Innovative Fudan rT staging in endoscopic surgery for recurrent nasopharyngeal carcinoma

Background American Joint Committee on Cancer/Union for International Cancer Control (AJCC/UICC) rT staging have great clinical impracticality. The aim of the present study was to establish a new rT staging to guide endoscopic surgery for the treatment of recurrent nasopharyngeal carcinoma (rNPC). M...

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Veröffentlicht in:Head & neck 2023-02, Vol.45 (2), p.355-364
Hauptverfasser: Li, Wanpeng, Liu, Qiang, Xu, Haoyuan, Wang, Huan, Zhang, Huangkang, Liu, Quan, Wang, Jingjing, Hu, Li, Li, Houyong, Sun, Xicai, Yu, Hongmeng, Wang, Dehui
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container_end_page 364
container_issue 2
container_start_page 355
container_title Head & neck
container_volume 45
creator Li, Wanpeng
Liu, Qiang
Xu, Haoyuan
Wang, Huan
Zhang, Huangkang
Liu, Quan
Wang, Jingjing
Hu, Li
Li, Houyong
Sun, Xicai
Yu, Hongmeng
Wang, Dehui
description Background American Joint Committee on Cancer/Union for International Cancer Control (AJCC/UICC) rT staging have great clinical impracticality. The aim of the present study was to establish a new rT staging to guide endoscopic surgery for the treatment of recurrent nasopharyngeal carcinoma (rNPC). Methods This surgical rT staging (named Fudan rT staging) was constructed using two significant risk factors: the distance from the tumor margin to the internal carotid artery, and dural invasion. Log‐rank and receiver operating characteristic (ROC) curve analyses were used to evaluate its effectiveness. Results Fudan rT staging can effectively separate the overall survival (OS) and progression‐free survival (PFS) of patients with rNPC according to the different rT stages (p 
doi_str_mv 10.1002/hed.27244
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The aim of the present study was to establish a new rT staging to guide endoscopic surgery for the treatment of recurrent nasopharyngeal carcinoma (rNPC). Methods This surgical rT staging (named Fudan rT staging) was constructed using two significant risk factors: the distance from the tumor margin to the internal carotid artery, and dural invasion. Log‐rank and receiver operating characteristic (ROC) curve analyses were used to evaluate its effectiveness. Results Fudan rT staging can effectively separate the overall survival (OS) and progression‐free survival (PFS) of patients with rNPC according to the different rT stages (p &lt; 0.05). In addition, ROC analysis showed that the Fudan rT staging exhibited enhanced prognostic value for OS and PFS compared with the AJCC/UICC rT staging. Conclusions The innovative Fudan rT staging has a better predictive value for the survival of patients with rNPC than AJCC/UICC rT staging.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.27244</identifier><identifier>PMID: 36380690</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Carotid artery ; Chronic Disease ; endoscopic surgery ; Endoscopy ; Humans ; Nasopharyngeal Carcinoma ; Nasopharyngeal Neoplasms - pathology ; Neoplasm Staging ; Patients ; Prognosis ; Progression-Free Survival ; recurrent ; Retrospective Studies ; Risk factors ; Surgery ; Survival ; T staging ; Throat cancer ; Tumors</subject><ispartof>Head &amp; neck, 2023-02, Vol.45 (2), p.355-364</ispartof><rights>2022 Wiley Periodicals LLC.