Comparison of two prognostic scores for patients with parotid carcinoma

Head Neck. 2009 Sep;31(9):1188-95. doi: 10.1002/hed.21086.

Abstract

Background: Salivary glands present a wide diversity in histopathologic types and biologic behaviors, thus complicating the search for prognostic factors.

Methods: We compared 2 prognostic scores that were previously published for patients with parotid carcinoma in a retrospective series of 175 patients treated in a single institution.

Results: Cox multivariate analysis indicated clinical skin invasion, facial nerve function, and perineural growth as the most significant recurrent disease-related prognostic factors. According to the Vander Poorten score, 148 patients were divided into 4 groups, with the 5-year disease-free survival of 76%, 81%, 69%, and 35%, respectively. In the Carrillo's score, the patients were divided into 3 groups: low-risk, intermediate-risk, and high-risk, with the 5-year disease-free survival of 84%, 73%, and 34%, respectively.

Conclusion: Carrillo's score showed more distinct survival curves, and determination of groups with a more favorable prognosis was difficult for both scores. Therefore, both scores were not totally reproducible for our group of patients.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma / classification
  • Carcinoma / pathology*
  • Child
  • Child, Preschool
  • Disease-Free Survival
  • Female
  • Humans
  • Male
  • Middle Aged
  • Parotid Neoplasms / classification
  • Parotid Neoplasms / pathology*
  • Prognosis
  • Survival Analysis
  • Young Adult