral leukoplakia. Oral Dis. 2013;19(7):642–59.

    CAS  PubMed  Google Scholar 

  506. Warnakulasuriya S, Kovacevic T, Madden P, Coupland VH, Sperandio M, Odell E, Møller H. Factors predicting malignant transformation in oral potentially malignant disorders among patients accrued over a 10-year period in South East England. J Oral Pathol Med. 2011;40(9):677–83.

    CAS  PubMed  Google Scholar 

  507. Schepman KP, van der Meij EH, Smeele LE, van der Waal I. Malignant transformation of oral leukoplakia: a follow-up study of a hospital-based population of 166 patients with oral leukoplakia from The Netherlands. Oral Oncol. 1998;34(4):270–5.

    CAS  PubMed  Google Scholar 

  508. Ho MW, Risk JM, Woolgar JA, Field EA, Field JK, Steele JC, Rajlawat BP, Triantafyllou A, Rogers SN, Lowe D, Shaw RJ. The clinical determinants of malignant transformation in oral epithelial dysplasia. Oral Oncol. 2012;48(10):969–76.

    CAS  PubMed  Google Scholar 

  509. Wang YY, Tail YH, Wang WC, Chen CY, Kao YH, Chen YK, Chen CH. Malignant transformation in 5071 southern Taiwanese patients with potentially malignant oral mucosal disorders. BMC Oral Health. 2014;14:99.

    PubMed  PubMed Central  Google Scholar 

  510. Brouns E, Baart J, Karagozoglu K, Aartman I, Bloemena E, van der Waal I. Malignant transformation of oral leukoplakia in a well-defined cohort of 144 patients. Oral Dis. 2014;20(3):e19–24.

    PubMed  Google Scholar 

  511. Lumerman H, Freedman P, Kerpel S. Oral epithelial dysplasia and the development of invasive squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(3):321–9.

    CAS  PubMed  Google Scholar 

  512. Bánóczy J. Follow-up studies in oral leukoplakia. J Maxillofac Surg. 1977;5(1):69–75.

    PubMed  Google Scholar 

  513. World Health Organization Collaborating Centre for Oral Precancerous lesions. Definition of leukoplakia and related lesions: an aid to studies on oral precancer. Oral Surg Oral Med Oral Pathol. 1978;46:518–39.

    Google Scholar 

  514. Axéll T, Pindborg JJ, Smith CJ, van der Waal I. Oral white lesions with special reference to precancerous and tobacco- related lesions: conclusions of an international symposium held in Uppsala, Sweden, May 18–21 1994. International Collaborative Group on Oral White Lesions. J Oral Pathol Med. 1996;25(2):49–54.

    PubMed  Google Scholar 

  515. Hashibe M, Mathew B, Kuruvilla B, Thomas G, Sankaranarayanan B, Parkin DM, et al. Chewing tobacco, alcohol and the risk of erythroplakia. Cancer Epidemiol Biomarkers Prev. 2000;9:639–45.

    CAS  PubMed  Google Scholar 

  516. Reichart PA, Philipsen HP. Oral erythroplakia – a review. Oral Oncol. 2005;41:551–61.

    PubMed  Google Scholar 

  517. Hansen LS, Olson JA, Silverman Jr S. Proliferative verrucous leukoplakia. A long-term study of thirty patients. Oral Surg Oral Med Oral Pathol. 1985;60:285–98.

    CAS  PubMed  Google Scholar 

  518. Gillenwater AM, Vigneswaran N, Fatani H, Saintigny P, El-Naggar AK. Proliferative verrucous leukoplakia: recognition and differentiation from conventional leukoplakia and mimics. Head Neck. 2014;36(11):1662–8.

    PubMed  Google Scholar 

  519. Carrard VC, Brouns ER, van der Waal I. Proliferative verrucous leukoplakia; a critical appraisal of the diagnostic criteria. Med Oral Patol Oral Cir Bucal. 2013;18(3):e411–3.

    PubMed  PubMed Central  Google Scholar 

  520. Cerero-Lapiedra R, Baladé-Martínez D, Moreno-López LA, Esparza-Gómez G, Bagán JV. Proliferative verrucous leukoplakia: a proposal for diagnostic criteria. Med Oral Patol Oral Cir Bucal. 2010;15(6):e839–45.

