Demographic, radiological and pathological profile of head and neck cancers


  • Prahlad M. S. Department of Otorhinolaryngology, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
  • Mohan K. Appaji Department of Otorhinolaryngology, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
  • Kavitha Y. Department of Otorhinolaryngology, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India



Head and neck cancers, Lymph node metastasis, Radiological and pathological profile


Background: Objective of the current study was to assess incidence of various head and neck cancers, their demographic, radiological, pathological characteristics and patterns of regional lymph node metastasis.

Methods: This is a retrospective analysis of data available from medical records department in our institution from the period of January 2017 to November 2020. Patients as per inclusion and exclusion criteria, were selected, the disease was staged and analyzed.

Results: Males were more commonly affected (78%). Among the upper aerodigestive tract cancers, lip and oral cavity cancers were most common (26%). Most common stage at presentation was stage IV A. Cervical lymph node metastasis was present in 69% of cases. Most common upper aerodigestive tract cancer was squamous cell carcinoma. Most common thyroid malignancy was papillary carcinoma.

Conclusions: Head and neck cancers have high morbidity and mortality owing to advanced stage of presentation and cervical lymph node metastasis affects the outcome of the disease adversely. Every case of head and neck malignancy, hence, need to be evaluated thoroughly and staged appropriately before taking treatment decisions.


Bhattacharjee A, Chakraborty A, Purkaystha P. Prevalence of head and neck cancers in the north east-An institutional study. Indian J Otolaryngol Head Neck Surg. 2006;58:15-9

Sharma JD, Baishya N, Kataki AC, Kalita CR, Das AK, Rahman T. Head and neck squamous cell carcinoma in young adults: A hospital-based study. Indian J Med Paediatr Oncol. 2019;40:18-22.

Prabhash K, Babu G, Chaturvedi P, Kuriakose M, Birur P, Anand AK, et al. Indian clinical practice consensus guidelines for the management of squamous cell carcinoma of head and neck. Indian J Cancer. 2020;57(5):1.

Shah JP, Strong E, Spiro RH, Vikram B. Surgical grand rounds. Neck dissection: current status and future possibilities. Clin Bull. 1981;11(1):25-33.

Cadoni G, Giraldi L, Petrelli L, Pandolfini M, Giuliani M, Paludetti G, et al. Prognostic factors in head and neck cancer: a 10-year retrospective analysis in a single-institution in Italy. Acta Otorhinolaryngologica Italica. 2017;37(6):458.

Sanderson RJ, Ironside JA. Squamous cell carcinomas of the head and neck. BMJ Clin Res. 2018;325(7368):822-7.

Saxena PU, Unnikrishnan B, Rathi P, Kotian H, Reshmi B. Survival analysis of head and neck cancer: Results from a hospital based cancer registry in southern Karnataka. Clin Epidemiol Global Health. 2019;7(3):346-50.

Brenner H. Long-term survival rates of cancer patients achieved by the end of the 20th century: a period analysis. Lancet. 2002;360(9340):1131-5.

Shah JP. Patterns of cervical lymph node metastasis from squamous carcinomas of the upper aerodigestive tract. Am J Surg. 1990;160(4):405-9.






Original Research Articles