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Table 5 The prognostic factors for unconventional metastatic patients in the RRG group

From: Regional metastasis to anatomies beyond traditional neck dissection boundaries: a multi-institutional analysis focused on unconventional metastases in oral cancer patients

Variables

The overall survival rate

P value

Univariate analysis

Cox modelb

Age

 

0.500

NA

 33–59(25)

16.0%

 60–87(11)

9.1%

Gender

 

0.286

NA

 Male(24)

12.5%

 Female(12)

16.7%

Histories of smoking and alcohol

10.0%

0.248

NA

 Yes(20)

10.0%

 No(16)

12.5%

Premalignant mucosal diseases

 

0.484

NA

 Yes(8)

12.5%

 No(28)

14.3%

Prior radio- or chemo-therapies

 

0.809

NA

 Yes(21)

19.0%

 No(15)

6.7%

Primary site

 

0.838

NA

 Buccal mucosa(5)

40.0%

 Upper gingiva(7)

14.3%

 Lower gingiva(5)

20.0%

 Floor of mouth(3)

33.3%

 Retromolar trigone(8)

None

 Tongue(7)

None

 Hard palate(1)

None

Unconventional metastatic subsites

 

0.122

NA

 Buccinator (16)

18.8%

 Sublingual(11)

9.1%

 Parotida(9)

11.1%

Pathological grade

 

0.172

NA

 II(19)

26.3%

 III(17)

None

Pathological grade is upgraded compared to the last surgery

 

0.404

NA

 Yes(16)

6.3%

 No(20)

20.0%

Number of metastatic lymph nodes in the unconventional subsites

 

0.617

NA

 1(29)

13.8%

 2(6)

16.7%

 3(1)

None

Lymph nodes size of UMLNs

 

0.808

NA

 0–3 cm(22)

9.1%

 > 3 cm(14)

21.4%

Last neck dissections

 

0.407

NA

 ISND(13)

7.7%

 IRND(12)

25.0%

 BND(1)

None

 No treatment(10)

10.0%

Neck dissections this time

 

0.426

NA

 ISND(5)

20.0%

 IRND(7)

14.3%

 CND(8)

None

 BND(9)

None

 No treatment(7)

42.9%

Extranodal extension (ENE) in UMLNs

 

0.290

NA

 Yes(16)

18.8%

 No(20)

10.0%

Contralateral metastasis

 

0.124

NA

 Yes(13)

None

 No(23)

21.7%

Cervical lymph node metastasis

 

0.066

NA

 Yes(22)

None

 No(14)

35.7%

Extranodal extension (ENE) in cervical lymph nodes

 

0.030

0.030

 Yes(10)

None

 No(26)

19.2%

Postoperative adjuvant therapies

 

0.719

NA

 Radiotherapy(13)

15.4%

 Chemotherapy(3)

None

 Radio-chemotherapies(8)

12.5%

 None(12)

16.7%

  1. NA not available
  2. aIncluding a case which is with both buccinator and parotid metastases,but mostly in the parotid
  3. bCox analysis for RRG group only