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  1. Metastatic follicular thyroid carcinoma: a case report
    Sathasivam H, Loh YM, Saw CL, Khalid N
    Gerodontology, 2017 Jun;34(2):276-279.
    PMID: 27384017 DOI: 10.1111/ger.12240
    OBJECTIVE: A case of oral metastatic follicular thyroid carcinoma is presented.

    BACKGROUND: Metastatic tumours are more frequent in older individuals and can be the only sign/symptom of an undiagnosed primary malignancy.

    CASE REPORT: A 69-year-old lady presented with an enlarging mandibular swelling. Incisional biopsy and imaging studies were suggestive of metastatic follicular thyroid carcinoma.

    CONCLUSION: Metastatic tumours should be considered in the differential diagnosis of mandibular swellings especially in older individuals.

  2. Clinicopathological features of squamous cell carcinoma of the oral cavity and oropharynx in young patients
    Martinez RC, Sathasivam HP, Cosway B, Paleri V, Fellows S, Adams J, et al.
    Br J Oral Maxillofac Surg, 2018 May;56(4):332-337.
    PMID: 29628167 DOI: 10.1016/j.bjoms.2018.03.011
    Our aim was to examine the clinicopathological features of squamous cell carcinoma (SCC) of the oral cavity and oropharynx in a group of young patients who were dignosed during a 15-year period (2000-2014). Patients' clinical details, risk factors, and survival were obtained from medical records. Formalin-fixed, paraffin-embedded, tissue was tested for high-risk human papillomavirus (HPV). The results were compared with those of a matching group of older patients. We identified 91 patients who were younger than 45 years old, and the 50 youngest patients were studied in detail. The male:female ratio was 2:1, with more tumours located in the oral cavity than in the oropharynx (35 compared with 15). HPV-related SCC was restricted to the oropharynx. When matched for site, stage and HPV status, five-year overall survival was similar in young and matched older patients (log-rank test, p=0.515). Our findings suggest that young patients with oral SCC have a disease profile similar to that of older patients with the condition. It is plausible that prognostic information generally available for oral cancers is applicable to young patients with the disease.
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