Compartmental tongue surgery for intermediate‐advanced squamous cell carcinoma: A multicentric study

BackgroundA multicentric study was conducted on technical reproducibility of compartmental tongue surgery (CTS) in advanced tongue cancers (OTSCC) and comparison to standard wide margin surgery (SWMS).MethodsWe studied 551 patients with OTSCC treated by CTS and 50 by SWMS. Oncological outcomes were...

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Veröffentlicht in:Head & neck 2023-11, Vol.45 (11), p.2862-2873
Hauptverfasser: Calabrese, Luca, Tagliabue, Marta, Grammatica, Alberto, De Berardinis, Rita, Corso, Federica, Gazzini, Luca, Abousiam, Monir, Fazio, Enrico, Mattavelli, Davide, Fontanella, Walter, Giannini, Lorenzo, Bresciani, Lorenzo, Bruschini, Roberto, Gandini, Sara, Piazza, Cesare, Ansarin, Mohssen
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container_end_page 2873
container_issue 11
container_start_page 2862
container_title Head & neck
container_volume 45
creator Calabrese, Luca
Tagliabue, Marta
Grammatica, Alberto
De Berardinis, Rita
Corso, Federica
Gazzini, Luca
Abousiam, Monir
Fazio, Enrico
Mattavelli, Davide
Fontanella, Walter
Giannini, Lorenzo
Bresciani, Lorenzo
Bruschini, Roberto
Gandini, Sara
Piazza, Cesare
Ansarin, Mohssen
description BackgroundA multicentric study was conducted on technical reproducibility of compartmental tongue surgery (CTS) in advanced tongue cancers (OTSCC) and comparison to standard wide margin surgery (SWMS).MethodsWe studied 551 patients with OTSCC treated by CTS and 50 by SWMS. Oncological outcomes were analyzed. A propensity score was performed to compare survival endpoints for the two cohorts.ResultsIn the CTS group, survival and prognosis were significantly associated with positive lymph‐nodes, extranodal extension, depth of invasion and involvement of the soft tissue connecting the tongue primary tumor to neck lymph nodes (T‐N tract), independently from the center performing the surgery. SWMS versus CTS showed a HR Cause‐Specific Survival (CSS) of 3.24 (95% CI: 1.71–6.11; p 
doi_str_mv 10.1002/hed.27517
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Oncological outcomes were analyzed. A propensity score was performed to compare survival endpoints for the two cohorts.ResultsIn the CTS group, survival and prognosis were significantly associated with positive lymph‐nodes, extranodal extension, depth of invasion and involvement of the soft tissue connecting the tongue primary tumor to neck lymph nodes (T‐N tract), independently from the center performing the surgery. SWMS versus CTS showed a HR Cause‐Specific Survival (CSS) of 3.24 (95% CI: 1.71–6.11; p &lt; 0.001); HR Loco‐Regional Recurrence Free Survival (LRRFS) of 2.54 (95% CI: 1.47–4.40; p &lt; 0.001); HR Overall Survival (OS) of 0.11 (95% CI: 0.01–0.77; p = 0.03).ConclusionPerforming the CTS could provide better CSS and LRRFS than SWMS regardless of the center performing the surgery, in advanced OTSSC.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.27517</identifier><language>eng</language><publisher>Houston: Wiley Subscription Services, Inc</publisher><subject>Lymph nodes ; Medical prognosis ; Oral cancer ; Squamous cell carcinoma ; Surgery ; Tongue</subject><ispartof>Head &amp; neck, 2023-11, Vol.45 (11), p.2862-2873</ispartof><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c325t-a2cf01508aa36e231d6571f5fac7fd0d2c0b6a8cb779b4b3677f28b99ad6523f3</citedby><cites>FETCH-LOGICAL-c325t-a2cf01508aa36e231d6571f5fac7fd0d2c0b6a8cb779b4b3677f28b99ad6523f3</cites><orcidid>0000-0001-7023-6746 ; 0000-0002-7879-4846 ; 0000-0003-4959-587X ; 0000-0002-8384-5388 ; 0000-0002-2391-9357</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids></links><search><creatorcontrib>Calabrese, Luca</creatorcontrib><creatorcontrib>Tagliabue, Marta</creatorcontrib><creatorcontrib>Grammatica, Alberto</creatorcontrib><creatorcontrib>De Berardinis, Rita</creatorcontrib><creatorcontrib>Corso, Federica</creatorcontrib><creatorcontrib>Gazzini, Luca</creatorcontrib><creatorcontrib>Abousiam, Monir</creatorcontrib><creatorcontrib>Fazio, Enrico</creatorcontrib><creatorcontrib>Mattavelli, Davide</creatorcontrib><creatorcontrib>Fontanella, Walter</creatorcontrib><creatorcontrib>Giannini, Lorenzo</creatorcontrib><creatorcontrib>Bresciani, Lorenzo</creatorcontrib><creatorcontrib>Bruschini, Roberto</creatorcontrib><creatorcontrib>Gandini, Sara</creatorcontrib><creatorcontrib>Piazza, Cesare</creatorcontrib><creatorcontrib>Ansarin, Mohssen</creatorcontrib><title>Compartmental tongue surgery for intermediate‐advanced squamous cell carcinoma: A multicentric study</title><title>Head &amp; neck</title><description>BackgroundA multicentric study was conducted on technical reproducibility of compartmental tongue surgery (CTS) in advanced tongue cancers (OTSCC) and comparison to standard wide margin surgery (SWMS).MethodsWe studied 551 patients with OTSCC treated by CTS and 50 by SWMS. Oncological outcomes were analyzed. A propensity score was performed to compare survival endpoints for the two cohorts.ResultsIn the CTS group, survival and prognosis were significantly associated with positive lymph‐nodes, extranodal extension, depth of invasion and involvement of the soft tissue connecting the tongue primary tumor to neck lymph nodes (T‐N tract), independently from the center performing the surgery. SWMS versus CTS showed a HR Cause‐Specific Survival (CSS) of 3.24 (95% CI: 1.71–6.11; p &lt; 0.001); HR Loco‐Regional Recurrence Free Survival (LRRFS) of 2.54 (95% CI: 1.47–4.40; p &lt; 0.001); HR Overall Survival (OS) of 0.11 (95% CI: 0.01–0.77; p = 0.03).ConclusionPerforming the CTS could provide better CSS and LRRFS than SWMS regardless of the center performing the surgery, in advanced OTSSC.</description><subject>Lymph nodes</subject><subject>Medical prognosis</subject><subject>Oral cancer</subject><subject>Squamous cell carcinoma</subject><subject>Surgery</subject><subject>Tongue</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpd0MtKw0AUBuAgCtbqwjcYcKOL1LkkM4m7UrxBwY2uw8lcakomaecidOcj-Iw-iVPrytU5i4-fnz_LLgmeEYzp7btWMypKIo6yCcG1yDErxPH-L1jOsChOszPv1xhjxgs6ycxitBtwweohQI_COKyiRj66lXY7ZEaHuiFoZ7XqIOjvzy9QHzBIrZDfRrBj9EjqvkcSnOyG0cIdmiMb-9DJlOg6iXyIaneenRjovb74u9Ps7eH-dfGUL18enxfzZS4ZLUMOVBpMSlwBMK4pI4qXgpjSgBRGYUUlbjlUshWibouWcSEMrdq6hgQpM2yaXR9yN27cRu1DYzu_LwiDTl0bWnEuOKkLlujVP7oeoxtSu6RElSSpeVI3ByXd6L3Tptm4zoLbNQQ3-8WbtHjzuzj7AW4_djQ</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Calabrese, Luca</creator><creator>Tagliabue, Marta</creator><creator>Grammatica, Alberto</creator><creator>De Berardinis, Rita</creator><creator>Corso, Federica</creator><creator>Gazzini, Luca</creator><creator>Abousiam, Monir</creator><creator>Fazio, Enrico</creator><creator>Mattavelli, Davide</creator><creator>Fontanella, Walter</creator><creator>Giannini, Lorenzo</creator><creator>Bresciani, Lorenzo</creator><creator>Bruschini, Roberto</creator><creator>Gandini, Sara</creator><creator>Piazza, Cesare</creator><creator>Ansarin, Mohssen</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7023-6746</orcidid><orcidid>https://orcid.org/0000-0002-7879-4846</orcidid><orcidid>https://orcid.org/0000-0003-4959-587X</orcidid><orcidid>https://orcid.org/0000-0002-8384-5388</orcidid><orcidid>https://orcid.org/0000-0002-2391-9357</orcidid></search><sort><creationdate>20231101</creationdate><title>Compartmental