    PubMed  Google Scholar 

  521. Bagan JV, Jiménez-Soriano Y, Diaz-Fernandez JM, Murillo-Cortés J, Sanchis-Bielsa JM, Poveda-Roda R, Bagan L. Malignant transformation of proliferative verrucous leukoplakia to oral squamous cell carcinoma: a series of 55 cases. Oral Oncol. 2011;47(8):732–5.

    PubMed  Google Scholar 

  522. Bagan JV, Jiménez Y, Murillo J, Poveda R, Díaz JM, Gavaldá C, Margaix M, Scully C, Alberola TM, Torres Puente M, Pérez AM. Epstein-Barr virus in oral proliferative verrucous leukoplakia and squamous cell carcinoma: a preliminary study. Med Oral Patol Oral Cir Bucal. 2008;13(2):E110–3.

    PubMed  Google Scholar 

  523. Bagan JV, Jimenez Y, Murillo J, Gavaldá C, Poveda R, Scully C, Alberola TM, Torres-Puente M, Pérez-Alonso M. Lack of association between proliferative verrucous leukoplakia and human papillomavirus infection. J Oral Maxillofac Surg. 2007;65(1):46–9.

    PubMed  Google Scholar 

  524. García-López R, Moya A, Bagan JV, Pérez-Brocal V. Retrospective case-control study of viral pathogen screening in proliferative verrucous leukoplakia lesions. Clin Otolaryngol. 2014;39(5):272–80.

    PubMed  Google Scholar 

  525. Slootweg P, Merkx TMAW. Premalignant lesions of the oral cavity. In: Barnes L, editor. Surgical pathology of the head and neck. New York: Informa Healthcare; 2009. p. 267–84.

    Google Scholar 

  526. Cabay RJ, Morton Jr TH, Epstein JB. Proliferative verrucous leukoplakia and its progression to oral carcinoma: a review of the literature. J Oral Pathol Med. 2007;36(5):255–61.

    PubMed  Google Scholar 

  527. Sciubba JJ, Helman JI. Current management strategies for verrucous hyperkeratosis and verrucous carcinoma. Oral Maxillofac Surg Clin North Am. 2013;25(1):77–82.

    PubMed  Google Scholar 

  528. Silverman Jr S, Gorsky M. Proliferative verrucous leukoplakia: a follow-up study of 54 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;84(2):154–7.

    PubMed  Google Scholar 

  529. Bagan JV, Jimenez Y, Sanchis JM, Poveda R, Milian MA, Murillo J, Scully C. Proliferative verrucous leukoplakia: high incidence of gingival squamous cell carcinoma. J Oral Pathol Med. 2003;32(7):379–82.

    PubMed  Google Scholar 

  530. Gandolfo S, Castellani R, Pentenero M. Proliferative verrucous leukoplakia: a potentially malignant disorder involving periodontal sites. J Periodontol. 2009;80(2):274–81.

    PubMed  Google Scholar 

  531. Akrish S, Ben-Izhak O, Sabo E, Rachmiel A. Oral squamous cell carcinoma associated with proliferative verrucous leukoplakia compared with conventional squamous cell carcinoma – a clinical, histologic and immunohistochemical study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(3):318–25.

    PubMed  Google Scholar 

  532. Ghazali N, Bakri MM, Zain RB. Aggressive, multifocal oral verrucous leukoplakia: proliferative verrucous leukoplakia or not? J Oral Pathol Med. 2003;32:383–92.

    PubMed  Google Scholar 

  533. Aguirre JM. Proliferative multifocal leukoplakia better name than proliferative verrucous leukoplakia. World J Surg Oncol. 2011;9:122–3.

    Google Scholar 

  534. Shear M, Pindborg J. Verrucous hyperplasia of the oral mucosa. Cancer. 1980;46:1855–62.

    CAS  PubMed  Google Scholar 

  535. Batsakis JG, Suarez P, el-Naggar PAK. Proliferative verrucous leukoplakia and its related lesions. Oral Oncol. 1999;35(4):354–9.

