1. Preoperative assessment of CD44‐mediated depth of invasion as predictor of occult metastases in early oral squamous cell carcinoma
- Author
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Grégoire B. Morand, Isabel Cardona, Kristian Ikenberg, Domenic Vital, Holger Moch, Sandro J. Stoeckli, Gerhard F. Huber, University of Zurich, and Morand, Grégoire B
- Subjects
Male ,0301 basic medicine ,10045 Clinic for Otorhinolaryngology ,Kaplan-Meier Estimate ,Hospitals, University ,0302 clinical medicine ,Prospective Studies ,biology ,medicine.diagnostic_test ,Middle Aged ,Magnetic Resonance Imaging ,humanities ,Gene Expression Regulation, Neoplastic ,2733 Otorhinolaryngology ,Hyaluronan Receptors ,Treatment Outcome ,Depth of invasion ,Lymphatic Metastasis ,030220 oncology & carcinogenesis ,Carcinoma, Squamous Cell ,Biomarker (medicine) ,Mouth Neoplasms ,Radiology ,Switzerland ,Adult ,medicine.medical_specialty ,Epithelial-Mesenchymal Transition ,Sentinel lymph node ,610 Medicine & health ,Risk Assessment ,03 medical and health sciences ,Predictive Value of Tests ,10049 Institute of Pathology and Molecular Pathology ,Preoperative Care ,Biopsy ,Carcinoma ,medicine ,Humans ,Neoplasm Invasiveness ,Aged ,Neoplasm Staging ,Retrospective Studies ,Sentinel Lymph Node Biopsy ,business.industry ,CD44 ,Cancer ,medicine.disease ,Survival Analysis ,Occult ,Logistic Models ,030104 developmental biology ,Otorhinolaryngology ,Multivariate Analysis ,biology.protein ,Tomography, X-Ray Computed ,business - Abstract
BACKGROUND Epithelial-mesenchymal transition and cancer stem-like cells (CSC) have been linked to increased metastatic potential. We evaluated the prognostic impact of CD44, a CSC biomarker, on depth of invasion (DOI) and outcome in oral squamous cell carcinoma (OSCC). METHODS Using a multivariable logistic regression model, we evaluated in early OSCCs the relationship between CD44 expression at the invasive tumor front, DOI, sentinel lymph node biopsy, extension of nodal involvement, and survival. We also assessed whether CT and/or MRI could predict DOI preoperatively. RESULTS CD44 expression was associated with increased DOI (P = .018), worse disease-specific survival (P = .041) but not with positive sentinel lymph node biopsy (P > .05). Each millimeter increase in DOI was associated with a 31.1% higher risk for positive sentinel lymph node biopsy (95% CI: 5.8%-62.4%, P = .013) and with higher metastatic ratio (P = .015). Preoperative estimation of DOI by CT and/or MRI and histopathological DOI showed a strong correlation (P
- Published
- 2018