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 |
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container_title | Head & neck |
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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 |
format | Article |
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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.</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 & 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 & 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. A larger resection margin may be needed in advanced‐stage T classification.</description><subject>Aged</subject><subject>Cancer</subject><subject>Classification</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Head and neck</subject><subject>Humans</subject><subject>Male</subject><subject>Margins of Excision</subject><subject>Medical records</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Oral cancer</subject><subject>Prognosis</subject><subject>recurrence</subject><subject>resection margin</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Survival</subject><subject>Tongue</subject><subject>tongue cancer</subject><subject>Tongue Neoplasms - classification</subject><subject>Tongue Neoplasms - mortality</subject><subject>Tongue Neoplasms - surgery</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PwjAYgBujEUQP_gHTxIseBu3aras3gygmJCaK56V71-LI2LDdMPx7C4OLiad-vE-etA9C15QMKSHh6Evnw5BLzk9QnxIpAsK4ON3tOQsYEbyHLpxbEkJYzMNz1AsTGZM44n1kPlq7KTaqxKrKsdXQWqsr0Lg2_uQ0NCorNW7qatFqDMqP7AN-30-KusIrZRdFhaFtamOw93gq2-I5hlI5V5gC1I67RGdGlU5fHdYB-nyezMfTYPb28jp-nAXAIsYDkFJSJbSQWRJSGRFuEqqM0ZwCZCSPKJNEGQEMMtCKAg1ZHkFOTJxTngk2QHedd23r71a7Jl0VDnRZqkrXrUup5FFIRRwlHr39gy7r1lb-dZ5K4iQWoe81QPcdBbZ2zmqTrm3hP71NKUl38VMfP93H9-zNwdhmK397JI-1PTDqgJ-i1Nv_Tel08tQpfwFRDI6J</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Lee, Doh Young</creator><creator>Kang, Sung Hoon</creator><creator>Kim, Jae Hyung</creator><creator>Kim, Min‐Su</creator><creator>Oh, Kyoung Ho</creator><creator>Woo, Jeong‐Soo</creator><creator>Kwon, Soon‐Young</creator><creator>Jung, Kwang‐Yoon</creator><creator>Baek, Seung‐Kuk</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8075-0976</orcidid><orcidid>https://orcid.org/0000-0003-1590-8559</orcidid></search><sort><creationdate>201802</creationdate><title>Survival and recurrence of resectable tongue cancer: Resection margin cutoff value by T classification</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-c9991a7e79b8219504f81affe41ccb0d51390af7c3cbcea1c123d5cd0f6d14b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Cancer</topic><topic>Classification</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Head and neck</topic><topic>Humans</topic><topic>Male</topic><topic>Margins of Excision</topic><topic>Medical records</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - epidemiology</topic><topic>Oral cancer</topic><topic>Prognosis</topic><topic>recurrence</topic><topic>resection margin</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Survival</topic><topic>Tongue</topic><topic>tongue cancer</topic><topic>Tongue Neoplasms - classification</topic><topic>Tongue Neoplasms - mortality</topic><topic>Tongue Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Doh Young</au><au>Kang, Sung Hoon</au><au>Kim, Jae Hyung</au><au>Kim, Min‐Su</au><au>Oh, Kyoung Ho</au><au>Woo, Jeong‐Soo</au><au>Kwon, Soon‐Young</au><au>Jung, Kwang‐Yoon</au><au>Baek, Seung‐Kuk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival and recurrence of resectable tongue cancer: Resection margin cutoff value by T classification</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2018-02</date><risdate>2018</risdate><volume>40</volume><issue>2</issue><spage>283</spage><epage>291</epage><pages>283-291</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>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.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28960654</pmid><doi>10.1002/hed.24944</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8075-0976</orcidid><orcidid>https://orcid.org/0000-0003-1590-8559</orcidid></addata></record> |
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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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