Stage is a prognostic factor for surgically treated patients with early-stage lip cancer for whom a ‘wait and see’ policy in terms of neck status has been implemented

To determine the locoregional control and survival rates (in terms of risk factors) of patients who underwent surgical resection of early-stage lip cancer and for whom a 'wait and see' policy in terms of neck status had been implemented. The sociodemographic data, tumour stage, tumour char...

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Bibliographic Details
Published in:Journal of laryngology and otology 2017-10, Vol.131 (10), p.889-894
Main Authors: Eskiizmir, G, Ozgur, E, Karaca, G, Temiz, P, Yanar, N Hacioglu, Ozyurt, B Cengiz
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cancer
Disease-Free Survival
Dissection
Female
Head & neck cancer
Humans
Lip
Lip Neoplasms - pathology
Lip Neoplasms - surgery
Lymphatic system
Main Articles
Male
Medical prognosis
Metastasis
Middle Aged
Neck
Neck - pathology
Neck - surgery
Neck Dissection - methods
Neoplasm Staging
Oral cancer
Otolaryngology
Patients
Prognosis
Risk factors
Sociodemographics
Studies
Surgery
Survival
Survival Analysis
Treatment Outcome
Tumors
Ultrasonic imaging
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Summary:To determine the locoregional control and survival rates (in terms of risk factors) of patients who underwent surgical resection of early-stage lip cancer and for whom a 'wait and see' policy in terms of neck status had been implemented. The sociodemographic data, tumour stage, tumour characteristics and histopathological features of 41 patients with early-stage lip cancer were evaluated. Factors predictive of survival and locoregional recurrence were analysed. The five-year overall survival and disease-free survival rates were determined, and the prognostic risk factors were compared. The mean follow-up period was 60.5 months (range, 4-92 months). Age, sex, tumour stage, tumour thickness and volume, and perineural involvement were not predictive of locoregional recurrence or survival. Pathological tumour stage (T1 vs T2) was a prognostic factor for both five-year overall survival (87.3 vs 65.6 per cent, p = 0.042) and disease-free survival (88.6 vs 65.6 per cent, p = 0.037). Tumour stage was clearly a major factor affecting the prognosis of surgically treated patients with early-stage lip cancer for whom a 'wait and see' policy in terms of neck status had been implemented.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215117001669