    CAS  PubMed  Google Scholar 

  536. Kallarakkal TG, Ramanathan A, Zain RB. Verrucous papillary lesions: dilemmas in diagnosis and terminology. Int J Dent. 2013;2013:298249.

    PubMed  PubMed Central  Google Scholar 

  537. Arakeri G, Brennan PA. Oral submucous fibrosis: an overview of the aetiology, pathogenesis, classification, and principles of management. Br J Oral Maxillofac Surg. 2013;51(7):587–93.

    PubMed  Google Scholar 

  538. Pindborg JJ, Chawla TN, Srivastava AN, Gupta D. Epithelial changes in oral submucous fibrosis. Acta Odontol Scand. 1965;23:277–86.

    CAS  PubMed  Google Scholar 

  539. Tilakaratne WM, Klinikowski MF, Saku T, Peters TJ, Warnakulasuriya S. Oral submucous fibrosis: review on aetiology and pathogenesis. Oral Oncol. 2006;42(6):561–8.

    CAS  PubMed  Google Scholar 

  540. Rajendran R, George T. Morphohistometric analysis of advancing tumor fronts in malignancies associated with oral submucous fibrosis. Indian J Dent Res. 2003;14(4):194–205.

    CAS  PubMed  Google Scholar 

  541. Kerr AR, Warnakulasuriya S, Mighell AJ, Dietrich T, Nasser M, Rimal J, Jalil A, Bornstein MM, Nagao T, Fortune F, Hazarey VH, Reichart PA, Silverman S, Johnson NW. A systematic review of medical interventions for oral submucous fibrosis and future research opportunities. Oral Dis. 2011;17 Suppl 1:42–57.

    PubMed  Google Scholar 

  542. van der Meij EH, Schepman KP, van der Waal I. The possible premalignant character of oral lichen planus and oral lichenoid lesions: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(2):164–71.

    PubMed  Google Scholar 

  543. Fitzpatrick SG, Hirsch SA, Gordon SC. The malignant transformation of oral lichen planus and oral lichenoid lesions: a systematic review. J Am Dent Assoc. 2014;145(1):45–56.

    PubMed  Google Scholar 

  544. Müller S. Oral manifestations of dermatologic disease: a focus on lichenoid lesions. Head Neck Pathol. 2011;5(1):36–40.

    PubMed  PubMed Central  Google Scholar 

  545. van der Meij EH, Mast H, van der Waal I. The possible premalignant character of oral lichen planus and oral lichenoid lesions: a prospective five-year follow-up study of 192 patients. Oral Oncol. 2007;43(8):742–8.

    PubMed  Google Scholar 

  546. Lodi G, Scully C, Carrozzo M, Griffiths M, Sugerman PB, Thongprasom K. Current controversies in oral lichen planus: report of an international consensus meeting. Part 2. Clinical management and malignant transformation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(2):164–78.

    PubMed  Google Scholar 

  547. Al-Hashimi I, Schifter M, Lockhart PB, Wray D, Brennan M, Migliorati CA, Axéll T, Bruce AJ, Carpenter W, Eisenberg E, Epstein JB, Holmstrup P, Jontell M, Lozada-Nur F, Nair R, Silverman B, Thongprasom K, Thornhill M, Warnakulasuriya S, van der Waal I. Oral lichen planus and oral lichenoid lesions: diagnostic and therapeutic considerations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(Suppl):S25. e1–12.

    PubMed  Google Scholar 

  548. Eisen D. The clinical features, malignant potential, and systemic associations of oral lichen planus: a study of 723 patients. J Am Acad Dermatol. 2002;46(2):207–14.

    PubMed  Google Scholar 

  549. Mehanna HM, Rattay T, Smith J, McConkey CC. Treatment and follow-up of oral dysplasia – a systematic review and meta-analysis. Head Neck. 2009;31(12):1600–9.

    PubMed  Google Scholar 

  550. Liu W, Bao ZX, Shi LJ, Tang GY, Zhou ZT. Malignant transformation of oral epithelial dysplasia: clinicopathological risk factors and outcome analysis in a retrospective cohort of 138 cases. Histopathology. 2011;59(4):733–40.

