Prognostic Value of Lymph Node Density in Lingual Squamous Cell Carcinoma

Lymph node density (LND)—the proportion of positive nodes among the total number of resected nodes—has emerged as a reliable prognostic factor in solid tumors. This study aims to assess the importance of LND in lingual squamous cell carcinoma (LSCC) and its prognostic involvement. A retrospective lo...

Full description

Bibliographic Details
Main Authors: Carlos Navarro Cuéllar, Ángela Sada Urmeneta, Raquel Lorenzo Marcos, Raúl Antúnez-Conde, Ana López López, José Luis del Castillo Pardo de Vera, Javier González Martín-Moro, José Luis Cebrián Carretero, Francisco Alijo Serrano, Giovanni Dell’Aversana Orabona, Jose J. Zamorano-León, Ignacio Navarro Cuéllar
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/9/5611
_version_ 1797602968116133888
author Carlos Navarro Cuéllar
Ángela Sada Urmeneta
Raquel Lorenzo Marcos
Raúl Antúnez-Conde
Ana López López
José Luis del Castillo Pardo de Vera
Javier González Martín-Moro
José Luis Cebrián Carretero
Francisco Alijo Serrano
Giovanni Dell’Aversana Orabona
Jose J. Zamorano-León
Ignacio Navarro Cuéllar
author_facet Carlos Navarro Cuéllar
Ángela Sada Urmeneta
Raquel Lorenzo Marcos
Raúl Antúnez-Conde
Ana López López
José Luis del Castillo Pardo de Vera
Javier González Martín-Moro
José Luis Cebrián Carretero
Francisco Alijo Serrano
Giovanni Dell’Aversana Orabona
Jose J. Zamorano-León
Ignacio Navarro Cuéllar
author_sort Carlos Navarro Cuéllar
collection DOAJ
description Lymph node density (LND)—the proportion of positive nodes among the total number of resected nodes—has emerged as a reliable prognostic factor in solid tumors. This study aims to assess the importance of LND in lingual squamous cell carcinoma (LSCC) and its prognostic involvement. A retrospective longitudinal study with 62 patients was performed. All patients were diagnosed with LSCC and submitted for tumor resection and neck dissection. Patients were stratified into low (<0.04) and high risk (≥0.04) based on LND. We analyzed the impact of LND on overall survival (OS) and disease-free survival (DFS), as well as the relationship between LND and the pathological staging, the involvement of positive margins, depth of invasion (DOI) and perineural infiltration. This study provides a substantial relationship between lymph node density (LND), overall survival (OS) and disease-free survival (DFS) in lingual squamous cell carcinoma (LSCC). A statistically significant distribution was found between LND, perineural infiltration and pathological staging, whereas no association was found with the rest of the prognostic variables analyzed.
first_indexed 2024-03-11T04:23:09Z
format Article
id doaj.art-55b52d1271394baa826f02998d0b871b
institution Directory Open Access Journal
issn 2076-3417
language English
last_indexed 2024-03-11T04:23:09Z
publishDate 2023-05-01
publisher MDPI AG
record_format Article
series Applied Sciences
spelling doaj.art-55b52d1271394baa826f02998d0b871b2023-11-17T22:36:26ZengMDPI AGApplied Sciences2076-34172023-05-01139561110.3390/app13095611Prognostic Value of Lymph Node Density in Lingual Squamous Cell CarcinomaCarlos Navarro Cuéllar0Ángela Sada Urmeneta1Raquel Lorenzo Marcos2Raúl Antúnez-Conde3Ana López López4José Luis del Castillo Pardo de Vera5Javier González Martín-Moro6José Luis Cebrián Carretero7Francisco Alijo Serrano8Giovanni Dell’Aversana Orabona9Jose J. Zamorano-León10Ignacio Navarro Cuéllar11Maxillofacial Surgery Department, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo 46, 28007 Madrid, SpainMaxillofacial Surgery Department, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo 46, 28007 Madrid, SpainMaxillofacial Surgery Department, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo 46, 28007 Madrid, SpainMaxillofacial Surgery Department, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo 46, 28007 Madrid, SpainMaxillofacial Surgery Department, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo 46, 28007 Madrid, SpainMaxillofacial Surgery Department, Hospital Universitario La Paz Madrid, P.º de la Castellana, 261, 28046 Madrid, SpainMaxillofacial Surgery Department, Hospital Universitario La Paz Madrid, P.