</rights><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-e96ea91a02744e9834fd71ce4ee76e28e187510840e5780cb827e72d77410bae3</citedby><cites>FETCH-LOGICAL-c3534-e96ea91a02744e9834fd71ce4ee76e28e187510840e5780cb827e72d77410bae3</cites><orcidid>0000-0003-0346-3193 ; 0000-0003-2586-860X ; 0000-0003-1423-0942 ; 0000-0002-2578-9103</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.27244$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.27244$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36380690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Wanpeng</creatorcontrib><creatorcontrib>Liu, Qiang</creatorcontrib><creatorcontrib>Xu, Haoyuan</creatorcontrib><creatorcontrib>Wang, Huan</creatorcontrib><creatorcontrib>Zhang, Huangkang</creatorcontrib><creatorcontrib>Liu, Quan</creatorcontrib><creatorcontrib>Wang, Jingjing</creatorcontrib><creatorcontrib>Hu, Li</creatorcontrib><creatorcontrib>Li, Houyong</creatorcontrib><creatorcontrib>Sun, Xicai</creatorcontrib><creatorcontrib>Yu, Hongmeng</creatorcontrib><creatorcontrib>Wang, Dehui</creatorcontrib><title>Innovative Fudan rT staging in endoscopic surgery for recurrent nasopharyngeal carcinoma</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background American Joint Committee on Cancer/Union for International Cancer Control (AJCC/UICC) rT staging have great clinical impracticality. The aim of the present study was to establish a new rT staging to guide endoscopic surgery for the treatment of recurrent nasopharyngeal carcinoma (rNPC). Methods This surgical rT staging (named Fudan rT staging) was constructed using two significant risk factors: the distance from the tumor margin to the internal carotid artery, and dural invasion. Log‐rank and receiver operating characteristic (ROC) curve analyses were used to evaluate its effectiveness. Results Fudan rT staging can effectively separate the overall survival (OS) and progression‐free survival (PFS) of patients with rNPC according to the different rT stages (p &lt; 0.05). In addition, ROC analysis showed that the Fudan rT staging exhibited enhanced prognostic value for OS and PFS compared with the AJCC/UICC rT staging. Conclusions The innovative Fudan rT staging has a better predictive value for the survival of patients with rNPC than AJCC/UICC rT staging.</description><subject>Carotid artery</subject><subject>Chronic Disease</subject><subject>endoscopic surgery</subject><subject>Endoscopy</subject><subject>Humans</subject><subject>Nasopharyngeal Carcinoma</subject><subject>Nasopharyngeal Neoplasms - pathology</subject><subject>Neoplasm Staging</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Progression-Free Survival</subject><subject>recurrent</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Survival</subject><subject>T staging</subject><subject>Throat cancer</subject><subject>Tumors</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LAzEQQIMoflQP_gEJeNHD1snHbnaPUlsrFLwoeFvS7Gxd2SY16Vb6703dehE8ZQiPx8wj5JLBkAHwu3eshlxxKQ_IKYNCJSCkOtzNUiQClDwhZyF8AIDIJD8mJyITOWQFnJK3J2vdRq-bDdJJV2lL_QsNa71o7II2lqKtXDBu1RgaOr9Av6W189Sj6bxHu6ZWB7d6135rF6hbarQ3jXVLfU6Oat0GvNi_A_I6Gb-Mpsns-fFpdD9LjEiFTLDIUBdMA1dSYpELWVeKGZSIKkOeI8tVyiCXgKnKwcxzrlDxSinJYK5RDMhN711599lhWJfLJhhsW23RdaHkSijGsjSqB-T6D_rhOm_jdpFKi4JJBSJStz1lvAvBY12ufLOMB5YMyl3uMuYuf3JH9mpv7ObL-PtL_vaNwF0PfDUtbv83ldPxQ6_8BuwxiKM</recordid><startdate>202302</startdate><enddate>202302</enddate><creator>Li, Wanpeng</creator><creator>Liu, Qiang</creator><creator>Xu, Haoyuan</creator><creator>Wang, Huan</creator><creator>Zhang, Huangkang</creator><creator>Liu, Quan</creator><creator>Wang, Jingjing</creator><creator>Hu, Li</creator><creator>Li, Houyong</creator><creator>Sun, Xicai</creator><creator>Yu, Hongmeng</creator><creator>Wang, Dehui</creator><general>John Wiley &amp; Sons, Inc</general><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/0000-0003-0346-3193</orcidid><orcidid>https://orcid.org/0000-0003-2586-860X</orcidid><orcidid>https://orcid.org/0000-0003-1423-0942</orcidid><orcidid>https://orcid.org/0000-0002-2578-9103</orcidid></search><sort><creationdate>202302</creationdate><title>Innovative