Combined-modality therapy for squamous carcinoma of the buccal mucosa: Treatment results and prognostic factors

Background Reports on locoregional control and survival of squamous cell carcinoma of buccal mucosa are scarce in literature. In this study, a single institution's experience of combined surgery and postoperative radiotherapy (RT) for buccal mucosal malignancy with favorable results was analyze...

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Veröffentlicht in:Head & neck 1997-09, Vol.19 (6), p.506-512
Hauptverfasser: Fang, Fu-Min, Wan Leung, Stephen, Huang, Chao-Cheng, Liu, Yi-Tien, Wang, Chong-Jong, Chen, Hui-Chun, Sun, Li-Min, Huang, David T.
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container_end_page 512
container_issue 6
container_start_page 506
container_title Head & neck
container_volume 19
creator Fang, Fu-Min
Wan Leung, Stephen
Huang, Chao-Cheng
Liu, Yi-Tien
Wang, Chong-Jong
Chen, Hui-Chun
Sun, Li-Min
Huang, David T.
description Background Reports on locoregional control and survival of squamous cell carcinoma of buccal mucosa are scarce in literature. In this study, a single institution's experience of combined surgery and postoperative radiotherapy (RT) for buccal mucosal malignancy with favorable results was analyzed and presented. The prognostic factors on locoregional control were also discussed. Methods From January 1988 to July 1994, 57 patients with squamous cell carcinoma of buccal mucosa treated by surgery and RT were reviewed. The distributions according to American Joint Committee on Cancer (AJCC) staging were: stage II, 6; stage III, 21; and stage IV, 30 patients. Total dose of RT at the buccal area ranged from 45 Gy to 68.4 Gy, median 61.2 Gy. Tumor‐related factors (AJCC stage, T stage, histologic grading, pathologic tumor invasion to skin of cheek, adjacent bony structures, and regional lymph nodes) and treatment‐related factors (surgical margin, radiation dose, and the time interval between operation and RT) were analyzed to determine their influence on locoregional control. Results Three‐year actuarial locoregional control rate, overall survival rate, and disease‐specific survival rates were 64%, 55%, and 62%, respectively. Ten of these 22 patients (45%) with recurrent tumors were reoperated, but only 2 patients were successfully salvaged. Positive surgical margin and tumor invasion to skin of cheek were significantly poor prognostic factors on locoregional control by univariate analysis. In multivariate analysis, tumor invasion to skin of cheek was the only prognostic factor (p = .0014). Conclusions Locoregional failure was the major cause of death for squamous buccal mucosa cancers managed with surgery and RT. Few recurrences could be detected early and successfully salvaged. Skin of cheek involvement is an important prognostic factor for buccal mucosa cancers. © 1997 John Wiley & Sons, Inc. Head Neck 19:506–512, 1997.
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In this study, a single institution's experience of combined surgery and postoperative radiotherapy (RT) for buccal mucosal malignancy with favorable results was analyzed and presented. The prognostic factors on locoregional control were also discussed. Methods From January 1988 to July 1994, 57 patients with squamous cell carcinoma of buccal mucosa treated by surgery and RT were reviewed. The distributions according to American Joint Committee on Cancer (AJCC) staging were: stage II, 6; stage III, 21; and stage IV, 30 patients. Total dose of RT at the buccal area ranged from 45 Gy to 68.4 Gy, median 61.2 Gy. Tumor‐related factors (AJCC stage, T stage, histologic grading, pathologic tumor invasion to skin of cheek, adjacent bony structures, and regional lymph nodes) and treatment‐related factors (surgical margin, radiation dose, and the time interval between operation and RT) were analyzed to determine their influence on locoregional control. Results Three‐year actuarial locoregional control rate, overall survival rate, and disease‐specific survival rates were 64%, 55%, and 62%, respectively. Ten of these 22 patients (45%) with recurrent tumors were reoperated, but only 2 patients were successfully salvaged. Positive surgical margin and tumor invasion to skin of cheek were significantly poor prognostic factors on locoregional control by univariate analysis. In multivariate analysis, tumor invasion to skin of cheek was the only prognostic factor (p = .0014). Conclusions Locoregional failure was the major cause of death for squamous buccal mucosa cancers managed with surgery and RT. Few recurrences could be detected early and successfully salvaged. Skin of cheek involvement is an important prognostic factor for buccal mucosa cancers. © 1997 John Wiley &amp; Sons, Inc. Head Neck 19:506–512, 1997.