Oral cavity squamous cell carcinoma survival by biopsy type: a cancer registry study

Background:  Biopsy of a suspected oral squamous cell carcinoma (SCC) is important for diagnosis. Concerns have been raised about the potential for tumour spread by incisional biopsy techniques. This study aimed to investigate the five‐year survival and recurrence of oral SCC after incisional and ex...

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Veröffentlicht in:Australian dental journal 2010-12, Vol.55 (4), p.378-384
Hauptverfasser: Frydrych, AM, Parsons, R, Threlfall, T, Austin, N, Davies, GR, Booth, D, Slack‐Smith, LM
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container_end_page 384
container_issue 4
container_start_page 378
container_title Australian dental journal
container_volume 55
creator Frydrych, AM
Parsons, R
Threlfall, T
Austin, N
Davies, GR
Booth, D
Slack‐Smith, LM
description Background:  Biopsy of a suspected oral squamous cell carcinoma (SCC) is important for diagnosis. Concerns have been raised about the potential for tumour spread by incisional biopsy techniques. This study aimed to investigate the five‐year survival and recurrence of oral SCC after incisional and excisional biopsy in total population data available from the Western Australian Cancer Registry (WACR). Methods:  Total population data from the WACR, comprising all primary oral SCC cases diagnosed between 1990 and 1999, were examined. Information extracted included date of birth, gender, biopsy date, biopsy type, disease stage (TNM classification), disease site, date of recurrence and date of death. Records were excluded if the diagnosis was fine needle aspiration based, was not that of oral SCC and if a history was noted of another malignant neoplasm. Incisional and excisional biopsy cases were compared for five‐year survival, adjusting for disease stage. Results:  No association was found between biopsy type and five‐year survival or recurrence amongst individuals with Stage I or II disease. Conclusions:  In this study, biopsy type was not associated with survival of oral SCC patients with Stage I or II disease, adding to the evidence that incisional biopsy of oral SCC can be a safe procedure.
doi_str_mv 10.1111/j.1834-7819.2010.01257.x
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Concerns have been raised about the potential for tumour spread by incisional biopsy techniques. This study aimed to investigate the five‐year survival and recurrence of oral SCC after incisional and excisional biopsy in total population data available from the Western Australian Cancer Registry (WACR). Methods:  Total population data from the WACR, comprising all primary oral SCC cases diagnosed between 1990 and 1999, were examined. Information extracted included date of birth, gender, biopsy date, biopsy type, disease stage (TNM classification), disease site, date of recurrence and date of death. Records were excluded if the diagnosis was fine needle aspiration based, was not that of oral SCC and if a history was noted of another malignant neoplasm. Incisional and excisional biopsy cases were compared for five‐year survival, adjusting for disease stage. Results:  No association was found between biopsy type and five‐year survival or recurrence amongst individuals with Stage I or II disease. Conclusions:  In this study, biopsy type was not associated with survival of oral SCC patients with Stage I or II disease, adding to the evidence that incisional biopsy of oral SCC can be a safe procedure.</description><identifier>ISSN: 0045-0421</identifier><identifier>EISSN: 1834-7819</identifier><identifier>DOI: 10.1111/j.1834-7819.2010.01257.x</identifier><identifier>PMID: 21174907</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy - adverse effects ; Biopsy - methods ; Carcinoma, Squamous Cell - mortality ; Carcinoma, Squamous Cell - pathology ; Dentistry ; Dermatology ; epidemiology ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Female ; Humans ; Kaplan-Meier Estimate ; Male ; Medical sciences ; Middle Aged ; Mouth Neoplasms - mortality ; Mouth Neoplasms - pathology ; Neoplasm Recurrence, Local ; Neoplasm Seeding ; Neoplasm Staging ; Non tumoral diseases ; Oral cancer ; Otorhinolaryngology. Stomatology ; Proportional Hazards Models ; Registries ; Retrospective Studies ; squamous cell carcinoma ; survival analysis ; Tumors ; Tumors of the skin and soft tissue. 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Concerns have been raised about the potential for tumour spread by incisional biopsy techniques. This study aimed to investigate the five‐year survival and recurrence of oral SCC after incisional and excisional biopsy in total population data available from the Western Australian Cancer Registry (WACR). Methods:  Total population data from the WACR, comprising all primary oral SCC cases diagnosed between 1990 and 1999, were examined. Information extracted included date of birth, gender, biopsy date, biopsy type, disease stage (TNM classification), disease site, date of recurrence and date of death. Records were excluded if the diagnosis was fine needle aspiration based, was not that of oral SCC and if a history was noted of another malignant neoplasm. Incisional and excisional biopsy cases were compared for five‐year survival, adjusting for disease stage. Results:  No association was found between biopsy type and five‐year survival or recurrence amongst individuals with Stage I or II disease. 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Stomatology</subject><subject>Proportional Hazards Models</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>squamous cell carcinoma</subject><subject>survival analysis</subject><subject>Tumors</subject><subject>Tumors of the skin and soft tissue. 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Stomatology</topic><topic>Proportional Hazards Models</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>squamous cell carcinoma</topic><topic>survival analysis</topic><topic>Tumors</topic><topic>Tumors of the skin and soft tissue. 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Results:  No association was found between biopsy type and five‐year survival or recurrence amongst individuals with Stage I or II disease. Conclusions:  In this study, biopsy type was not associated with survival of oral SCC patients with Stage I or II disease, adding to the evidence that incisional biopsy of oral SCC can be a safe procedure.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21174907</pmid><doi>10.1111/j.1834-7819.2010.01257.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biopsy - adverse effects
Biopsy - methods
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Dentistry
Dermatology
epidemiology
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Kaplan-Meier Estimate
Male
Medical sciences
Middle Aged
Mouth Neoplasms - mortality
Mouth Neoplasms - pathology
Neoplasm Recurrence, Local
Neoplasm Seeding
Neoplasm Staging
Non tumoral diseases
Oral cancer
Otorhinolaryngology. Stomatology
Proportional Hazards Models
Registries
Retrospective Studies
squamous cell carcinoma
survival analysis
Tumors
Tumors of the skin and soft tissue. Premalignant lesions
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Western Australia - epidemiology
title Oral cavity squamous cell carcinoma survival by biopsy type: a cancer registry study
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