Squamous Cell Carcinoma of the Nasal Vestibule : A Multi-Centric Observational Cohort Study
© 2023 The American Laryngological, Rhinological and Otological Society, Inc..
OBJECTIVES: Squamous cell carcinoma of the nasal vestibule (NV-SCC) is a rare but challenging entity, due to the complex anatomy of the region. Consensus on the best treatment strategy is still lacking, as well as a dedicated staging system. Our aim was to analyze oncological outcomes of surgically treated patients and to investigate possible prognostic factors.
METHODS: We performed a retrospective multi-centric observational study including six Academic Hospitals over a 10-year period, including only patients who underwent upfront surgery for primary NV-SCC. Patients were staged according to all currently available staging systems. The Kaplan-Meier method was used to compute overall, disease-free, and disease-specific survival. Logistic regression models were used to correlate between survival outcomes and clinical and pathological variables.
RESULTS: Seventy-one patients with a median follow-up of 38 months were included in the study. Partial and total rhinectomy were the most commonly performed procedures, respectively, in 49.3% and 25.4% of cases. Neck dissection was performed on 31% of patients, and 45.1% of them underwent adjuvant radiotherapy. Three years overall, disease-specific and disease-free survival were, respectively, 86.5%, 90.3%, and 74.2%. None of the currently available staging systems were able to effectively stratify survival outcomes. Factors predicting lower overall survival on multivariate analysis were age (p = 0.021) and perineural invasion (p = 0.059), whereas disease-free survival was negatively affected by age (p = 0.033) and lymphovascular invasion (p = 0.019).
CONCLUSION: Currently available staging systems cannot stratify prognosis for patients who underwent surgery for NV-SCC.
LEVEL OF EVIDENCE: 4 Laryngoscope, 2023.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
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| Enthalten in: |
The Laryngoscope - (2023) vom: 29. Dez. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Pirola, Francesca [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Revised 29.12.2023 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1002/lary.31251 |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM366492233 |
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| 520 | |a © 2023 The American Laryngological, Rhinological and Otological Society, Inc. | ||
| 520 | |a OBJECTIVES: Squamous cell carcinoma of the nasal vestibule (NV-SCC) is a rare but challenging entity, due to the complex anatomy of the region. Consensus on the best treatment strategy is still lacking, as well as a dedicated staging system. Our aim was to analyze oncological outcomes of surgically treated patients and to investigate possible prognostic factors | ||
| 520 | |a METHODS: We performed a retrospective multi-centric observational study including six Academic Hospitals over a 10-year period, including only patients who underwent upfront surgery for primary NV-SCC. Patients were staged according to all currently available staging systems. The Kaplan-Meier method was used to compute overall, disease-free, and disease-specific survival. Logistic regression models were used to correlate between survival outcomes and clinical and pathological variables | ||
| 520 | |a RESULTS: Seventy-one patients with a median follow-up of 38 months were included in the study. Partial and total rhinectomy were the most commonly performed procedures, respectively, in 49.3% and 25.4% of cases. Neck dissection was performed on 31% of patients, and 45.1% of them underwent adjuvant radiotherapy. Three years overall, disease-specific and disease-free survival were, respectively, 86.5%, 90.3%, and 74.2%. None of the currently available staging systems were able to effectively stratify survival outcomes. Factors predicting lower overall survival on multivariate analysis were age (p = 0.021) and perineural invasion (p = 0.059), whereas disease-free survival was negatively affected by age (p = 0.033) and lymphovascular invasion (p = 0.019) | ||
| 520 | |a CONCLUSION: Currently available staging systems cannot stratify prognosis for patients who underwent surgery for NV-SCC | ||
| 520 | |a LEVEL OF EVIDENCE: 4 Laryngoscope, 2023 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Nasal cartilages | |
| 650 | 4 | |a Nasal surgical procedures | |
| 650 | 4 | |a Nose | |
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| 650 | 4 | |a Nose neoplasms | |
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| 700 | 1 | |a Spriano, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Ferreli, Fabio |e verfasserin |4 aut | |
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