Pathology protocol increases lymph node yield in neck dissection for oral cavity squamous cell carcinoma

Background Lymph node yield (LNY) is a proposed quality indicator in neck dissection for oral cavity squamous cell carcinoma (OCSCC). Methods Retrospective series including 190 patients with OCSCC undergoing neck dissection between 2016 and 2018. A change in pathologic grossing protocol was initiate...

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Bibliographic Details
Published in:Head & neck 2020-10, Vol.42 (10), p.2872-2879
Main Authors: Holcomb, Andrew J., Perryman, Mollie, Goodwin, Sara, Penn, Joseph, Villwock, Mark R., Bur, Andrés M., Shnayder, Yelizaveta, Tsue, Terance T., Woodroof, Janet, Kakarala, Kiran
Format: Article
Language:English
Subjects:
Adipose tissue
Body mass index
Dissection
Generalized linear models
Head & neck cancer
Head and neck
head and neck cancer
histopathology
Lymph nodes
Lymphatic system
Neck
neck dissection
Oral cancer
Oral cavity
Quality control
quality indicators
Squamous cell carcinoma
Surgery
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Summary:Background Lymph node yield (LNY) is a proposed quality indicator in neck dissection for oral cavity squamous cell carcinoma (OCSCC). Methods Retrospective series including 190 patients with OCSCC undergoing neck dissection between 2016 and 2018. A change in pathologic grossing protocol was initiated during the study period to assess residual adipose tissue. A generalized linear model was used to assess the impact of multiple variables on LNY. Results Mean LNY was 28.59 (SD = 17.65). The protocol identified a mean of 10.32 lymph nodes per case. Multivariable analysis identified associations between LNY and use of the pathology protocol (P = .02), number of dissected lymph node levels (P 
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.26343