Abstract
Oral squamous cell carcinoma (OSCC) is a growing problem globally. OSCC often arises in close anatomical relation to the jaws and may invade the bone. Bone invasion by OSCC has major implications on tumor staging, choice of treatment, outcome, and quality of life. The difference in cortical or medullary bone invasion has implications for these factors. Treatment protocols used for cortical and medullary invasion differ worldwide. By researching possible pathways a more molecular-based clinical staging and tailor- made therapy can be useful for patients with bone invasion by OSCC. An important molecular step in bone invasion seems to be the activation of osteoclasts. Several direct and indirect pathways can activate osteoclasts. Microbial infections, hypoxia, and the immune system could be of interest. (C) 2017 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Original language | English |
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Pages (from-to) | 1464-1471 |
Number of pages | 8 |
Journal | Journal of Cranio-Maxillofacial Surgery |
Volume | 45 |
Issue number | 9 |
DOIs | |
Publication status | Published - Sept 2017 |
Keywords
- Oral squamous cell carcinoma
- Invasion
- Bone
- Hypoxia
- Inflammation
- QUALITY-OF-LIFE
- EPITHELIAL-MESENCHYMAL TRANSITION
- NECK-CANCER
- MANDIBULAR INVASION
- TRANSFORMING GROWTH-FACTOR-BETA-1
- OSTEOPROTEGERIN EXPRESSION
- CHRONIC INFLAMMATION
- TISSUE EOSINOPHILIA
- PREDICTIVE FACTORS
- HEAD