Lymphoepithelial carcinoma of the head and neck: a SEER analysis of prognostic factors for survival
Objective To explore the epidemiological characteristics of patients with lymphoepithelial carcinoma (LEC) of the head and neck and the prognostic factors. Methods We conducted a retrospective cohort study of cases of head and neck LEC retrieved from the Surveillance, Epidemiology and End Results da...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-01-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605221148895 |
| _version_ | 1797948478002823168 |
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| author | Jing Wei Hui Deng Lihua Wu Jianbo Song Junping Zhang Wenhui Yang Mengxian Zhang Hongtao Zhen |
| author_facet | Jing Wei Hui Deng Lihua Wu Jianbo Song Junping Zhang Wenhui Yang Mengxian Zhang Hongtao Zhen |
| author_sort | Jing Wei |
| collection | DOAJ |
| description | Objective To explore the epidemiological characteristics of patients with lymphoepithelial carcinoma (LEC) of the head and neck and the prognostic factors. Methods We conducted a retrospective cohort study of cases of head and neck LEC retrieved from the Surveillance, Epidemiology and End Results database. Kaplan–Meier survival analysis and the log-rank test were employed to assess overall survival (OS) and cancer-specific survival (CSS). Univariate and multivariate analyses were used to construct Cox regression models. We established nomograms to predict OS and CSS among patients with nasopharyngeal LEC, who were divided into high- and low-risk groups based on the OS nomograms to compare the effects of treatment using the restricted mean survival time (RMST). Results The 5-year OS and CSS rates of the cohort were 70.8% and 74.8%, respectively. Advanced age, unmarried status, black race, distant metastasis, and the absence of surgical treatment were significantly associated with decreased survival rates. RMST did not differ between the combined treatment (radiotherapy and chemotherapy) and radiotherapy monotherapy groups, but chemotherapy alone displayed poor efficacy. Conclusions Head and neck LEC is associated with a favorable prognosis. Radiotherapy plays a significant role in managing patients with nasopharyngeal LEC, which is influenced by multiple prognostic factors. |
| first_indexed | 2024-04-10T21:43:57Z |
| format | Article |
| id | doaj.art-bbc59f8a418c4739b659a6fd91448ca0 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-10T21:43:57Z |
| publishDate | 2023-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-bbc59f8a418c4739b659a6fd91448ca02023-01-18T16:33:56ZengSAGE PublishingJournal of International Medical Research1473-23002023-01-015110.1177/03000605221148895Lymphoepithelial carcinoma of the head and neck: a SEER analysis of prognostic factors for survivalJing WeiHui DengLihua WuJianbo SongJunping ZhangWenhui YangMengxian ZhangHongtao ZhenObjective To explore the epidemiological characteristics of patients with lymphoepithelial carcinoma (LEC) of the head and neck and the prognostic factors. Methods We conducted a retrospective cohort study of cases of head and neck LEC retrieved from the Surveillance, Epidemiology and End Results database. Kaplan–Meier survival analysis and the log-rank test were employed to assess overall survival (OS) and cancer-specific survival (CSS). Univariate and multivariate analyses were used to construct Cox regression models. We established nomograms to predict OS and CSS among patients with nasopharyngeal LEC, who were divided into high- and low-risk groups based on the OS nomograms to compare the effects of treatment using the restricted mean survival time (RMST). Results The 5-year OS and CSS rates of the cohort were 70.8% and 74.8%, respectively. Advanced age, unmarried status, black race, distant metastasis, and the absence of surgical treatment were significantly associated with decreased survival rates. RMST did not differ between the combined treatment (radiotherapy and chemotherapy) and radiotherapy monotherapy groups, but chemotherapy alone displayed poor efficacy. Conclusions Head and neck LEC is associated with a favorable prognosis. Radiotherapy plays a significant role in managing patients with nasopharyngeal LEC, which is influenced by multiple prognostic factors.https://doi.org/10.1177/03000605221148895 |
| spellingShingle | Jing Wei Hui Deng Lihua Wu Jianbo Song Junping Zhang Wenhui Yang Mengxian Zhang Hongtao Zhen Lymphoepithelial carcinoma of the head and neck: a SEER analysis of prognostic factors for survival Journal of International Medical Research |
| title | Lymphoepithelial carcinoma of the head and neck: a SEER analysis of prognostic factors for survival |
| title_full | Lymphoepithelial carcinoma of the head and neck: a SEER analysis of prognostic factors for survival |
| title_fullStr | Lymphoepithelial carcinoma of the head and neck: a SEER analysis of prognostic factors for survival |
| title_full_unstemmed | Lymphoepithelial carcinoma of the head and neck: a SEER analysis of prognostic factors for survival |
| title_short | Lymphoepithelial carcinoma of the head and neck: a SEER analysis of prognostic factors for survival |
| title_sort | lymphoepithelial carcinoma of the head and neck a seer analysis of prognostic factors for survival |
| url | https://doi.org/10.1177/03000605221148895 |
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