    PubMed  Google Scholar 

  551. Sperandio M, Brown AL, Lock C, Morgan PR, Coupland VH, Madden PB, Warnakulasuriya S, Møller H, Odell EW. Predictive value of dysplasia grading and DNA ploidy in malignant transformation of oral potentially malignant disorders. Cancer Prev Res (Phila). 2013;6(8):822–31.

    CAS  Google Scholar 

  552. Nankivell P, Williams H, Webster K, Pearson D, High A, MacLennan K, Senguven B, McConkey C, Rabbitts P, Mehanna H. Investigation of p16(INK4a) as a prognostic biomarker in oral epithelial dysplasia. J Oral Pathol Med. 2014;43(4):245–9.

    CAS  PubMed  Google Scholar 

  553. Dost F, Lê Cao K, Ford PJ, Ades C, Farah CS. Malignant transformation of oral epithelial dysplasia: a real-world evaluation of histopathologic grading. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(3):343–52.

    CAS  PubMed  Google Scholar 

  554. Warnakulasuriya S, Reibel J, Bouquot J, Dabelsteen E. Oral epithelial dysplasia classification systems: predictive value, utility, weaknesses and scope for improvement. J Oral Pathol Med. 2008;37:127–33.

    CAS  PubMed  Google Scholar 

  555. Gale N, Kambic V, Michaels L, Cardesa A, Hellquist H, Zidar N, et al. The Ljubljana classification: a practical strategy for the diagnosis of laryngeal precancerous lesions. Adv Anat Pathol. 2000;7:240–51.

    CAS  PubMed  Google Scholar 

  556. Gale N, Michaels L, Luzar B, Poljak M, Zidar N, Fischinger J, et al. Current review on squamous intraepithelial lesions of the larynx. Histopathology. 2009;54:639–56.

    PubMed  Google Scholar 

  557. Sakr WA, Gale N, Gnepp DR, Crissman JD. Squamous intraepithelial neoplasia of the upper aerodigestive tract. In: Gnepp DR, editor. Diagnostic surgical pathology of the head and neck. Philadelphia: Saunders Elsevier; 2009. p. 45–110.

    Google Scholar 

  558. Hart WR. Vulvar intraepithelial neoplasia: historical aspects and current status. Int J Gynecol Pathol. 2001;20:16Y30.

    Google Scholar 

  559. Arsenic R, Kurrer MO. Differentiated dysplasia is a frequent precursor or associated lesion in invasive squamous cell carcinoma of the oral cavity and pharynx. Virchows Arch. 2013;462(6):609–17.

    PubMed  Google Scholar 

  560. Crissman JD, Zarbo RJ. Dysplasia, in situ carcinoma, and progression to invasive squamous cell carcinoma of the upper aerodigestive tract. Am J Surg Pathol. 1989;13 Suppl 1:5–16.

    PubMed  Google Scholar 

  561. Tilakaratne WM, Sherriff M, Morgan PR, Odell EW. Grading oral epithelial dysplasia: analysis of individual features. J Oral Pathol Med. 2011;40(7):533–40.

    CAS  PubMed  Google Scholar 

  562. Pentenero M, Carrozzo M, Pagano M, Galliano D, Broccoletti R, Scully C, Gandolfo S. Oral mucosal dysplastic lesions and early squamous cell carcinomas: underdiagnosis from incisional biopsy. Oral Dis. 2003;9(2):68–72.

    CAS  PubMed  Google Scholar 

  563. Wang YP, Chen HM, Kuo RC, Yu CH, Sun A, Liu BY, Kuo YS, Chiang CP. Oral verrucous hyperplasia: histologic classification, prognosis, and clinical implications. J Oral Pathol Med. 2009;38(8):651–6.

    PubMed  Google Scholar 

  564. Zain RB, Kallarakkal TG, Ramanathan A, et al. A consensus report from the first Asian regional meeting on the terminology and criteria for verruco-papillary lesions of the oral cavity held in Kuala Lumpur, Malaysia. Ann Dent Univ Malaya. 2013;20:1–3.

    Google Scholar 

  565. Patil S, Warnakulasuriya S, Raj T, Sanketh DS, Rao RS. Exophytic oral verrucous hyperplasia: a new entity. J Invest Clin Dent. 2015. doi:10.1111/jicd.12166 [Epub ahead of print].

