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A Multi-institutional Investigation of the Prognostic Value of Lymph Nodal Yield in Advanced Stage Oral Cavity Squamous Cell Carcinoma (OCSCC)

Identifieur interne : 000284 ( Ncbi/Curation ); précédent : 000283; suivant : 000285

A Multi-institutional Investigation of the Prognostic Value of Lymph Nodal Yield in Advanced Stage Oral Cavity Squamous Cell Carcinoma (OCSCC)

Auteurs : James J. Jaber [États-Unis] ; Chad A. Zender [États-Unis] ; Vikas Mehta [États-Unis] ; Kara Davis [États-Unis] ; Robert L. Ferris [États-Unis] ; Pierre Lavertu [États-Unis] ; Rod Rezaee [États-Unis] ; Paul J. Feustel [États-Unis] ; Jonas T. Johnson [États-Unis]

Source :

Head & neck [ 1043-3074 ] ; 2014.

RBID : PMC:4136977

Descripteurs français

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Carcinoma, Squamous Cell (mortality), Carcinoma, Squamous Cell (pathology), Carcinoma, Squamous Cell (prevention & control), Disease-Free Survival, Head and Neck Neoplasms (mortality), Head and Neck Neoplasms (pathology), Head and Neck Neoplasms (prevention & control), Humans, Kaplan-Meier Estimate, Lymph Node Excision, Lymph Nodes (pathology), Middle Aged, Neoplasm Recurrence, Local (prevention & control), Prognosis, Retrospective Studies, Young Adult.
MESH :
- mortality : Carcinoma, Squamous Cell, Head and Neck Neoplasms.
- pathology : Carcinoma, Squamous Cell, Head and Neck Neoplasms, Lymph Nodes.
- prevention & control : Carcinoma, Squamous Cell, Head and Neck Neoplasms, Neoplasm Recurrence, Local.
- Adolescent, Adult, Aged, Aged, 80 and over, Disease-Free Survival, Humans, Kaplan-Meier Estimate, Lymph Node Excision, Middle Aged, Prognosis, Retrospective Studies, Young Adult.

Abstract

Background

Although existing literature provides surgical recommendations for treating occult disease (cN0) in early stage oral cavity squamous cell carcinoma, a focus on late stage OCSCC is less pervasive.

Methods

The records of 162 late stage OCSCC pN0 individuals that underwent primary neck dissections were reviewed. Lymph node yield (LNY) as a prognosticator was examined.

Results

Despite being staged pN0, patients that had a higher LNY had an improved regional/distant control rates, DFS, DSS, and OS. LNY consistently outperformed all other standard variables as being the single best prognostic factor with a tight risk ratio range (RR = 0.95–0.98) even when correcting for the number of lymph nodes examined.

Conclusion

The results of this study showed that lower regional recurrence rates and improved survival outcomes were seen as lymph node yield increased for advanced T-stage OCSCC pN0. This suggests that increasing lymph node yield with an extended cervical lymphadenectomy may result in lower recurrence rates and improved survival outcomes for this advanced stage group.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4136977

DOI: 10.1002/hed.23475
PubMed: 24038739
PubMed Central: 4136977

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Le document en format XML

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<term>Head and Neck Neoplasms</term>
<term>Neoplasm Recurrence, Local</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Carcinome épidermoïde</term>
<term>Estimation de Kaplan-Meier</term>
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<term>Jeune adulte</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Although existing literature provides surgical recommendations for treating occult disease (cN0) in early stage oral cavity squamous cell carcinoma, a focus on late stage OCSCC is less pervasive.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">The records of 162 late stage OCSCC pN0 individuals that underwent primary neck dissections were reviewed. Lymph node yield (LNY) as a prognosticator was examined.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Despite being staged pN0, patients that had a higher LNY had an improved regional/distant control rates, DFS, DSS, and OS. LNY consistently outperformed all other standard variables as being the single best prognostic factor with a tight risk ratio range (RR = 0.95–0.98) even when correcting for the number of lymph nodes examined.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">The results of this study showed that lower regional recurrence rates and improved survival outcomes were seen as lymph node yield increased for advanced T-stage OCSCC pN0. This suggests that increasing lymph node yield with an extended cervical lymphadenectomy may result in lower recurrence rates and improved survival outcomes for this advanced stage group.</p>
</sec>
</div>
</front>
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A Multi-institutional Investigation of the Prognostic Value of Lymph Nodal Yield in Advanced Stage Oral Cavity Squamous Cell Carcinoma (OCSCC)

A Multi-institutional Investigation of the Prognostic Value of Lymph Nodal Yield in Advanced Stage Oral Cavity Squamous Cell Carcinoma (OCSCC)

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Descripteurs français

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Abstract

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