HPV impact on oropharyngeal cancer radiological staging: 7th vs 8th edition of AJCC TNM classification.


Journal

Clinical imaging
ISSN: 1873-4499
Titre abrégé: Clin Imaging
Pays: United States
ID NLM: 8911831

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 08 06 2022
revised: 04 10 2022
accepted: 18 10 2022
pubmed: 15 11 2022
medline: 1 12 2022
entrez: 14 11 2022
Statut: ppublish

Résumé

To evaluate the agreement between pathological and radiological staging in oropharyngeal cancer by comparing the 7th and the 8th edition of the AJCC TNM system. This retrospective cohort study included 57 cases of oropharyngeal cancer with lymph node metastases staged with the 7th and 8th editions of the AJCC TNM system. Comparison between clinical and radiological features and differences in agreement rates were calculated between radiological and pathological staging for the primary tumor (T) and lymph nodes (N) in HPVpos and HPVneg cases. Comparison of HPVpos and HPVneg revealed a significantly different distribution between early and advanced stages in the 8 th edition, with a relevant number of HPVpos patients redefined from advanced stages whit the 7 th ed. to early stages with 8 th ed. (p < 0.01); no significant differences were found when comparing all diagnostic methods for T and N. The 8th edition of the AJCC TNM seems to lead to better pretreatment staging. For both HPVpos and HPVneg, the agreement between pretreatment radiological and pathological staging.

Identifiants

pubmed: 36375362
pii: S0899-7071(22)00267-4
doi: 10.1016/j.clinimag.2022.10.010
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

39-45

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Auteurs

Elisa Dal Cin (E)

ENT Clinic, Head and Neck Department, University of Trieste, Trieste, Italy. Electronic address: dalcin.elisa@gmail.com.

Alberto Vito Marcuzzo (AV)

ENT Clinic, Head and Neck Department, University of Trieste, Trieste, Italy.

Ferruccio Degrassi (F)

Radiology Department, Cattinara Hospital, University of Trieste, Trieste, Italy.

Tiziana Volo (T)

ENT Clinic, Head and Neck Department, Mestre Hospital, Venice, Italy.

Roberto Spinato (R)

ENT Clinic, Head and Neck Department, Mestre Hospital, Venice, Italy.

Doriano Politi (D)

ENT Clinic, Head and Neck Department, Mestre Hospital, Venice, Italy.

Vincenzo Capriotti (V)

ENT Clinic, Head and Neck Department, University of Trieste, Trieste, Italy.

Paolo Boscolo-Rizzo (P)

ENT Clinic, Head and Neck Department, University of Trieste, Trieste, Italy.

Giancarlo Tirelli (G)

ENT Clinic, Head and Neck Department, University of Trieste, Trieste, Italy.

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Classifications MeSH