Validation of the International Tumor Budding Consensus Conference (2016) recommendations in oral tongue squamous cell carcinoma

Background Tumor budding is a valuable prognostic marker in oral tongue squamous cell carcinoma (OTSCC) but lacks a standardized scoring system. The aim of this study was to evaluate the prognostic value of tumor budding for OTSCC patients based on the scoring system recommended by the International...

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Veröffentlicht in:Journal of oral pathology & medicine 2019-07, Vol.48 (6), p.451-458
Hauptverfasser: Xie, Nan, Yu, Pei, Liu, Haichao, Liu, Xiqiang, Hou, Jinsong, Chen, Xiaohua, Huang, Hongzhang, Wang, Cheng
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container_end_page 458
container_issue 6
container_start_page 451
container_title Journal of oral pathology & medicine
container_volume 48
creator Xie, Nan
Yu, Pei
Liu, Haichao
Liu, Xiqiang
Hou, Jinsong
Chen, Xiaohua
Huang, Hongzhang
Wang, Cheng
description Background Tumor budding is a valuable prognostic marker in oral tongue squamous cell carcinoma (OTSCC) but lacks a standardized scoring system. The aim of this study was to evaluate the prognostic value of tumor budding for OTSCC patients based on the scoring system recommended by the International Tumor Budding Consensus Conference (ITBCC) 2016. Methods Tumor budding was scored as ITBCC recommended in 255 patients with OTSCC. Then, associations between tumor budding and clinicopathologic parameters were examined. Among them, 136 patients with follow‐up data available were used to evaluate overall survival (OS) by the Kaplan‐Meier method. Prognostic value of tumor budding was assessed by Cox regression analysis. The inter‐observer and intra‐observer agreement was calculated by the kappa statistic. Results Tumor budding score was associated with lymph node metastasis, differentiation, invasive pattern, lymphoid infiltrate, tumor relapse, invasive depth, and reduced OS in OTSCC patients. The Cox analysis showed high budding score was an independent prognostic factor in patients with all clinical stage and patients with clinical early‐stage OTSCC. The high kappa values were achieved in intra‐observer and inter‐observer. Conclusions International Tumor Budding Consensus Conference scoring system is a simple, reliable, and reproducible method to measure tumor budding in OTSCC, which should be included in the routine pathological report.
doi_str_mv 10.1111/jop.12856
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The aim of this study was to evaluate the prognostic value of tumor budding for OTSCC patients based on the scoring system recommended by the International Tumor Budding Consensus Conference (ITBCC) 2016. Methods Tumor budding was scored as ITBCC recommended in 255 patients with OTSCC. Then, associations between tumor budding and clinicopathologic parameters were examined. Among them, 136 patients with follow‐up data available were used to evaluate overall survival (OS) by the Kaplan‐Meier method. Prognostic value of tumor budding was assessed by Cox regression analysis. The inter‐observer and intra‐observer agreement was calculated by the kappa statistic. Results Tumor budding score was associated with lymph node metastasis, differentiation, invasive pattern, lymphoid infiltrate, tumor relapse, invasive depth, and reduced OS in OTSCC patients. The Cox analysis showed high budding score was an independent prognostic factor in patients with all clinical stage and patients with clinical early‐stage OTSCC. The high kappa values were achieved in intra‐observer and inter‐observer. Conclusions International Tumor Budding Consensus Conference scoring system is a simple, reliable, and reproducible method to measure tumor budding in OTSCC, which should be included in the routine pathological report.</description><identifier>ISSN: 0904-2512</identifier><identifier>EISSN: 1600-0714</identifier><identifier>DOI: 10.1111/jop.12856</identifier><identifier>PMID: 30927486</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Carcinoma, Squamous Cell - diagnosis ; Carcinoma, Squamous Cell - pathology ; Dentistry ; Humans ; Invasiveness ; ITBCC scoring system ; Lymph nodes ; Metastases ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Oral cancer ; oral tongue squamous cell carcinoma ; Prognosis ; Squamous cell carcinoma ; survival ; Tongue ; Tongue Neoplasms - diagnosis ; Tongue Neoplasms - pathology ; tumor budding</subject><ispartof>Journal of oral pathology &amp; medicine, 2019-07, Vol.48 (6), p.451-458</ispartof><rights>2019 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2019 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2019 John Wiley &amp; Sons A/S. 