The impact of lymphovascular invasion on survival in oral carcinoma

作者: H.B. Jones , A. Sykes , N. Bayman , P. Sloan , R. Swindell

DOI: 10.1016/J.ORALONCOLOGY.2008.03.009

关键词: Univariate analysisCarcinomaNeck dissectionPrognostic variableSurvival analysisLymphovascular invasionOncologyInternal medicineProportional hazards modelT-stageMedicine

摘要: Summary Data was retrospectively analysed on 72 consecutive patients treated primarily with resection and concomitant neck dissection for intraoral carcinomas. Twenty prognostic variables were assessed by univariate analysis to assess their influence survival. Seven significant at the 5% level. Survival negatively influenced six tumour related factors, increasing T stage ( P  = 0.039), N  = 0.004), greater than two nodes histologically positive nodal disease  = 0.017), size >4 cm  = 0.022), residual primary site  = 0.012), extracapsular spread  = 0.01) one treatment factor analysed, adjuvant radiotherapy  = 0.039). Subsequent multivariate performed via cox stepwise regression method survival of all factors which achieved significance 20% There only made a difference  = 0.015) histological evidence mandibular invasion  = 0.047). Lymphovascular appeared in final model despite not achieving statistical level analysis. A constructed. The relative risk death those cervical metastases (N2 above) diagnosis 3.74  = 0.005). addition lymphovascular revealed an increase presence 2.99  = 0.015). Patients negative single node provided baseline as there no between these groups. oral carcinoma surgical specimens has impact outcome patients.

参考文章(30)
G. Gurleyik, E. Gurleyik, F. Aker, A. Aktekin, S. Emir, O. Gungor, A. Saglam, Lymphovascular Invasion, as a Prognostic Marker in Patients with Invasive Breast Cancer Acta Chirurgica Belgica. ,vol. 107, pp. 284- 287 ,(2007) , 10.1080/00015458.2007.11680057
Aijaz Alvi, Jonas T. Johnson, Development of distant metastasis after treatment of advanced-stage head and neck cancer Head and Neck-journal for The Sciences and Specialties of The Head and Neck. ,vol. 19, pp. 500- 505 ,(1997) , 10.1002/(SICI)1097-0347(199709)19:6<500::AID-HED7>3.0.CO;2-2
J.A. Woolgar, S.N. Rogers, D. Lowe, J.S. Brown, E.D. Vaughan, Cervical lymph node metastasis in oral cancer: the importance of even microscopic extracapsular spread. Oral Oncology. ,vol. 39, pp. 130- 137 ,(2003) , 10.1016/S1368-8375(02)00030-1
J.A Woolgar, S Rogers, C.R West, R.D Errington, J.S Brown, E.D Vaughan, Survival and patterns of recurrence in 200 oral cancer patients treated by radical surgery and neck dissection. Oral Oncology. ,vol. 35, pp. 257- 265 ,(1999) , 10.1016/S1368-8375(98)00113-4
L. G. Close, D. K. Burns, J. Reisch, S. D. Schaefer, Microvascular invasion in cancer of the oral cavity and oropharynx. Archives of Otolaryngology-head & Neck Surgery. ,vol. 113, pp. 1191- 1195 ,(1987) , 10.1001/ARCHOTOL.1987.01860110057008
André L Carvalho, Mauro K Ikeda, José Magrin, Luiz P Kowalski, None, Trends of oral and oropharyngeal cancer survival over five decades in 3267 patients treated in a single institution. Oral Oncology. ,vol. 40, pp. 71- 76 ,(2004) , 10.1016/S1368-8375(03)00138-6
Robert M. Byers, Patricia F. Wolf, Alando J. Ballantyne, Rationale for elective modified neck dissection. Head & Neck Surgery. ,vol. 10, pp. 160- 167 ,(1988) , 10.1002/HED.2890100304
Douglas Hanahan, Robert A Weinberg, The hallmarks of cancer. Cell. ,vol. 100, pp. 57- 70 ,(2000) , 10.1016/S0092-8674(00)81683-9
Inars K. Kalnins, Alan G. Leonard, Kumao Sako, Mohamed S. Razack, Donald P. Shedd, Correlation between prognosis and degree of lymph node involvement in carcinoma of the oral cavity The American Journal of Surgery. ,vol. 134, pp. 450- 454 ,(1977) , 10.1016/0002-9610(77)90376-2