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/(SICI)1097-0347(199709)19:6&lt;506::AID-HED8&gt;3.0.CO;2-2</identifier><identifier>PMID: 9278759</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Actuarial Analysis ; Adult ; Aged ; Analysis of Variance ; Biological and medical sciences ; buccal mucosa cancers ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - radiotherapy ; Carcinoma, Squamous Cell - surgery ; Cause of Death ; Cheek - pathology ; Combined Modality Therapy ; Disease-Free Survival ; Female ; Humans ; Lymph Nodes - pathology ; Male ; Medical sciences ; Middle Aged ; Mouth Mucosa - pathology ; Mouth Mucosa - radiation effects ; Mouth Mucosa - surgery ; Mouth Neoplasms - pathology ; Mouth Neoplasms - radiotherapy ; Mouth Neoplasms - surgery ; Multivariate Analysis ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local - pathology ; Neoplasm Recurrence, Local - prevention &amp; control ; Neoplasm Recurrence, Local - surgery ; Neoplasm Staging ; operation ; Otorhinolaryngology. Stomatology ; Prognosis ; prognostic factors ; radiotherapy ; Radiotherapy Dosage ; Radiotherapy, High-Energy ; Reoperation ; Salvage Therapy ; Skin - pathology ; skin involvement ; Survival Rate ; Time Factors ; Treatment Outcome ; Tumors ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>Head &amp; neck, 1997-09, Vol.19 (6), p.506-512</ispartof><rights>Copyright © 1997 John Wiley &amp; Sons, Inc.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4938-9eba6c57cbb5f642c3d69eace121de5e7fa3d3310122e836f517e44f39b7aa0e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291097-0347%28199709%2919%3A6%3C506%3A%3AAID-HED8%3E3.0.CO%3B2-2$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291097-0347%28199709%2919%3A6%3C506%3A%3AAID-HED8%3E3.0.CO%3B2-2$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2777290$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9278759$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fang, Fu-Min</creatorcontrib><creatorcontrib>Wan Leung, Stephen</creatorcontrib><creatorcontrib>Huang, Chao-Cheng</creatorcontrib><creatorcontrib>Liu, Yi-Tien</creatorcontrib><creatorcontrib>Wang, Chong-Jong</creatorcontrib><creatorcontrib>Chen, Hui-Chun</creatorcontrib><creatorcontrib>Sun, Li-Min</creatorcontrib><creatorcontrib>Huang, David T.</creatorcontrib><title>Combined-modality therapy for squamous carcinoma of the buccal mucosa: Treatment results and prognostic factors</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background Reports on locoregional control and survival of squamous cell carcinoma of buccal mucosa are scarce in literature. In this study, a single institution's experience of combined surgery and postoperative radiotherapy (RT) for buccal mucosal malignancy with favorable results was analyzed and presented. The prognostic factors on locoregional control were also discussed. Methods From January 1988 to July 1994, 57 patients with squamous cell carcinoma of buccal mucosa treated by surgery and RT were reviewed. The distributions according to American Joint Committee on Cancer (AJCC) staging were: stage II, 6; stage III, 21; and stage IV, 30 patients. Total dose of RT at the buccal area ranged from 45 Gy to 68.4 Gy, median 61.2 Gy. Tumor‐related factors (AJCC stage, T stage, histologic grading, pathologic tumor invasion to skin of cheek, adjacent bony structures, and regional lymph nodes) and treatment‐related factors (surgical margin, radiation dose, and the time interval between operation and RT) were analyzed to determine their influence on locoregional control. Results Three‐year actuarial locoregional control rate, overall survival rate, and disease‐specific survival rates were 64%, 55%, and 62%, respectively. Ten of these 22 patients (45%) with recurrent tumors were reoperated, but only 2 patients were successfully salvaged. Positive surgical margin and tumor invasion to skin of cheek were significantly poor prognostic factors on locoregional control by univariate analysis. In multivariate analysis, tumor invasion to skin of cheek was the only prognostic factor (p = .0014). Conclusions Locoregional failure was the major cause of death for squamous buccal mucosa cancers managed with surgery and RT. Few recurrences could be detected early and successfully salvaged. Skin of cheek involvement is an important prognostic factor for buccal mucosa cancers. © 1997 John Wiley &amp; Sons, Inc. Head Neck 19:506–512, 1997.