Prognostic factors in patients with minor salivary gland carcinoma of the oral cavity and oropharynx

Head Neck. 2011 Oct;33(10):1406-12. doi: 10.1002/hed.21641. Epub 2010 Dec 15.

Abstract

Background: This study was performed to define prognostic factors and management of minor salivary gland carcinoma of the oral cavity and oropharynx .

Methods: Retrospective analyses of patients with salivary gland carcinoma of the oral cavity or oropharynx, treated in 1989 to 2006. Statistics included univariate analyses to identify prognostic factors associated with disease-free survival (DFS) and disease-specific survival. A multivariate analysis model was constructed by the Cox method.

Results: Seventy-seven patients constituted our cohort. Significant prognostic factors regarding DFS and disease-specific survival in univariate analyses comprised tumor size, surgical margins, grade, lymph node status, and Karnofsky status and T classification. A multivariate model identified tumor size, grade, surgical margins, and lymph node status significant regarding DFS.

Conclusions: Tumor size, grade, surgical margins, and lymph node status could be used for a rational design of treatment strategies in these rare tumors.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma / mortality*
  • Carcinoma / pathology
  • Carcinoma / therapy
  • Disease-Free Survival
  • Female
  • Humans
  • Lymph Nodes / pathology
  • Lymphatic Metastasis
  • Male
  • Middle Aged
  • Mouth Neoplasms / mortality*
  • Mouth Neoplasms / pathology
  • Mouth Neoplasms / therapy
  • Multivariate Analysis
  • Neoplasm Grading
  • Oropharyngeal Neoplasms / mortality*
  • Oropharyngeal Neoplasms / pathology
  • Oropharyngeal Neoplasms / therapy
  • Prognosis
  • Radiotherapy, Adjuvant
  • Retrospective Studies
  • Salivary Gland Neoplasms / mortality*
  • Salivary Gland Neoplasms / pathology
  • Salivary Gland Neoplasms / therapy
  • Salivary Glands, Minor / pathology*
  • Salivary Glands, Minor / surgery
  • Young Adult