Adenoid cystic carcinoma of submandibular gland: Emphasis on locoregional metastasis and prognosis

被引：4
作者：
Liu, Shengwen [1 ]
Yang, Jian [2 ]
Lu, Hao [1 ]
Wu, Yifan [1 ]
Yang, Wenjun [1 ]
Xu, Wanlin [1 ,3 ]
Zhang, Chenping [1 ,3 ]
机构：
[1] Shanghai Jiao Tong Univ, Sch Med, Shanghai Peoples Hosp 9, Natl Ctr Stomtol,Natl Clin Res Ctr Oral Dis,Shangh, Shanghai, Peoples R China
[2] First Peoples Hosp Hangzhou Linan Dist, Hangzhou Med Coll, Dept stomatol, Affiliated LinAn peoples Hosp, Hangzhou, Peoples R China
[3] Shanghai Jiao Tong Univ, Peoples Hosp 9, Sch Med, Dept Oral & Maxillofacial Head & Neck Oncol, 639 Zhizaoju Rd, Shanghai 200011, Peoples R China
来源：
ORAL DISEASES | 2024年 / 30卷 / 03期
关键词：
adenoid cystic carcinoma; distant metastasis; locoregional metastasis; prognosis; submandibular gland; PROSPECTIVE MULTICENTER REFCOR; LYMPH-NODE METASTASIS; CLINICAL ANALYSIS; HEAD; NECK; OUTCOMES; EXPRESSION; MYBL1;
D O I：
10.1111/odi.14478
中图分类号：
R78 [口腔科学];
学科分类号：
1003 ;
摘要：
Objectives: To analyze the clinicopathological features, locoregional or distant metastasis, and prognosis of adenoid cystic carcinoma of submandibular gland (SMG-AdCC). Methods: The clinicopathological data of 80 patients with SMG-AdCC from January 2005 to December 2017 were analyzed retrospectively, and the relationships between different parameters of SMG-AdCC and its locoregional or distant metastasis or prognosis were analyzed. Results: As of December 2019, 41 patients (51.25%) were tumor-free, while 20 patients were found to be living with tumors. The locoregional metastasis rate of grade II-III SMG-AdCC were found to be significantly higher than that of grade I. The five-year DFS and OS rates were 70.8% and 87.1%, respectively. Univariate analysis showed that clinical size, extraglandular extension, pathological grade, pathological node (pN) status, and perineural invasion were correlated with DFS. Multivariate Cox regression analysis showed that pathological grade and extraglandular extension were independent prognostic factors for DFS; pN status and extraglandular extension were independent prognostic factors impacting OS. Conclusion: The pathological grade is a risk factor for locoregional metastasis of SMG-AdCC. Pathological grade, pN status, and status of extraglandular extension are independent prognostic factors for DFS/OS in SMG-AdCC patients.
引用
收藏
页码：1152 / 1162
页数：11
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