Abstract
Background: Factors involved in neck lymph node metastasis (NLM) and prognosis of early tongue squamous cell carcinoma (SCC) remain unknown. Methods: We analyzed disease-specific survival (DSS) and NLM including tumor budding grade (TBG) among 64 patients with cT1/2N0 tongue SCC. Results: Univariate analysis of DSS of primary lesions uncovered significant differences in new cT, pT, new pT, pDiameter, venous infiltration, and TBG. Multivariate analysis selected only TBG3 as a predictor of NLM (odds ratio, 9.55; 95% confidence interval [CI], 1.80-50.8; P =.008), and a prognostic factor for DSS (hazard ratio, 4.41; 95% CI, 1.34-14.5; P =.02). Conclusion: The sole predictor of NLM and the prognosis of early tongue SCC was TBG, indicating that it might help to select overwhelming risk patients.
Original language | English |
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Pages (from-to) | 1809-1815 |
Number of pages | 7 |
Journal | Head and Neck |
Volume | 41 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun 2019 |
Externally published | Yes |
Keywords
- budding
- early tongue cancer
- lymph node metastasis
- multivariate analysis
- prognostic factor
ASJC Scopus subject areas
- Otorhinolaryngology