Oral squamous cell carcinoma (OSCC) is the most common oral malignancy, with neck metastasis significantly affecting prognosis and treatment. This study examines clinicopathological factors associated with neck metastasis in a Middle Eastern cohort of OSCC patients. A retrospective analysis of 84 OSCC patients treated at King Hussein Cancer Center (2018-2024) was conducted. Clinicopathological factors, including tumor subsite, T stage, depth of invasion, differentiation, perineural invasion, and lymphovascular invasion were evaluated for their association with lymph node metastasis. Pathological neck involvement was observed in 47.6% of cases. Late T stage (T3-T4) and LVI positivity were identified as independent predictors of nodal metastasis (aOR = 4.25, p = 0.009; aOR = 4.39, p = 0.027, respectively). These findings highlight the importance of comprehensive pathological assessment in OSCC.
Rousan et al. (Mon,) studied this question.