Academic Journal

Oral squamous cell carcinoma involving the maxillae: Factors affecting local recurrence and the value of salvage treatment for overall survival

التفاصيل البيبلوغرافية
العنوان: Oral squamous cell carcinoma involving the maxillae: Factors affecting local recurrence and the value of salvage treatment for overall survival
المؤلفون: Slieker, Fons J B, de Bree, Remco, Van Cann, Ellen M
المساهمون: MS Hoofd-Hals Chirurgische Oncologie, Cancer
سنة النشر: 2020
مصطلحات موضوعية: 5-year local control, malignancy, maxillary cancer, maxillectomy, salvage treatment, squamous cell carcinoma, Otorhinolaryngology, Journal Article
الوصف: OBJECTIVE: To determine factors associated with local recurrence (LR) of oral squamous cell carcinoma involving the maxillae (MSCC) and overall survival (OS) after salvage treatment. SUBJECTS AND METHODS: Retrospective study of MSCC operated between 2000 and 2015. Kaplan-Meier survival and Cox regression were used for analysis of MSCC-associated clinical and histopathological factors. RESULTS: Ninety-five patients were included. LR occurred in 24% of patients. Vascular invasion significantly increased the risk of LR (hazard ratio 4.595, P = .003). Local salvage surgery, in the area of the original tumor, significantly prolonged OS, compared to palliative treatment (P = .001) and extensive salvage surgery (P = .013). Extensive salvage surgery, requiring resection of adjacent facial structures, did not prolong OS compared to palliative treatment (P = .186). CONCLUSIONS: MSCC with vascular invasion has higher risk of LR. Salvage surgery may prolong OS in small recurrences but might have dubious value for larger recurrences infiltrating adjacent facial structures.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
تدمد: 1043-3074
Relation: https://dspace.library.uu.nl/handle/1874/439480
الاتاحة: https://dspace.library.uu.nl/handle/1874/439480
Rights: info:eu-repo/semantics/OpenAccess
رقم الانضمام: edsbas.CC317BEC
قاعدة البيانات: BASE