The prognostic value of histopathological grading systems in oral squamous cell carcinomas
| Autor: | A. G. Bueno, R. D. Coletta, Alhadi Almangush, L. Rutkauskis, I. Sawazaki-Calone, Tuula Salo, H. M. Nagai, R. L. Souza, Ana Lúcia Carrinho Ayrosa Rangel, Cecília F. Morais, R. P. Kunz |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Oncology Pathology medicine.medical_specialty Multivariate analysis Metastasis Tumor budding Predictive Value of Tests Internal medicine Humans Medicine Grading (education) General Dentistry Survival analysis Aged Rank correlation Aged 80 and over Univariate analysis business.industry Proportional hazards model Age Factors Middle Aged Prognosis medicine.disease Tumor Burden Survival Rate Otorhinolaryngology Carcinoma Squamous Cell Female Mouth Neoplasms Neoplasm Grading business |
| Zdroj: | Oral Diseases. 21:755-761 |
| ISSN: | 1354-523X |
| DOI: | 10.1111/odi.12343 |
| Popis: | Objective This study evaluated the association of four histopathological grading systems (WHO grading system, malignancy grading of the deep invasive margins (MG), histological risk (HR) model, and tumor budding and depth of invasion (BD) model) with clinicopathological parameters and outcome of 113 oral squamous cell carcinomas to identify their roles in prognosis. Methods Demographic and clinical features were obtained from patients' records. Sections from all paraffin-embedded blocks were evaluated according to the four grading systems. Demographic and clinical associations were analyzed using chi-square test, and correlations between the grading systems were established with the Spearman's rank correlation test. Survival curves were performed with Kaplan–Meier method, and multivariate analysis based on Cox proportional hazard model was calculated. Results Significant associations with survival were observed for WHO grading system and BD model in the univariate analysis, but only the BD model was significantly associated with disease outcome as an independent prognostic marker. Age, tumor size, and presence of regional metastasis were also independent markers of reduced survival. Conclusion A significant association between the BD model and outcome of OSCC patients was observed, indicating this new histopathological grading system as a possible prognostic tool. |
| Databáze: | OpenAIRE |
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