Characterization of the oropharynx: anatomy, histology, immunology, squamous cell carcinoma and surgical resection

Histopathology. 2017 Jun;70(7):1021-1029. doi: 10.1111/his.13140. Epub 2017 Jan 24.

Abstract

Understanding the structure and function of the oropharynx is paramount for providing excellent patient care. In clinical oncology, the oropharynx is generally divided into four distinct components: (i) the base of the tongue; (ii) the soft palate; (iii) the palatine tonsillar fossa; and (iv) the pharyngeal wall. The oropharyngeal mucosa is distinct from other mucosal surfaces in the body, as it is composed of a reticulated epithelium with a discontinuous basement membrane, also known as lymphoepithelium. This review describes the anatomy, histology, immunology and surgical resection of the oropharynx as they relate to oncological care.

Keywords: base of tongue; lymphoepithelium; oropharynx; squamous cell carcinoma; tonsil; transoral laser microsurgery (TLM); transoral robotic surgery (TORS).

Publication types

  • Review

MeSH terms

  • Carcinoma, Squamous Cell / immunology
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / surgery
  • Head and Neck Neoplasms / immunology
  • Head and Neck Neoplasms / pathology
  • Head and Neck Neoplasms / surgery
  • Humans
  • Oropharyngeal Neoplasms / immunology
  • Oropharyngeal Neoplasms / pathology
  • Oropharyngeal Neoplasms / surgery
  • Oropharynx / anatomy & histology*
  • Oropharynx / immunology
  • Oropharynx / surgery
  • Squamous Cell Carcinoma of Head and Neck