The risk factor for metastasis in Level IV in tongue cancer patients / 中华口腔医学杂志
Chinese Journal of Stomatology
; (12): 366-368, 2015.
Article
in Zh
| WPRIM
| ID: wpr-294702
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the risk factor for metastasis in Level IV of ipsilateral neck in tongue cancer patients.</p><p><b>METHODS</b>A total of 248 tongue caner paitents (255 necks) that underwent radical neck dissection was enrolled in the study. Chi-square test and Logistic regression analysis were used to determine the factors associated with metastasis in Level IV. The variable included age, sex, growth type, T stage, histopathological grade, Level III involvement, number of positive lymph nodes in Levels I-III.</p><p><b>RESULTS</b>Out of 147 cases (152 necks) with positive lymph node, 21 necks (8.2%, 21/255) had Level III involvement, and 2 necks (0.8%, 2/255) developed skip metastasis. Chi-square test showed that age (P = 0.020), Level III involvement (P = 0.000), number of positive Level (≥ 2 Levels) in Levels I-III (P = 0.006), and number of positive lymph node (≥ 3 nodes) in Levels I-III (P = 0.000) were identified as independent risk factor. Logistic regression analysis revealed that only Level III involvement (P = 0.003) was the risk factor for metastasis in Level IV.</p><p><b>CONCLUSIONS</b>In tongue cancer patients, Level III involvement was a high risk factor for metastasis in Level IV.</p>
Full text:
1
Index:
WPRIM
Main subject:
Pathology
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Neck Dissection
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Tongue Neoplasms
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Carcinoma, Squamous Cell
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Chi-Square Distribution
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Sex Factors
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Regression Analysis
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Risk Factors
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Age Factors
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Lymph Nodes
Type of study:
Diagnostic_studies
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Etiology_studies
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Prognostic_studies
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Risk_factors_studies
Limits:
Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Stomatology
Year:
2015
Type:
Article