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The aim of this study was to evaluate the prognostic value of tumor budding for OTSCC patients based on the scoring system recommended by the International Tumor Budding Consensus Conference (ITBCC) 2016. Methods Tumor budding was scored as ITBCC recommended in 255 patients with OTSCC. Then, associations between tumor budding and clinicopathologic parameters were examined. Among them, 136 patients with follow‐up data available were used to evaluate overall survival (OS) by the Kaplan‐Meier method. Prognostic value of tumor budding was assessed by Cox regression analysis. The inter‐observer and intra‐observer agreement was calculated by the kappa statistic. Results Tumor budding score was associated with lymph node metastasis, differentiation, invasive pattern, lymphoid infiltrate, tumor relapse, invasive depth, and reduced OS in OTSCC patients. The Cox analysis showed high budding score was an independent prognostic factor in patients with all clinical stage and patients with clinical early‐stage OTSCC. The high kappa values were achieved in intra‐observer and inter‐observer. 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Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral pathology &amp; medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xie, Nan</au><au>Yu, Pei</au><au>Liu, Haichao</au><au>Liu, Xiqiang</au><au>Hou, Jinsong</au><au>Chen, Xiaohua</au><au>Huang, Hongzhang</au><au>Wang, Cheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validation of the International Tumor Budding Consensus Conference (2016) recommendations in oral tongue squamous cell carcinoma</atitle><jtitle>Journal of oral pathology &amp; medicine</jtitle><addtitle>J Oral Pathol Med</addtitle><date>2019-07</date><risdate>2019</risdate><volume>48</volume><issue>6</issue><spage>451</spage><epage>458</epage><pages>451-458</pages><issn>0904-2512</issn><eissn>1600-0714</eissn><abstract>Background Tumor budding is a valuable prognostic marker in oral tongue squamous cell carcinoma (OTSCC) but lacks a standardized scoring system. The aim of this study was to evaluate the prognostic value of tumor budding for OTSCC patients based on the scoring system recommended by the International Tumor Budding Consensus Conference (ITBCC) 2016. Methods Tumor budding was scored as ITBCC recommended in 255 patients with OTSCC. Then, associations between tumor budding and clinicopathologic parameters were examined. Among them, 136 patients with follow‐up data available were used to evaluate overall survival (OS) by the Kaplan‐Meier method. Prognostic value of tumor budding was assessed by Cox regression analysis. The inter‐observer and intra‐observer agreement was calculated by the kappa statistic. Results Tumor budding score was associated with lymph node metastasis, differentiation, invasive pattern, lymphoid infiltrate, tumor relapse, invasive depth, and reduced OS in OTSCC patients. The Cox analysis showed high budding score was an independent prognostic factor in patients with all clinical stage and patients with clinical early‐stage OTSCC. The high kappa values were achieved in intra‐observer and inter‐observer. Conclusions International Tumor Budding Consensus Conference scoring system is a simple, reliable, and reproducible method to measure tumor budding in OTSCC, which should be included in the routine pathological report.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30927486</pmid><doi>10.1111/jop.12856</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8155-5064</orcidid></addata></record>
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subjects Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - pathology
Dentistry
Humans
Invasiveness
ITBCC scoring system
Lymph nodes
Metastases
Neoplasm Recurrence, Local
Neoplasm Staging
Oral cancer
oral tongue squamous cell carcinoma
Prognosis
Squamous cell carcinoma
survival
Tongue
Tongue Neoplasms - diagnosis
Tongue Neoplasms - pathology
tumor budding
title Validation of the International Tumor Budding Consensus Conference (2016) recommendations in oral tongue squamous cell carcinoma
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