The impact of multifocal perineural invasion in predicting survival in patients with oral squamous cell carcinoma: A multicenter investigation

Author:

Hasmat Shaheen12ORCID,Heller Gillian2,Cook Lachlan34,Gupta Ruta125,Clark Jonathan R.126,Ooi Eng H.34,Low Tsu‐Hui (Hubert)127

Affiliation:

1. Central Clinical School, Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia

2. Sydney Head and Neck Cancer Institute Chris O'Brien Lifehouse Sydney New South Wales Australia

3. Department of Otolaryngology – Head and Neck Surgery Flinders Medical Centre and Royal Adelaide Hospital Adelaide South Australia Australia

4. Department of Surgery, College of Medicine and Public Health Flinders University Bedford Park South Australia Australia

5. Department of Tissue Pathology and Diagnostic Oncology Royal Prince Alfred Hospital, NSW Health Pathology Sydney New South Wales Australia

6. Royal Prince Alfred Institute of Academic Surgery Sydney Local Health District Sydney New South Wales Australia

7. Department of Otolaryngology – Head & Neck Surgery, Faculty of Medicine and Health Sciences Macquarie University Sydney New South Wales Australia

Abstract

AbstractBackgroundPerineural invasion (PNI) in oral squamous cell carcinoma (OSCC) does not contribute to the current American Joint Committee on Cancer 8th edition (AJCC8) staging manual. This study seeks to validate the effect of multifocal PNI in a large cohort of patients.MethodsPatients undergoing primary surgical treatment of OSCC with curative intent between 1995 and 2022 was retrieved from two Australian head and neck databases. PNI was categorized as a single focus or multiple foci. Study end points included disease‐specific survival (DSS) and overall survival (OS).ResultsComplete data for survival analysis was available in 993 patients. Multifocal PNI was associated with a 61% increased risk of death due to OSCC (HR 1.61, 95% CI 1.11–2.33, p = 0.014) and a 32% increased risk of death from any cause (HR 1.32, 95% CI 1.01–1.73, p = 0.045).ConclusionsMultifocal PNI is a significant predictor of survival in OSCC.

Publisher

Wiley

Subject

Otorhinolaryngology

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