º de la Castellana, 261, 28046 Madrid, SpainMaxillofacial Surgery Department, Hospital Universitario La Paz Madrid, P.º de la Castellana, 261, 28046 Madrid, SpainPathological Anatomy Department, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo 46, 28007 Madrid, SpainMaxillofacial Surgery Department, Università “Federico II”, 80131 Naples, ItalyPublic Health and Maternal & Child Health Department, School of Medicine, Universidad Complutense, 28040 Madrid, SpainMaxillofacial Surgery Department, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo 46, 28007 Madrid, SpainLymph node density (LND)—the proportion of positive nodes among the total number of resected nodes—has emerged as a reliable prognostic factor in solid tumors. This study aims to assess the importance of LND in lingual squamous cell carcinoma (LSCC) and its prognostic involvement. A retrospective longitudinal study with 62 patients was performed. All patients were diagnosed with LSCC and submitted for tumor resection and neck dissection. Patients were stratified into low (<0.04) and high risk (≥0.04) based on LND. We analyzed the impact of LND on overall survival (OS) and disease-free survival (DFS), as well as the relationship between LND and the pathological staging, the involvement of positive margins, depth of invasion (DOI) and perineural infiltration. This study provides a substantial relationship between lymph node density (LND), overall survival (OS) and disease-free survival (DFS) in lingual squamous cell carcinoma (LSCC). A statistically significant distribution was found between LND, perineural infiltration and pathological staging, whereas no association was found with the rest of the prognostic variables analyzed.https://www.mdpi.com/2076-3417/13/9/5611oral cavity cancerlingual squamous cell carcinomalymph node densitypathological cervical lymphadenopathyneck dissectionperineural infiltration
spellingShingle Carlos Navarro Cuéllar
Ángela Sada Urmeneta
Raquel Lorenzo Marcos
Raúl Antúnez-Conde
Ana López López
José Luis del Castillo Pardo de Vera
Javier González Martín-Moro
José Luis Cebrián Carretero
Francisco Alijo Serrano
Giovanni Dell’Aversana Orabona
Jose J. Zamorano-León
Ignacio Navarro Cuéllar
Prognostic Value of Lymph Node Density in Lingual Squamous Cell Carcinoma
Applied Sciences
oral cavity cancer
lingual squamous cell carcinoma
lymph node density
pathological cervical lymphadenopathy
neck dissection
perineural infiltration
title Prognostic Value of Lymph Node Density in Lingual Squamous Cell Carcinoma
title_full Prognostic Value of Lymph Node Density in Lingual Squamous Cell Carcinoma
title_fullStr Prognostic Value of Lymph Node Density in Lingual Squamous Cell Carcinoma
title_full_unstemmed Prognostic Value of Lymph Node Density in Lingual Squamous Cell Carcinoma
title_short Prognostic Value of Lymph Node Density in Lingual Squamous Cell Carcinoma
title_sort prognostic value of lymph node density in lingual squamous cell carcinoma
topic oral cavity cancer
lingual squamous cell carcinoma
lymph node density
pathological cervical lymphadenopathy
neck dissection
perineural infiltration
url https://www.mdpi.com/2076-3417/13/9/5611
work_keys_str_mv AT carlosnavarrocuellar prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT angelasadaurmeneta prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT raquellorenzomarcos prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT raulantunezconde prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT analopezlopez prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT joseluisdelcastillopardodevera prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT javiergonzalezmartinmoro prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT joseluiscebriancarretero prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT franciscoalijoserrano prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT giovannidellaversanaorabona prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT josejzamoranoleon prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma
AT ignacionavarrocuellar prognosticvalueoflymphnodedensityinlingualsquamouscellcarcinoma