Tumor Recurrence and Follow-Up Intervals in Oral Squamous Cell Carcinoma

Tumor recurrence in oral squamous cell carcinoma (OSCC) is frequent. However, no consensus about follow-up interval is available. The aim of this study was to analyze the recurrence pattern, detection method and associated parameters for possible risk stratification. Histopathological and epidemiolo...

Full description

Bibliographic Details
Main Authors: Sebastian Blatt, Maximilian Krüger, Kawe Sagheb, Marie Barth, Peer W. Kämmerer, Bilal Al-Nawas, Keyvan Sagheb
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/23/7061
_version_ 1797462975656755200
author Sebastian Blatt
Maximilian Krüger
Kawe Sagheb
Marie Barth
Peer W. Kämmerer
Bilal Al-Nawas
Keyvan Sagheb
author_facet Sebastian Blatt
Maximilian Krüger
Kawe Sagheb
Marie Barth
Peer W. Kämmerer
Bilal Al-Nawas
Keyvan Sagheb
author_sort Sebastian Blatt
collection DOAJ
description Tumor recurrence in oral squamous cell carcinoma (OSCC) is frequent. However, no consensus about follow-up interval is available. The aim of this study was to analyze the recurrence pattern, detection method and associated parameters for possible risk stratification. Histopathological and epidemiological features were obtained retrospectively and correlated with tumor recurrence and overall survival, distant and lymph node metastases. A total of 760 patients were included, of which 216 patients showed tumor recurrence (mean after 24 ± 26 months). Within the first 12 months, 24% of the recurrences were detected. The primary detection method was clinical examination (<i>n</i> = 123, 57%). Tumor recurrence significantly correlated with advanced histopathological grading (G2/3 vs. G1, <i>p</i> < 0.000) and lymph node metastasis (<i>p</i> = 0.004). Tumor recurrence was frequent. Clinical examination was the primary detection method and manifestation within the first 6–12 months was high. The degree of histopathological grading may be useful for risk stratification.
first_indexed 2024-03-09T17:44:06Z
format Article
id doaj.art-fd2ecc19ed9042e1864a7d5dae6eb506
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-09T17:44:06Z
publishDate 2022-11-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-fd2ecc19ed9042e1864a7d5dae6eb5062023-11-24T11:22:16ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011123706110.3390/jcm11237061Tumor Recurrence and Follow-Up Intervals in Oral Squamous Cell CarcinomaSebastian Blatt0Maximilian Krüger1Kawe Sagheb2Marie Barth3Peer W. Kämmerer4Bilal Al-Nawas5Keyvan Sagheb6Department of Oral- and Maxillofacial Surgery—Plastic Surgery, University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral- and Maxillofacial Surgery—Plastic Surgery, University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Prosthetic Dentistry, University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral- and Maxillofacial Surgery—Plastic Surgery, University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral- and Maxillofacial Surgery—Plastic Surgery, University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral- and Maxillofacial Surgery—Plastic Surgery, University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral- and Maxillofacial Surgery—Plastic Surgery, University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyTumor recurrence in oral squamous cell carcinoma (OSCC) is frequent. However, no consensus about follow-up interval is available. The aim of this study was to analyze the recurrence pattern, detection method and associated parameters for possible risk stratification. Histopathological and epidemiological features were obtained retrospectively and correlated with tumor recurrence and overall survival, distant and lymph node metastases. A total of 760 patients were included, of which 216 patients showed tumor recurrence (mean after 24 ± 26 months). Within the first 12 months, 24% of the recurrences were detected. The primary detection method was clinical examination (<i>n</i> = 123, 57%). Tumor recurrence significantly correlated with advanced histopathological grading (G2/3 vs. G1, <i>p</i> < 0.000) and lymph node metastasis (<i>p</i> = 0.004). Tumor recurrence was frequent. Clinical examination was the primary detection method and manifestation within the first 6–12 months was high. The degree of histopathological grading may be useful for risk stratification.https://www.mdpi.com/2077-0383/11/23/7061oral cancerprognosissquamous cell carcinomarecurrence intervaldifferentiation
spellingShingle Sebastian Blatt
Maximilian Krüger
Kawe Sagheb
Marie Barth
Peer W. Kämmerer
Bilal Al-Nawas
Keyvan Sagheb
Tumor Recurrence and Follow-Up Intervals in Oral Squamous Cell Carcinoma
Journal of Clinical Medicine
oral cancer
prognosis
squamous cell carcinoma
recurrence interval
differentiation
title Tumor Recurrence and Follow-Up Intervals in Oral Squamous Cell Carcinoma
title_full Tumor Recurrence and Follow-Up Intervals in Oral Squamous Cell Carcinoma
title_fullStr Tumor Recurrence and Follow-Up Intervals in Oral Squamous Cell Carcinoma
title_full_unstemmed Tumor Recurrence and Follow-Up Intervals in Oral Squamous Cell Carcinoma
title_short Tumor Recurrence and Follow-Up Intervals in Oral Squamous Cell Carcinoma
title_sort tumor recurrence and follow up intervals in oral squamous cell carcinoma
topic oral cancer
prognosis
squamous cell carcinoma
recurrence interval
differentiation
url https://www.mdpi.com/2077-0383/11/23/7061
work_keys_str_mv AT sebastianblatt tumorrecurrenceandfollowupintervalsinoralsquamouscellcarcinoma
AT maximiliankruger tumorrecurrenceandfollowupintervalsinoralsquamouscellcarcinoma
AT kawesagheb tumorrecurrenceandfollowupintervalsinoralsquamouscellcarcinoma
AT mariebarth tumorrecurrenceandfollowupintervalsinoralsquamouscellcarcinoma
AT peerwkammerer tumorrecurrenceandfollowupintervalsinoralsquamouscellcarcinoma
AT bilalalnawas tumorrecurrenceandfollowupintervalsinoralsquamouscellcarcinoma
AT keyvansagheb tumorrecurrenceandfollowupintervalsinoralsquamouscellcarcinoma