Patterns of recurrence in oral tongue cancer with perineural invasion.
Patterns of recurrence in oral tongue cancer with perineural invasion.
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DOI:
10.1002/hed.25110
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发表时间:
2018-06
期刊:
影响因子:
--
通讯作者:
Wong RJ
中科院分区:
文献类型:
--
作者:
Cracchiolo JR;Xu B;Migliacci JC;Katabi N;Pfister DG;Lee NY;Patel SG;Ghossein RA;Wong RJ
Although perineural invasion (PNI) is recognized as an adverse prognostic factor in oral tongue squamous cell carcinoma (OTSCC), the patterns of failure are poorly defined. Patients with OTSCC who received primary surgical treatment were identified. Specimens were reviewed by head and neck pathologists. Disease specific survival (DSS) and local, regional and distant recurrence free survival (LRFS, RRFS and DRFS) were calculated. PNI and PNI characteristics were analyzed as predictors of outcome. Patients with PNI had a decreased DSS however, PNI was not predictive of LRFS or RRFS. Patients with PNI were more likely to develop a distant recurrence and 19.40 (CI 6.70–56.14, p<0.001) more likely to develop a distant recurrence if foci density was >1. The presence of PNI in OTSCC predicts for worse DSS with distant recurrence as the most common pattern of failure. High foci density is associated with worse DRFS.
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