HPV impact on oropharyngeal cancer radiological staging: 7th vs 8th edition of AJCC TNM classification.
Head and neck cancer
Human papillomavirus
Oropharyngeal cancer
Radiological staging
TNM staging
Journal
Clinical imaging
ISSN: 1873-4499
Titre abrégé: Clin Imaging
Pays: United States
ID NLM: 8911831
Informations de publication
Date de publication:
Jan 2023
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
39-45Informations de copyright
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