Chapter 6
Retromolar SCCA with MS Spread
Epidemiology
Oral and oropharyngeal carcinomas are usually seen in patients over 60 years old. In recent years these tumors have been increasingly encountered in patients who are in the 30’s, 40’s and 50’s. With the increased use of tobacco and alcohol by females, the male to female ratio of the incidence of oral and oropharyngeal tumors has changed from 10:1 to 4:1.
Clinical Findings
Retromolar trigone carcinoma may present with pain or bleeding in the oral cavity. On examination, a mass in the retromolar trigone/anterior tonsillar pillar area may be evident. This lesion may be associated with dysplastic mucosal changes in the oral cavity. Patients with deep involvement of the muscles of mastication may also complain of trismus.
Pathology