    Article  Google Scholar 

  566. Hazarey VK, Ganvir SM, Bodhade AS. Verrucous hyperplasia: a clinico-pathological study. J Oral Maxillofac Pathol. 2011;15(2):187–91.

    PubMed  PubMed Central  Google Scholar 

  567. Jayaprakash V, Sullivan M, Merzianu M, Rigual NR, Loree TR, Popat SR, Moysich KB, Ramananda S, Johnson T, Marshall JR, Hutson AD, Mang TS, Wilson BC, Gill SR, Frustino J, Bogaards A, Reid ME. Autofluorescence-guided surveillance for oral cancer. Cancer Prev Res (Phila). 2009;2(11):966–74.

    Google Scholar 

  568. Brennan M, Migliorati CA, Lockhart PB, Wray D, Al-Hashimi I, Axéll T, Bruce AJ, Carpenter W, Eisenberg E, Epstein JB, Holmstrup P, Jontell M, Nair R, Sasser H, Schifter M, Silverman B, Thongprasom K, Thornhill M, Warnakulasuriya S, van der Waal I. Management of oral epithelial dysplasia: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(Suppl):S19. e1-12.

    PubMed  Google Scholar 

  569. Bosman FT. Dysplasia classification: pathology in disgrace? J Pathol. 2001;194(2):143–4.

    CAS  PubMed  Google Scholar 

  570. Pindborg JJ, Reibel J, Holmstrup P. Subjectivity in evaluating oral epithelial dysplasia, carcinoma in situ, and initial carcinoma. J Oral Pathol. 1985;14:698–708.

    CAS  PubMed  Google Scholar 

  571. Kujan O, Oliver RJ, Khattab A, Roberts SA, Thakker N, Sloan P. Evaluation of a new binary system of grading oral epithelial dysplasia for prediction of malignant transformation. Oral Oncol. 2006;42(10):987–93.

    PubMed  Google Scholar 

  572. Kujan O, Khattab A, Oliver RJ, Roberts SA, Thakker N, Sloan P. Why oral histopathology suffers inter-observer variability on grading oral epithelial dysplasia: an attempt to understand the sources of variation. Oral Oncol. 2007;43(3):224–31.

    PubMed  Google Scholar 

  573. Rosin MP, Cheng X, Poh C, et al. Use of allelic loss to predict malignant risk for low-grade oral epithelial dysplasia. Clin Cancer Res. 2000;6:357–62.

    CAS  PubMed  Google Scholar 

  574. Smith J, Rattay T, McConkey C, Helliwell T, Mehanna H. Biomarkers in dysplasia of the oral cavity: a systematic review. Oral Oncol. 2009;45(8):647–53.

    CAS  PubMed  Google Scholar 

  575. Lingen MW, Pinto A, Mendes RA, Franchini R, Czerninski R, Tilakaratne WM, Partridge M, Peterson DE, Woo SB. Genetics/epigenetics of oral premalignancy: current status and future research. Oral Dis. 2011;17 Suppl 1:7–22.

    PubMed  Google Scholar 

  576. Christiansen JJ, Rajasekaran AK. Reassessing epithelial to mesenchymal transition as a prerequisite for carcinoma invasion and metastasis. Cancer Res. 2006;66:8319–26.

    CAS  PubMed  Google Scholar 

  577. Kaur J, Sawhney M, DattaGupta S, Shukla NK, Srivastava A, Walfish PG, Ralhan R. Clinical significance of altered expression of β-catenin and E-cadherin in oral dysplasia and cancer: potential link with ALCAM expression. PLoS One. 2013;8(6):e67361.

    CAS  PubMed  PubMed Central  Google Scholar 

  578. von Zeidler SV, de Souza Botelho T, Mendonça EF, Batista AC. E-cadherin as a potential biomarker of malignant transformation in oral leukoplakia: a retrospective cohort study. BMC Cancer. 2014;14:972.

    Google Scholar 

  579. Minca E, Charles G, Merzianu M. HMGA2 is overexpressed in preneoplastic precursors of oral squamous cell carcinoma. Poster presentation at USCAP 2011. Mod Pathol. 2011;24 Suppl 1:280–281A.

