Prognostic factors in patients with soft palate squamous cell carcinoma

Antoine Schernberg, Charles Canova, Pierre Blanchard, Philippe Gorphe, Ingrid Breuskin, Haitham Mirghani, Antoine Moya-Plana, François Janot, Francois Bidault, Cyrus Chargari, Sara Bellefqih, Amandine Ruffier, Caroline Even, France Nguyen, Stéphane Temam, Yungan Tao

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    Résumé

    Background: To define the prognostic factors associated with outcome in patients with soft palate squamous cell carcinoma (SCC). Methods: Previously untreated patients with soft palate and uvula SCC treated in our institution between 1997 and 2012 were collected. The prognostic value of clinical, hematological, and treatment characteristics was examined. Results: We identified 156 patients, median age 58 years, with 71% drinkers, 91% smokers; 19% had synchronous cancer. Front-line treatment was chemoradiotherapy in 58 (37%), radiotherapy alone in 60 (39%), surgery in 17 (11%), and induction chemotherapy in 21 patients (14%). The 5-year actuarial overall survival (OS) and progression-free survival (PFS) were 41% and 37%, respectively. In univariate analysis, T3-T4 vs T1-T2 stage, N2-N3 vs N0-N1 stage, and neutrophil count >7 g/L were associated with worse OS and PFS (P <.05). Conclusion: In patients with soft palate SCC, inflammation biomarkers were associated with OS.

    langue originaleAnglais
    Pages (de - à)1441-1449
    Nombre de pages9
    journalHead and Neck
    Volume41
    Numéro de publication5
    Les DOIs
    étatPublié - 1 mai 2019

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