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  1. Home
  2. Tumour Recurrence, Depth Of Invasion, And Temple Location As Independent Prognostic Parameters Of Lymph Node Metastases Of Head And Neck Cutaneous Squamous Cell Carcinomas.
  1. Home
  2. Tumour Recurrence, Depth Of Invasion, And Temple Location As Independent Prognostic Parameters Of Lymph Node Metastases Of Head And Neck Cutaneous Squamous Cell Carcinomas.

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Tumour Recurrence, Depth of Invasion, and Temple Location as Independent Prognostic Parameters of Lymph Node

Zuzana Horakova1, Ivo Starek1, Jana Zapletalova2

  • 1Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, I. P. Pavlova 185/6, Olomouc 779 00, Czech Republic.

International Journal of Clinical Practice
|March 18, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

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Identifying nodal metastases in head cutaneous squamous cell carcinoma (cSCC) is crucial. Recurrence, temple location, and infiltration depth independently predict metastases, guiding treatment for high-risk patients.

Area of Science:

  • Oncology
  • Dermatology
  • Head and Neck Surgery

Background:

  • Cutaneous squamous cell carcinoma (cSCC) has a high survival rate (>90%).
  • Nodal metastases significantly reduce survival rates by over 50%.
  • Predicting nodal metastases in head cSCC is essential for risk stratification.

Purpose of the Study:

  • To identify independent risk factors for nodal metastases in head cSCC.
  • To aid in identifying high-risk patients requiring closer follow-up and tailored treatment.
  • To evaluate the necessity of elective lymph node treatment.

Main Methods:

  • Retrospective analysis of 118 head cSCC patients (2008-2020).
  • Inclusion of tumor recurrence, location, infiltration depth, size, and T stage as risk parameters.
  • Statistical analysis to determine independent predictors of nodal metastases.
  • Main Results:

    • Tumor recurrence, temple location, and infiltration depth were independent predictors of nodal metastases.
    • These factors increased metastasis probability by 8.0, 8.1, and 4.3 times, respectively.
    • Tumor size and T stage were significant factors in univariate analysis.

    Conclusions:

    • Confirmed several independent risk factors for head cSCC nodal metastases.
    • Findings assist in identifying patients needing intensified treatment and surveillance.
    • Elective lymph node treatment is not recommended due to low metastasis incidence.