    Google Scholar 

  580. Larsson L, Jäwert F, Magnusson B, Hasséus B, Kjeller G. Expression of high mobility group A proteins in oral leukoplakia. Anticancer Res. 2013;33(10):4261–6.

    PubMed  Google Scholar 

  581. Jayaprakash V, Reid M, Hatton E, Merzianu M, Rigual N, Marshall J, Gill S, Frustino J, Wilding G, Loree T, Popat S, Sullivan M. Human papillomavirus types 16 and 18 in epithelial dysplasia of oral cavity and oropharynx: a meta-analysis, 1985–2010. Oral Oncol. 2011;47(11):1048–54.

    PubMed  PubMed Central  Google Scholar 

  582. Syrjänen S, Lodi G, von Bültzingslöwen I, Aliko A, Arduino P, Campisi G, Challacombe S, Ficarra G, Flaitz C, Zhou HM, Maeda H, Miller C, Jontell M. Human papillomaviruses in oral carcinoma and oral potentially malignant disorders: a systematic review. Oral Dis. 2011;17 Suppl 1:58–72.

    PubMed  Google Scholar 

  583. Woo SB, Cashman EC, Lerman MA. Human papillomavirus-associated oral intraepithelial neoplasia. Mod Pathol. 2013;26(10):1288–97.

    CAS  PubMed  Google Scholar 

  584. McCord C, Xu J, Xu W, Qiu X, McComb RJ, Perez-Ordonez B, Bradley G. Association of high-risk human papillomavirus infection with oral epithelial dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115(4):541–9.

    PubMed  Google Scholar 

  585. Gologan O, Barnes EL, Hunt JL. Potential diagnostic use of p16INK4A, a new marker that correlates with dysplasia in oral squamoproliferative lesions. Am J Surg Pathol. 2005;29(6):792–6.

    PubMed  Google Scholar 

  586. Karabulut A, Reibel J, Therkildsen MH, Praetorius F, Nielsen HW, Dabelsteen E. Observer variability in the histologic assessment of oral premalignant lesions. J Oral Pathol Med. 1995;24(5):198–200.

    CAS  PubMed  Google Scholar 

  587. Abbey LM, Kaugars GE, Gunsolley JC, Burns JC, Page DG, Svirsky JA, Eisenberg E, Krutchkoff DJ, Cushing M. Intraexaminer and interexaminer reliability in the diagnosis of oral epithelial dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;80(2):188–91.

    CAS  PubMed  Google Scholar 

  588. Abbey LM, Kaugars GE, Gunsolley JC, Burns JC, Page DG, Svirsky JA, Eisenberg E, Krutchkoff DJ. The effect of clinical information on the histopathologic diagnosis of oral epithelial dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85(1):74–7.

    CAS  PubMed  Google Scholar 

  589. Brothwell DJ, Lewis DW, Bradley G, Leong I, Jordan RC, Mock D, Leake JL. Observer agreement in the grading of oral epithelial dysplasia. Community Dent Oral Epidemiol. 2003;31(4):300–5.

    CAS  PubMed  Google Scholar 

  590. Manchanda A, Shetty DC. Reproducibility of grading systems in oral epithelial dysplasia. Med Oral Patol Oral Cir Bucal. 2012;17(6):e935–42.

    PubMed  PubMed Central  Google Scholar 

  591. Speight PM, Abram TJ, Floriano PN, James R, Vick J, Thornhill MH, Murdoch C, Freeman C, Hegarty AM, D’Apice K, Kerr AR, Phelan J, Corby P, Khouly I, Vigneswaran N, Bouquot J, Demian NM, Weinstock YE, Redding SW, Rowan S, Yeh CK, McGuff HS, Miller FR, McDevitt JT. Interobserver agreement in dysplasia grading: toward an enhanced gold standard for clinical pathology trials. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120(4):474–82.

    PubMed  PubMed Central  Google Scholar 

  592. Nankivell P, Williams H, Matthews P, Suortamo S, Snead D, McConkey C, Mehanna H. The binary oral dysplasia grading system: validity testing and suggested improvement. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115(1):87–94.

    PubMed  Google Scholar 

  593. Mani H, Richardson M, Seethala R, Lewis J, Hunt Schaefer E, Crist H. Grading of head-neck squamous dysplasia – a multi-institutional study. Mod Pathol. 2012;S1:312A.

