Anneroth's Histopathological Grading System in Non Metastatic and Metastatic Oral Squamous Cell Carcinoma- A Pilot Study

Murugesan, Ambika and Ishnan, Sekar Balakr and Chandrasekar, Manoj and Esan, Indra Priyadharshini Kumar and Saranyan, Ravi and Manivannan, E. and Rajmohan, M. (2021) Anneroth's Histopathological Grading System in Non Metastatic and Metastatic Oral Squamous Cell Carcinoma- A Pilot Study. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 15.0 (8). ISSN 2249-782X

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Abstract

Introduction: Prognostic evaluation of Oral Squamous Cell Carcinoma (OSCC) is mainly based on [Tumour (T), Nodes (N), and Metastases ( M)] staging. To predict the biological and clinical behaviour of a tumour, histological grading systems plays an important role. Modified Anneroth's grading system includes three parameters each for histologic features and tumour-host relationship. Aim: To compare and analyse the histological features of tumour center and periphery of non metastatic and metastatic OSCC according to Anneroth's histopathological classification and its association with regional lymph node metastasis. Materials and Methods: A retrospective pilot study was conducted on 20 histopathologically proven cases of OSCC collected from the Department of Oral Pathology and Oral Microbiology, Vinayaka Mission's Sankarachariyar Dental College, Salem, Tamil Nadu, India. The OSCC cases that reported from March 2018 to June 2020 were included in the study. Among 20 cases, 10 non metastatic and 10 metastatic cases, were retrieved from archival blocks. Scores for the morphology and tumour-host relationship of non metastatic and metastatic tumours was assessed and graded by Anneroth's grading system; then compared with the Broders histopathological grading system. The histopathological scoring of lymph node was based on TNM staging. Chi-square test and Spearman's correlation coefficient analysis was done. Results: Anneroth's grading system showed a significant difference in pattern of invasion in tumour periphery of metastatic OSCC (p-value=0.01). Compared to Broder's, Anneroth's classification showed a highly significant corelation with lymph node metastasis (p-value=0.001). Conclusion: Hence, Anneroth's histopathological grading system can be used to predict the biological changes in metastatic and non metastatic OSCC and its increased possibility of regional lymph node metastasis.

Item Type: Article
Uncontrolled Keywords: Anneroth's grading system, Metastatic oral squamous cell carcinoma, Tumour periphery
Subjects: Medicine > Medicine, General & Internal
Divisions: Nursing > Vinayaka Mission's Annapoorna College of Nursing, Salem
Medicine > Vinayaka Mission's Medical College and Hospital, Karaikal
Nursing > Vinayaka Mission's College of Nursing, Karaikal
Nursing > Vinayaka Mission's College of Nursing, Puducherry
Pharmacy > Vinayaka Mission’s College of Pharmacy, Salem
Physiotherapy > Vinayaka Mission's College of Physiotherapy, Salem
Homoeopathy > Vinayaka Mission's Homoeopathic Medical College and Hospital, Salem
Medicine > Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Salem
Medicine > Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Salem > Pathology
Arts and Science > Vinayaka Mission's Kirupananda Variyar Arts and Science College, Salem, India
Engineering and Technology > Vinayaka Mission's Kirupananda Variyar Engineering College, Salem, India
Law > Vinayaka Mission's Law School, Chennai
Medicine > Vinayaka Mission's Medical College, Kottucherry
Medicine > Vinayaka Mission's Medical College, Puducherry
Physical Education > Vinayaka Mission's College of Physical Education, Salem
Interdisciplinary Studies > Vinayaka Mission's School of Health Systems, Chennai
Dentistry > Vinayaka Mission‘s Sankarachariyar Dental College, Salem
Dentistry > Vinayaka Mission‘s Sankarachariyar Dental College, Salem > Oral Pathology
Liberal Arts > Vinayaka Mission's School of Economics and Public Policy, Chennai
Depositing User: Unnamed user with email techsupport@mosys.org
Last Modified: 06 Feb 2026 07:11
URI: https://ir.vmrfdu.edu.in/id/eprint/6904

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