Survival in patients with parotid gland carcinoma – Results of a multi-center study

Keigo Honda, Shinzo Tanaka, Shogo Shinohara, Ryo Asato, Hisanobu Tamaki, Toshiki Maetani, Ichiro Tateya, Morimasa Kitamura, Shinji Takebayashi, Kazuyuki Ichimaru, Yoshiharu Kitani, Yohei Kumabe, Tsuyoshi Kojima, Koji Ushiro, Masanobu Mizuta, Koichiro Yamada, Koichi Omori

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14 Citations (Scopus)

Abstract

Background Parotid gland carcinoma is a rare malignancy, comprising only 1–4% of head and neck carcinomas; therefore, it is difficult for a single institution to perform meaningful analysis on its clinical characteristics. The aim of this study was to update the clinical knowledge of this rare disease by a multi-center approach. Methods The study was conducted by the Kyoto University Hospital and Affiliated Facilities Head and Neck Clinical Oncology Group (Kyoto-HNOG). A total of 195 patients with parotid gland carcinoma who had been surgically treated with curative intent between 2006 and 2015 were retrospectively reviewed. Clinical results including overall survival (OS), disease-free survival (DFS), disease-specific survival (DSS), local control rate (LCR), regional control rate (RCR), and distant metastasis-free survival (DMFS) were estimated. Univariate and multivariate analyses were performed to identify prognostic factors. Results The median patient age was 63 years old (range 9–93 years), and the median observation period was 39 months. The OS, DFS, DSS, LCR, RCR, and DMFS at 3 years were 85%, 74%, 89%, 92%, 88%, and 87%, respectively. Univariate analysis showed age over 74, T4, N +, preoperative facial palsy, high grade histology, perineural invasion, and vascular invasion were associated with poor OS. N + and high grade histology were independent factors in multivariate analysis. In subgroup analysis, postoperative radiotherapy was associated with better OS in high risk patients. Conclusion Nodal metastases and high grade histology are important negative prognostic factors for OS. Postoperative radiotherapy is recommended in patients with advanced high grade carcinoma.

Original languageEnglish
Pages (from-to)65-70
Number of pages6
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume39
Issue number1
DOIs
Publication statusPublished - 01-2018
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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    Honda, K., Tanaka, S., Shinohara, S., Asato, R., Tamaki, H., Maetani, T., Tateya, I., Kitamura, M., Takebayashi, S., Ichimaru, K., Kitani, Y., Kumabe, Y., Kojima, T., Ushiro, K., Mizuta, M., Yamada, K., & Omori, K. (2018). Survival in patients with parotid gland carcinoma – Results of a multi-center study. American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 39(1), 65-70. https://doi.org/10.1016/j.amjoto.2017.10.012