    Google Scholar 

  594. Wright A, Shear M. Epithelial dysplasia immediately adjacent to oral squamous cell carcinomas. J Oral Pathol. 1985;14(7):559–64.

    CAS  PubMed  Google Scholar 

  595. Sarode S, Sarode G, Karmarkar S. Comment on: clinical features of micro-invasive stage I oral carcinoma. Oral Dis. 2011;17(7):727–8.

    PubMed  Google Scholar 

  596. Speight PM. Update on oral epithelial dysplasia and progression to cancer. Head Neck Pathol. 2007;1(1):61–6.

    PubMed  PubMed Central  Google Scholar 

  597. Abdel-Mesih A, Daya D, Onuma K, Sur M, Tang S, Akhtar-Danesh N, Boutross-Tadross O, Ceballos KM, Chapman W, Colgan T, Deb P, Nucci MR, Oliva E, Lytwyn A. Interobserver agreement for assessing invasion in stage 1A vulvar squamous cell carcinoma. Am J Surg Pathol. 2013;37(9):1336–41.

    PubMed  Google Scholar 

  598. Daley TD, Lovas JG, Peters E, Wysocki GP, McGaw TW. Salivary gland duct involvement in oral epithelial dysplasia and squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81:186–92.

    CAS  PubMed  Google Scholar 

  599. Browne RM, Potts AJ. Dysplasia in salivary ducts in sublingual leukoplakia and erythroplakia. Oral Surg Oral Med Oral Pathol. 1986;62:44–9. 30.

    CAS  PubMed  Google Scholar 

  600. Sinha P, Mehrad M, Chernock RD, Lewis Jr JS, El-Mofty SK, Wu N, Nussenbaum B, Haughey BH. Histologic and systemic prognosticators for local control and survival in margin-negative transoral laser microsurgery treated oral cavity squamous cell carcinoma. Head Neck. 2015;37(1):52–63.

    PubMed  Google Scholar 

  601. Panizza B, Warren TA, Solares CA, Boyle GM, Lambie D, Brown I. Histopathological features of clinical perineural invasion of cutaneous squamous cell carcinoma of the head and neck and the potential implications for treatment. Head Neck. 2014;36(11):1611–8.

    PubMed  Google Scholar 

  602. Expert Panel on Radiation Oncology-Head and Neck, Salama JK, Saba N, Quon H, Garg MK, Lawson J, McDonald MW, Ridge JA, Smith RV, Yeung AR, Yom SS, Beitler JJ. ACR appropriateness criteria® adjuvant therapy for resected squamous cell carcinoma of the head and neck. Oral Oncol. 2011;47(7):554–9.

    Google Scholar 

  603. Bouquot JE. Oral verrucous carcinoma. Incidence in two US populations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(3):318–24.

    CAS  PubMed  Google Scholar 

  604. Chow TL, Chow TK, Lui YH, Sze WM, Yuen NW, Kwok SP. Lymphoepithelioma-lik carcinoma of oral cavity: report of three cases and literature review. Int J Oral Maxillofac Surg. 2002;31(2):212–8.

    CAS  PubMed  Google Scholar 

  605. Weinreb I, Tabanda-Lichauco R, Van der Kwast T, Perez-Ordoñez B. Low-grade intraductal carcinoma of salivary gland: report of 3 cases with marked apocrine differentiation. Am J Surg Pathol. 2006;30(8):1014–21.

    PubMed  Google Scholar 

  606. Gill S, Hinchy N, Sullivan M, Jayaprakash V, Merzianu M. Oral mucosa and soft tissue alterations associated with osteonecrosis of the jaw. Mod Pathol. 2013;26(S2):307A.

    Google Scholar 

  607. Palefsky JM, Silverman Jr S, Abdel-Salaam M, Daniels TE, Greenspan JS. Association between proliferative verrucous leukoplakia and infection with human papillomavirus type 16. J Oral Pathol Med. 1995;24(5):193–7.

    CAS  PubMed  Google Scholar 

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Merzianu, M. (2017). Histopathology of Oral Cavity Cancer and Potentially Malignant Disorders. In: Kuriakose, M.A. (eds) Contemporary Oral Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-14911-0_5

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