</description><subject>Actuarial Analysis</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>buccal mucosa cancers</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - radiotherapy</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cause of Death</subject><subject>Cheek - pathology</subject><subject>Combined Modality Therapy</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph Nodes - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mouth Mucosa - pathology</subject><subject>Mouth Mucosa - radiation effects</subject><subject>Mouth Mucosa - surgery</subject><subject>Mouth Neoplasms - pathology</subject><subject>Mouth Neoplasms - radiotherapy</subject><subject>Mouth Neoplasms - surgery</subject><subject>Multivariate Analysis</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm Recurrence, Local - prevention &amp; control</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Neoplasm Staging</subject><subject>operation</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Prognosis</subject><subject>prognostic factors</subject><subject>radiotherapy</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy, High-Energy</subject><subject>Reoperation</subject><subject>Salvage Therapy</subject><subject>Skin - pathology</subject><subject>skin involvement</subject><subject>Survival Rate</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV9v0zAUxSMEGmPwEZD8gND2kOI_SRyXCWlkYytMdBKFPV45zg1kJHFnJ4J-exxalQeQeLKte3z88zlRdMrojFHKXx1_WhSLE0aVjKlI5DFTSlJ1wtQ8O01pNp-fLc7jq4vz_I2Y0VmxfM1j_iA63F94OO0TEQsqk8fRE-_vKKUiS_hBdKC4zGWqDiNb2K5seqzizla6bYYNGb6h0-sNqa0j_n7UnR09MdqZpredJraeFKQcjdEt6UZjvZ6TlUM9dNgPxKEf28ET3Vdk7ezX3vqhMaTWZrDOP40e1br1-Gy3HkWf312siqv4enm5KM6uY5MokccKS52ZVJqyTOuAbESVKdQGGWcVpihrLSohGGWcYy6yOmUSk6QWqpRaUxRH0cutb0C4H9EP0DXeYNvqHsN_QCqeZjzNg3C1FRpnvXdYw9o1nXYbYBSmHgCmHmCKFaZYYdtDWCCD0ANA6AGmHkAAhWIJHHiwfb57fyw7rPamu-DD_MVurn3IsXa6N43fy7iUkiv6h-5H0-LmL7T_kP0D7Pc52MZb28YP-HNvq913yKSQKdx-vIT32dsPX25vbqAQvwBUX8Cf</recordid><startdate>199709</startdate><enddate>199709</enddate><creator>Fang, Fu-Min</creator><creator>Wan Leung, Stephen</creator><creator>Huang, Chao-Cheng</creator><creator>Liu, Yi-Tien</creator><creator>Wang, Chong-Jong</creator><creator>Chen, Hui-Chun</creator><creator>Sun, Li-Min</creator><creator>Huang, David T.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>John Wiley &amp; Sons</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>199709</creationdate><title>Combined-modality therapy for squamous carcinoma of the buccal mucosa: Treatment results and prognostic factors</title><author>Fang, Fu-Min ; Wan Leung, Stephen ; Huang, Chao-Cheng ; Liu, Yi-Tien ; Wang, Chong-Jong ; Chen, Hui-Chun ; Sun, Li-Min ; Huang, David T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4938-9eba6c57cbb5f642c3d69eace121de5e7fa3d3310122e836f517e44f39b7aa0e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Actuarial Analysis</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>buccal mucosa cancers</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - radiotherapy</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Cause of Death</topic><topic>Cheek - pathology</topic><topic>Combined Modality Therapy</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph Nodes - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mouth Mucosa - pathology</topic><topic>Mouth Mucosa - radiation effects</topic><topic>Mouth Mucosa - surgery</topic><topic>Mouth Neoplasms - pathology</topic><topic>Mouth Neoplasms - radiotherapy</topic><topic>Mouth Neoplasms - surgery</topic><topic>Multivariate Analysis</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Neoplasm Recurrence, Local - prevention &amp; control</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Neoplasm Staging</topic><topic>operation</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Prognosis</topic><topic>prognostic factors</topic><topic>radiotherapy</topic><topic>Radiotherapy Dosage</topic><topic>Radiotherapy, High-Energy</topic><topic>Reoperation</topic><topic>Salvage Therapy</topic><topic>Skin - pathology</topic><topic>skin involvement</topic><topic>Survival Rate</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fang, Fu-Min</creatorcontrib><creatorcontrib>Wan Leung, Stephen</creatorcontrib><creatorcontrib>Huang, Chao-Cheng</creatorcontrib><creatorcontrib>Liu, Yi-Tien</creatorcontrib><creatorcontrib>Wang, Chong-Jong</creatorcontrib><creatorcontrib>Chen, Hui-Chun</creatorcontrib><creatorcontrib>Sun, Li-Min</creatorcontrib><creatorcontrib>Huang, David T.