tongue surgery for intermediate‐advanced squamous cell carcinoma: A multicentric study</title><author>Calabrese, Luca ; Tagliabue, Marta ; Grammatica, Alberto ; De Berardinis, Rita ; Corso, Federica ; Gazzini, Luca ; Abousiam, Monir ; Fazio, Enrico ; Mattavelli, Davide ; Fontanella, Walter ; Giannini, Lorenzo ; Bresciani, Lorenzo ; Bruschini, Roberto ; Gandini, Sara ; Piazza, Cesare ; Ansarin, Mohssen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c325t-a2cf01508aa36e231d6571f5fac7fd0d2c0b6a8cb779b4b3677f28b99ad6523f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Lymph nodes</topic><topic>Medical prognosis</topic><topic>Oral cancer</topic><topic>Squamous cell carcinoma</topic><topic>Surgery</topic><topic>Tongue</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Calabrese, Luca</creatorcontrib><creatorcontrib>Tagliabue, Marta</creatorcontrib><creatorcontrib>Grammatica, Alberto</creatorcontrib><creatorcontrib>De Berardinis, Rita</creatorcontrib><creatorcontrib>Corso, Federica</creatorcontrib><creatorcontrib>Gazzini, Luca</creatorcontrib><creatorcontrib>Abousiam, Monir</creatorcontrib><creatorcontrib>Fazio, Enrico</creatorcontrib><creatorcontrib>Mattavelli, Davide</creatorcontrib><creatorcontrib>Fontanella, Walter</creatorcontrib><creatorcontrib>Giannini, Lorenzo</creatorcontrib><creatorcontrib>Bresciani, Lorenzo</creatorcontrib><creatorcontrib>Bruschini, Roberto</creatorcontrib><creatorcontrib>Gandini, Sara</creatorcontrib><creatorcontrib>Piazza, Cesare</creatorcontrib><creatorcontrib>Ansarin, Mohssen</creatorcontrib><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>Calabrese, Luca</au><au>Tagliabue, Marta</au><au>Grammatica, Alberto</au><au>De Berardinis, Rita</au><au>Corso, Federica</au><au>Gazzini, Luca</au><au>Abousiam, Monir</au><au>Fazio, Enrico</au><au>Mattavelli, Davide</au><au>Fontanella, Walter</au><au>Giannini, Lorenzo</au><au>Bresciani, Lorenzo</au><au>Bruschini, Roberto</au><au>Gandini, Sara</au><au>Piazza, Cesare</au><au>Ansarin, Mohssen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compartmental tongue surgery for intermediate‐advanced squamous cell carcinoma: A multicentric study</atitle><jtitle>Head &amp; neck</jtitle><date>2023-11-01</date><risdate>2023</risdate><volume>45</volume><issue>11</issue><spage>2862</spage><epage>2873</epage><pages>2862-2873</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>BackgroundA multicentric study was conducted on technical reproducibility of compartmental tongue surgery (CTS) in advanced tongue cancers (OTSCC) and comparison to standard wide margin surgery (SWMS).MethodsWe studied 551 patients with OTSCC treated by CTS and 50 by SWMS. Oncological outcomes were analyzed. A propensity score was performed to compare survival endpoints for the two cohorts.ResultsIn the CTS group, survival and prognosis were significantly associated with positive lymph‐nodes, extranodal extension, depth of invasion and involvement of the soft tissue connecting the tongue primary tumor to neck lymph nodes (T‐N tract), independently from the center performing the surgery. 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subjects Lymph nodes
Medical prognosis
Oral cancer
Squamous cell carcinoma
Surgery
Tongue
title Compartmental tongue surgery for intermediate‐advanced squamous cell carcinoma: A multicentric study
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