Association of Patient and Tumor Characteristics With Outcomes in Young Head and Neck Squamous Cell Carcinoma Patients

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2024-08-22 DOI:10.1111/coa.14215

Ronan W. Hsieh, William E. Gooding, Marci Nilsen, Mark Kubik, Zahra Kelly, Shaum Sridharan, Heath Skinner, Uzoma Iheagwara, Jose P. Zevallos, Umamaheswar Duvvuri, Seungwon Kim, Robert L. Ferris, Dan P. Zandberg

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引用次数: 0

Abstract

Introduction

We retrospectively studied young patients with head and neck squamous cell carcinoma (HNSCC) to identify factors associated with disease-specific survival (DSS).

Methods

Patient and tumor characteristics of patients aged ≤45 who received treatments for non-metastatic HNSCC were collected to identify factors associated with DSS. Proportional hazards regression was applied separately for surgical and non-surgical patients.

Results

230 patients were included. Surgical and non-surgical patients had similar DSS. Higher pathologic stages, positive margins, perineural invasion (PNI), extranodal extension and negative HPV status were associated with worse DSS for surgical patients and negative HPV status for non-surgical patients. In the multivariate analysis, pathologic stages, positive margins, and PNI were associated with worse DSS in surgical patients.

Conclusion

Pathologic stages, positive margins, and PNI are independently associated with worse DSS in young surgical HNSCC patients. PNI is a uniquely strong prognostic factor for young patients.

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患者和肿瘤特征与年轻头颈部鳞状细胞癌患者预后的关系

简介：我们对头颈部鳞状细胞癌（HNSCC）年轻患者进行了回顾性研究：我们对年轻的头颈部鳞状细胞癌（HNSCC）患者进行了回顾性研究，以确定与疾病特异性生存（DSS）相关的因素：方法：收集年龄小于45岁、接受非转移性HNSCC治疗的患者和肿瘤特征，以确定与DSS相关的因素。结果：共纳入230例患者。手术和非手术患者的DSS相似。对于手术患者，较高的病理分期、阳性边缘、神经周围侵犯（PNI）、结节外扩展和阴性 HPV 状态与较差的 DSS 相关，而对于非手术患者，阴性 HPV 状态与较差的 DSS 相关。在多变量分析中，病理分期、边缘阳性和 PNI 与手术患者较差的 DSS 相关：结论：在年轻的 HNSCC 手术患者中，病理分期、边缘阳性和 PNI 与较差的 DSS 独立相关。PNI是年轻患者独特的强预后因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.