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head &amp; neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fang, Fu-Min</au><au>Wan Leung, Stephen</au><au>Huang, Chao-Cheng</au><au>Liu, Yi-Tien</au><au>Wang, Chong-Jong</au><au>Chen, Hui-Chun</au><au>Sun, Li-Min</au><au>Huang, David T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined-modality therapy for squamous carcinoma of the buccal mucosa: Treatment results and prognostic factors</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>1997-09</date><risdate>1997</risdate><volume>19</volume><issue>6</issue><spage>506</spage><epage>512</epage><pages>506-512</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background Reports on locoregional control and survival of squamous cell carcinoma of buccal mucosa are scarce in literature. In this study, a single institution's experience of combined surgery and postoperative radiotherapy (RT) for buccal mucosal malignancy with favorable results was analyzed and presented. The prognostic factors on locoregional control were also discussed. Methods From January 1988 to July 1994, 57 patients with squamous cell carcinoma of buccal mucosa treated by surgery and RT were reviewed. The distributions according to American Joint Committee on Cancer (AJCC) staging were: stage II, 6; stage III, 21; and stage IV, 30 patients. Total dose of RT at the buccal area ranged from 45 Gy to 68.4 Gy, median 61.2 Gy. Tumor‐related factors (AJCC stage, T stage, histologic grading, pathologic tumor invasion to skin of cheek, adjacent bony structures, and regional lymph nodes) and treatment‐related factors (surgical margin, radiation dose, and the time interval between operation and RT) were analyzed to determine their influence on locoregional control. Results Three‐year actuarial locoregional control rate, overall survival rate, and disease‐specific survival rates were 64%, 55%, and 62%, respectively. Ten of these 22 patients (45%) with recurrent tumors were reoperated, but only 2 patients were successfully salvaged. Positive surgical margin and tumor invasion to skin of cheek were significantly poor prognostic factors on locoregional control by univariate analysis. In multivariate analysis, tumor invasion to skin of cheek was the only prognostic factor (p = .0014). Conclusions Locoregional failure was the major cause of death for squamous buccal mucosa cancers managed with surgery and RT. Few recurrences could be detected early and successfully salvaged. Skin of cheek involvement is an important prognostic factor for buccal mucosa cancers. © 1997 John Wiley &amp; Sons, Inc. Head Neck 19:506–512, 1997.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>9278759</pmid><doi>10.1002/(SICI)1097-0347(199709)19:6&lt;506::AID-HED8&gt;3.0.CO;2-2</doi><tpages>7</tpages></addata></record>
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subjects Actuarial Analysis
Adult
Aged
Analysis of Variance
Biological and medical sciences
buccal mucosa cancers
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - radiotherapy
Carcinoma, Squamous Cell - surgery
Cause of Death
Cheek - pathology
Combined Modality Therapy
Disease-Free Survival
Female
Humans
Lymph Nodes - pathology
Male
Medical sciences
Middle Aged
Mouth Mucosa - pathology
Mouth Mucosa - radiation effects
Mouth Mucosa - surgery
Mouth Neoplasms - pathology
Mouth Neoplasms - radiotherapy
Mouth Neoplasms - surgery
Multivariate Analysis
Neoplasm Invasiveness
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - prevention & control
Neoplasm Recurrence, Local - surgery
Neoplasm Staging
operation
Otorhinolaryngology. Stomatology
Prognosis
prognostic factors
radiotherapy
Radiotherapy Dosage
Radiotherapy, High-Energy
Reoperation
Salvage Therapy
Skin - pathology
skin involvement
Survival Rate
Time Factors
Treatment Outcome
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Combined-modality therapy for squamous carcinoma of the buccal mucosa: Treatment results and prognostic factors
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