Risk factors for and consequences of inadequate surgical margins in oral squamous cell carcinoma
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Risk factors for and consequences of inadequate surgical margins in oral squamous cell carcinoma. / Lawaetz, Mads; Homøe, Preben.
I: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Bind 118, Nr. 6, 12.2014, s. 642-646.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Risk factors for and consequences of inadequate surgical margins in oral squamous cell carcinoma
AU - Lawaetz, Mads
AU - Homøe, Preben
N1 - Copyright © 2014 Elsevier Inc. All rights reserved.
PY - 2014/12
Y1 - 2014/12
N2 - OBJECTIVE: The purpose of this study was to examine which factors are associated with inadequate surgical margins and to assess the postoperative consequences.STUDY DESIGN: A retrospective cohort of 110 patients with oral squamous cell carcinoma treated with surgery during a 2-year period was examined. Clinical, histopathologic, and operative variables were related to the surgical margin status. Furthermore postoperative treatment data were compared with margin status.RESULTS: Univariate statistically significant associations were found between the tumor site in the floor of mouth, more advanced T-stage, increasing tumor thickness, and inadequate margins. Of the patients with involved margins, 87% were treated with postoperative radiotherapy or re-resection, but among patients with close margins, only 35% received either radiotherapy or re-resection.CONCLUSIONS: Clinical and histopathologic factors were associated with the inadequate margin. Postoperative treatment for patients with close margins is controversial, and more studies are needed to define clear guidelines.
AB - OBJECTIVE: The purpose of this study was to examine which factors are associated with inadequate surgical margins and to assess the postoperative consequences.STUDY DESIGN: A retrospective cohort of 110 patients with oral squamous cell carcinoma treated with surgery during a 2-year period was examined. Clinical, histopathologic, and operative variables were related to the surgical margin status. Furthermore postoperative treatment data were compared with margin status.RESULTS: Univariate statistically significant associations were found between the tumor site in the floor of mouth, more advanced T-stage, increasing tumor thickness, and inadequate margins. Of the patients with involved margins, 87% were treated with postoperative radiotherapy or re-resection, but among patients with close margins, only 35% received either radiotherapy or re-resection.CONCLUSIONS: Clinical and histopathologic factors were associated with the inadequate margin. Postoperative treatment for patients with close margins is controversial, and more studies are needed to define clear guidelines.
U2 - 10.1016/j.oooo.2014.08.001
DO - 10.1016/j.oooo.2014.08.001
M3 - Journal article
C2 - 25457884
VL - 118
SP - 642
EP - 646
JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
SN - 2212-4403
IS - 6
ER -
ID: 135490036