Risk factors for distant metastasis in locoregionally controlled oral squamous cell carcinoma: a retrospective study

Risk factors for distant metastasis in locoregionally controlled oral squamous cell carcinoma: a retrospective study

Abstract

The control of distant metastasis in oral squamous cell carcinoma is an important determinant of improved prognosis. The study aimed to identify risk factors for distant metastasis in patients with locoregionally controlled oral carcinoma. We identified 982 patients with oral squamous cell carcinoma treated at our hospital between January 2008 and December 2017. After excluding patients with distant metastasis at initial treatment, patients with metastasis to the oral cavity, those receiving palliative treatment, and those lacking follow-up data, 941 patients were selected. Finally, among these 941 patients, 887 with locoregionally controlled oral squamous cell carcinoma were included in the study. Among the 887 patients, 36 had confirmed distant metastasis (4.1%), and the lung was the most common site (31/36 patients, 86.1%). Multivariate analysis showed that the incidence of primary intraosseous carcinoma of the mandible, cervical lymph node metastasis at levels IV and V, and the presence of pathological extranodal extension were significant risk factors for distant metastasis. When treating patients with oral squamous cell carcinoma who are positive for the aforementioned risk factors, the possibility of developing distant metastases must be accounted for, and aggressive treatment should be planned accordingly.

Journal Article

JOURNAL
Scientific Reports

TITLE
Risk factors for distant metastasis in locoregionally controlled oral squamous cell carcinoma: a retrospective study

DOI
https://doi.org/10.1038/s41598-021-84704-w

Correspondence to

Hirofumi Tomioka, Assistant Professor

Department of Oral and Maxillofacial Surgery,
Division of Oral Health Sciences,
Medical and Dental Sciences,
Graduate School of Medical and Dental Sciences,
Tokyo Medical and Dental University(TMDU)
E-mail:tomy.osur (at) tmd.ac.jp


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