Survival and recurrence of resectable tongue cancer: Resection margin cutoff value by T classification

Background The purpose of this study was to determine an appropriate cutoff value for the resection margin according to the initial T classification. Methods The medical records of 151 patients treated by surgery for tongue cancer were retrospectively reviewed to identify the significant perioperati...

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Veröffentlicht in:Head & neck 2018-02, Vol.40 (2), p.283-291
Hauptverfasser: Lee, Doh Young, Kang, Sung Hoon, Kim, Jae Hyung, Kim, Min‐Su, Oh, Kyoung Ho, Woo, Jeong‐Soo, Kwon, Soon‐Young, Jung, Kwang‐Yoon, Baek, Seung‐Kuk
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container_end_page 291
container_issue 2
container_start_page 283
container_title Head & neck
container_volume 40
creator Lee, Doh Young
Kang, Sung Hoon
Kim, Jae Hyung
Kim, Min‐Su
Oh, Kyoung Ho
Woo, Jeong‐Soo
Kwon, Soon‐Young
Jung, Kwang‐Yoon
Baek, Seung‐Kuk
description Background The purpose of this study was to determine an appropriate cutoff value for the resection margin according to the initial T classification. Methods The medical records of 151 patients treated by surgery for tongue cancer were retrospectively reviewed to identify the significant perioperative parameters and appropriate cutoff value associated with disease‐specific survival (DSS) and recurrence‐free survival (RFS). Results The posterior resection margin was significantly correlated with survival and local recurrence (P = .020 and .016, respectively), whereas the deep resection margin was correlated with overall recurrence (P = .047). The cutoff values of the posterior and deep resection margins for survival and recurrence were different and larger in the advanced‐stage T classification group (0.45 cm vs 0.95 cm and 0.25 cm vs 0.80 cm, respectively). Conclusion Posterior and deep resection margins are significant prognosticators in tongue cancer. A larger resection margin may be needed in advanced‐stage T classification.
doi_str_mv 10.1002/hed.24944
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Methods The medical records of 151 patients treated by surgery for tongue cancer were retrospectively reviewed to identify the significant perioperative parameters and appropriate cutoff value associated with disease‐specific survival (DSS) and recurrence‐free survival (RFS). Results The posterior resection margin was significantly correlated with survival and local recurrence (P = .020 and .016, respectively), whereas the deep resection margin was correlated with overall recurrence (P = .047). The cutoff values of the posterior and deep resection margins for survival and recurrence were different and larger in the advanced‐stage T classification group (0.45 cm vs 0.95 cm and 0.25 cm vs 0.80 cm, respectively). Conclusion Posterior and deep resection margins are significant prognosticators in tongue cancer. A larger resection margin may be needed in advanced‐stage T classification.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.24944</identifier><identifier>PMID: 28960654</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Cancer ; Classification ; Disease-Free Survival ; Female ; Head and neck ; Humans ; Male ; Margins of Excision ; Medical records ; Middle Aged ; Neoplasm Recurrence, Local - epidemiology ; Oral cancer ; Prognosis ; recurrence ; resection margin ; Retrospective Studies ; Surgery ; Survival ; Tongue ; tongue cancer ; Tongue Neoplasms - classification ; Tongue Neoplasms - mortality ; Tongue Neoplasms - surgery</subject><ispartof>Head &amp; neck, 2018-02, Vol.40 (2), p.283-291</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-c9991a7e79b8219504f81affe41ccb0d51390af7c3cbcea1c123d5cd0f6d14b73</citedby><orcidid>0000-0001-8075-0976 ; 0000-0003-1590-8559</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.24944$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.24944$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28960654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Doh Young</creatorcontrib><creatorcontrib>Kang, Sung Hoon</creatorcontrib><creatorcontrib>Kim, Jae Hyung</creatorcontrib><creatorcontrib>Kim, Min‐Su</creatorcontrib><creatorcontrib>Oh, Kyoung Ho</creatorcontrib><creatorcontrib>Woo, Jeong‐Soo</creatorcontrib><creatorcontrib>Kwon, Soon‐Young</creatorcontrib><creatorcontrib>Jung, Kwang‐Yoon</creatorcontrib><creatorcontrib>Baek, Seung‐Kuk</creatorcontrib><title>Survival and recurrence of resectable tongue cancer: Resection margin cutoff value by T classification</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background The purpose of this study was to determine an appropriate cutoff value for the resection margin according to the initial T classification. Methods The medical records of 151 patients treated by surgery for tongue cancer were retrospectively reviewed to identify the significant perioperative parameters and appropriate cutoff value associated with disease‐specific survival (DSS) and recurrence‐free survival (RFS). Results The posterior resection margin was significantly correlated with survival and local recurrence (P = .020 and .016, respectively), whereas the deep resection margin was correlated with overall recurrence (P = .047). The cutoff values of the posterior and deep resection margins for survival and recurrence were different and larger in the advanced‐stage T classification group (0.45 cm vs 0.95 cm and 0.25 cm vs 0.80 cm, respectively). Conclusion Posterior and deep resection margins are significant prognosticators in tongue cancer. 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Methods The medical records of 151 patients treated by surgery for tongue cancer were retrospectively reviewed to identify the significant perioperative parameters and appropriate cutoff value associated with disease‐specific survival (DSS) and recurrence‐free survival (RFS). Results The posterior resection margin was significantly correlated with survival and local recurrence (P = .020 and .016, respectively), whereas the deep resection margin was correlated with overall recurrence (P = .047). The cutoff values of the posterior and deep resection margins for survival and recurrence were different and larger in the advanced‐stage T classification group (0.45 cm vs 0.95 cm and 0.25 cm vs 0.80 cm, respectively). Conclusion Posterior and deep resection margins are significant prognosticators in tongue cancer. 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subjects Aged
Cancer
Classification
Disease-Free Survival
Female
Head and neck
Humans
Male
Margins of Excision
Medical records
Middle Aged
Neoplasm Recurrence, Local - epidemiology
Oral cancer
Prognosis
recurrence
resection margin
Retrospective Studies
Surgery
Survival
Tongue
tongue cancer
Tongue Neoplasms - classification
Tongue Neoplasms - mortality
Tongue Neoplasms - surgery
title Survival and recurrence of resectable tongue cancer: Resection margin cutoff value by T classification
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