Fudan rT staging in endoscopic surgery for recurrent nasopharyngeal carcinoma</title><author>Li, Wanpeng ; Liu, Qiang ; Xu, Haoyuan ; Wang, Huan ; Zhang, Huangkang ; Liu, Quan ; Wang, Jingjing ; Hu, Li ; Li, Houyong ; Sun, Xicai ; Yu, Hongmeng ; Wang, Dehui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-e96ea91a02744e9834fd71ce4ee76e28e187510840e5780cb827e72d77410bae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Carotid artery</topic><topic>Chronic Disease</topic><topic>endoscopic surgery</topic><topic>Endoscopy</topic><topic>Humans</topic><topic>Nasopharyngeal Carcinoma</topic><topic>Nasopharyngeal Neoplasms - pathology</topic><topic>Neoplasm Staging</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Progression-Free Survival</topic><topic>recurrent</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Survival</topic><topic>T staging</topic><topic>Throat cancer</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Wanpeng</creatorcontrib><creatorcontrib>Liu, Qiang</creatorcontrib><creatorcontrib>Xu, Haoyuan</creatorcontrib><creatorcontrib>Wang, Huan</creatorcontrib><creatorcontrib>Zhang, Huangkang</creatorcontrib><creatorcontrib>Liu, Quan</creatorcontrib><creatorcontrib>Wang, Jingjing</creatorcontrib><creatorcontrib>Hu, Li</creatorcontrib><creatorcontrib>Li, Houyong</creatorcontrib><creatorcontrib>Sun, Xicai</creatorcontrib><creatorcontrib>Yu, Hongmeng</creatorcontrib><creatorcontrib>Wang, Dehui</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 &amp; Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head &amp; neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Wanpeng</au><au>Liu, Qiang</au><au>Xu, Haoyuan</au><au>Wang, Huan</au><au>Zhang, Huangkang</au><au>Liu, Quan</au><au>Wang, Jingjing</au><au>Hu, Li</au><au>Li, Houyong</au><au>Sun, Xicai</au><au>Yu, Hongmeng</au><au>Wang, Dehui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Innovative Fudan rT staging in endoscopic surgery for recurrent nasopharyngeal carcinoma</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>2023-02</date><risdate>2023</risdate><volume>45</volume><issue>2</issue><spage>355</spage><epage>364</epage><pages>355-364</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background American Joint Committee on Cancer/Union for International Cancer Control (AJCC/UICC) rT staging have great clinical impracticality. The aim of the present study was to establish a new rT staging to guide endoscopic surgery for the treatment of recurrent nasopharyngeal carcinoma (rNPC). Methods This surgical rT staging (named Fudan rT staging) was constructed using two significant risk factors: the distance from the tumor margin to the internal carotid artery, and dural invasion. Log‐rank and receiver operating characteristic (ROC) curve analyses were used to evaluate its effectiveness. Results Fudan rT staging can effectively separate the overall survival (OS) and progression‐free survival (PFS) of patients with rNPC according to the different rT stages (p &lt; 0.05). In addition, ROC analysis showed that the Fudan rT staging exhibited enhanced prognostic value for OS and PFS compared with the AJCC/UICC rT staging. 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subjects Carotid artery
Chronic Disease
endoscopic surgery
Endoscopy
Humans
Nasopharyngeal Carcinoma
Nasopharyngeal Neoplasms - pathology
Neoplasm Staging
Patients
Prognosis
Progression-Free Survival
recurrent
Retrospective Studies
Risk factors
Surgery
Survival
T staging
Throat cancer
Tumors
title Innovative Fudan rT staging in endoscopic surgery for recurrent nasopharyngeal carcinoma
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