The prognostic role of single cell invasion and nuclear diameter in early oral tongue squamous cell carcinoma

被引:2
作者
Almangush, Alhadi [1 ,2 ,3 ,4 ]
Hagstrom, Jaana [1 ,5 ,6 ]
Haglund, Caj [5 ,7 ,8 ]
Kowalski, Luiz Paulo [9 ]
Coletta, Ricardo D. [10 ,11 ]
Makitie, Antti A. [3 ,8 ,12 ,13 ,14 ]
Salo, Tuula [1 ,15 ]
Leivo, Ilmo [16 ]
机构
[1] Univ Helsinki, Dept Pathol, HaartmaninkatuPOB 21, FI-00014 Helsinki, Finland
[2] Univ Turku, Inst Biomed, Pathol, Turku, Finland
[3] Univ Helsinki, Fac Med, Res Program Syst Oncol, Helsinki, Finland
[4] Misurata Univ, Fac Dent, Misurata, Libya
[5] Univ Helsinki, Res Programs Unit, Translat Canc Med, POB 63, Helsinki 00014, Finland
[6] Univ Turku, Inst Dent, Turku, Finland
[7] Univ Helsinki, Dept Surg, Helsinki, Finland
[8] Helsinki Univ Hosp, POB 263, FI-00029 Helsinki, Finland
[9] Univ Sao Paulo, Dept Head & Neck Surg & Otorhinolaryngol, Dept Head & Neck Surg, AC Camargo Canc Ctr,Med Sch, BR-05402000 Sao Paulo, SP, Brazil
[10] Univ Estadual Campinas, Sch Dent, Dept Oral Diag, BR-13414018 Piracicaba, SP, Brazil
[11] Univ Estadual Campinas, Sch Dent, Grad Program Oral Biol, BR-13414018 Piracicaba, SP, Brazil
[12] Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, POB 263, FI-00029 Helsinki, Finland
[13] Karolinska Univ Hosp, Karolinska Inst, Dept Clin Sci Intervent & Technol, Stockholm, Sweden
[14] Karolinska Univ Hosp, Stockholm, Sweden
[15] Univ Helsinki, Dept Oral & Maxillofacial Dis, Helsinki, Finland
[16] Univ Turku, Turku Univ Cent Hosp, Inst Biomed, Pathol, Turku 20520, Finland
关键词
Oral tongue cancer; Single cell invasion; Large nuclei; Early stage; Survival; HISTOPATHOLOGIC PARAMETERS; CANCER; RISK; EXPRESSION; MORPHOLOGY; SURVIVAL; SIZE;
D O I
10.1186/s12885-024-11954-y
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundThe clinical significance of single cell invasion and large nuclear diameter is not well documented in early-stage oral tongue squamous cell carcinoma (OTSCC).MethodsWe used hematoxylin and eosin-stained sections to evaluate the presence of single cell invasion and large nuclei in a multicenter cohort of 311 cases treated for early-stage OTSCC.ResultsSingle cell invasion was associated in multivariable analysis with poor disease-specific survival (DSS) with a hazard ratio (HR) of 2.089 (95% CI 1.224-3.566, P = 0.007), as well as with disease-free survival (DFS) with a HR of 1.666 (95% CI 1.080-2.571, P = 0.021). Furthermore, large nuclei were associated with worse DSS (HR 2.070, 95% CI 1.216-3.523, P = 0.007) and with DFS in multivariable analysis (HR 1.645, 95% CI 1.067-2.538, P = 0.024).ConclusionSingle cell invasion and large nuclei can be utilized for classifying early OTSCC into risk groups.
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页数:8
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