A retrospective investigation of minor risk factors as prognostic predictors and treatment indications in oral squamous cell carcinoma

Autor: Takeshi Uehara, Hiroki Otagiri, Akinari Sakurai, Hironori Sakai, Kiriko Kubo, Kazunori Anzai, Shin-ichi Yamada, Yusuke Hakoyama, Yukiko Akahane, Koichi Goto, Naoki Matsumura, Junichi Yajima, Hiroshi Kurita, Masafumi Morioka, Eiji Kondo, Masao Hashidume
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Dental Sciences
Journal of Dental Sciences, Vol 16, Iss 1, Pp 445-452 (2021)
ISSN: 2213-8862
1991-7902
Popis: Background/purpose: The clinical significance of minor risk factors remins uncertain in oral squamous cell carcinoma (OSCC) patients. The purpose of this study was to investigate the clinical impact of minor risk factors in OSCC patients. Materials and methods: The cases of OSCC patients that underwent surgery were retrospectively analyzed. Patients with major risk factors for recurrence, such as positive surgical margins or extracapsular spread, were excluded. The impact of possible minor risk factors on treatment outcomes was analyzed. One hundred and seventy-five patients with primary OSCC that underwent surgery were included in this study. Results: The 5-year overall survival (OS), cancer-specific survival (CSS), and relapse-free survival (RFS) rates were 81.2%, 91.0%, and 72.4%, respectively. In multivariate analyses, RFS exhibited a significant association with the pattern of invasion (grade 4 vs. grades 1–3: hazard ratio: 3.096, 95% confidence interval: 1.367–6.884, p
Databáze: OpenAIRE