Depth of invasion, size and number of metastatic nodes predicts extracapsular spread in early oral cancers with occult metastases.

Objective: Presence of extracapsular spread (ECS) significantly decreases survival in oral cancer patients. Considering its prognostic impact, we have studied the incidence and factors predicting ECS in clinically node negative early oral cancers.

Materials And Methods: We performed a retrospective chart review of 354 treatment naïve clinically node negative early oral cancer patients operated between 2012 and 2014.