Clinical Outcomes of Patients With pT1-T2N0 Oral Tongue Squamous Cell Carcinoma.

Jessica M Wilson, Catherine Lumley, Xianming Tan, Colette Shen, Andrew Coniglio, Mark Weissler, Wendell G Yarbrough, Trevor Hackman, Jeffrey Blumberg, Adam Zanation, Brian Thorp, Samip N Patel, Bhishamjit S Chera
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引用次数: 1

Abstract

Objective: The objective of this study was to evaluate the clinical outcomes in a cohort of patients with early-stage oral tongue squamous cell carcinoma (OTSCC).

Materials and methods: We conducted a retrospective analysis of patients with pT1-T2N0 (American Joint Committee on Cancer [AJCC] seventh edition) OTSCC treated from 2000 to 2018. Two-year actuarial rates of local regional control, cancer-specific survival, and overall survival were calculated for the entire cohort and patients with/without adjuvant radiation.

Results: Ninety-six patients met the criteria with a median follow-up of 4 years; 14 had adjuvant radiation, while 82 had surgery alone. Two-year local regional control was 82.7% (75.4% to 90.8%) for the entire cohort, 84.9% (77.8% to 93.2%) for surgery only, and 70.7% (50.2% to 99.6%) for patients with adjuvant radiation. Two-year progression-free survival was 82.7% (75.3% to 90.8%). Of the 20 patients with recurrence, 11 (55%) were successfully salvaged.

Conclusion: Local regional recurrence remains modest in early-stage OTSCC, but salvage is possible with high survival rates.

Level of evidence: Level III-retrospective cohort study.

pT1-T2N0型口腔舌鳞癌患者的临床结局。
目的:本研究的目的是评估早期口腔舌鳞癌(OTSCC)患者队列的临床结果。材料和方法:我们对2000年至2018年治疗的pT1-T2N0(美国癌症联合委员会[AJCC]第七版)OTSCC患者进行了回顾性分析。计算了整个队列和接受/不接受辅助放疗的患者的局部区域对照、癌症特异性生存率和总生存率的两年精算率。结果:96例患者符合标准,中位随访4年;14例辅助放疗,82例单纯手术。整个队列的两年局部区域控制率为82.7%(75.4%至90.8%),仅手术组为84.9%(77.8%至93.2%),辅助放疗组为70.7%(50.2%至99.6%)。两年无进展生存率为82.7%(75.3%至90.8%)。20例复发患者中,11例(55%)成功抢救。结论:早期OTSCC局部局部复发率不高,但挽救是可能的,生存率高。证据等级:iii级回顾性队列研究。
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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