PMID- 10096253 OWN - NLM STAT- MEDLINE DCOM- 19990401 LR - 20190708 IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 84 IP - 2 DP - 1999 Apr 20 TI - Epidermal growth factor receptor expression in primary laryngeal cancer: an independent prognostic factor of neck node relapse. PG - 188-91 AB - Specimens of laryngeal squamous cell carcinoma (LSCC) were examined for epidermal growth factor receptor (EGFR) content using a radioreceptor method; 140 untreated consecutive patients with primary LSCC undergoing initial surgical resection were followed up for a median of 49 months (range 2-84 months) after surgery. Cox univariate regression analysis using EGFR as a continuous variable showed that EGFR levels were directly associated with the risk of lymph node metastasis. A significant relationship between EGFR status and cervical node metastasis was observed. The cutoff value of 20 fmol/mg protein was the best prognostic discriminator. The 5-year metastasis-free survival (MFS) was 66% for patients with EGFR- tumors compared with 15% for patients with EGFR+ tumors. By multivariate analysis, the EGFR status appeared to be a significant independent prognostic factor for MFS. Our results suggest that the assessment of EGFR status at the time of diagnosis may identify a subset of LSCC patients highly susceptible to neck node metastases thus defining therapy accordingly. FAU - Almadori, G AU - Almadori G AD - Institute of Otorhinolaryngology, Catholic University of the Sacred Heart, Rome, Italy. iclot@rm.unicat.it FAU - Cadoni, G AU - Cadoni G FAU - Galli, J AU - Galli J FAU - Ferrandina, G AU - Ferrandina G FAU - Scambia, G AU - Scambia G FAU - Exarchakos, G AU - Exarchakos G FAU - Paludetti, G AU - Paludetti G FAU - Ottaviani, F AU - Ottaviani F LA - eng PT - Journal Article PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Analysis of Variance MH - Carcinoma, Squamous Cell/*metabolism/pathology/surgery MH - Disease-Free Survival MH - ErbB Receptors/*metabolism MH - Humans MH - Laryngeal Neoplasms/*metabolism/pathology/surgery MH - Lymphatic Metastasis MH - Middle Aged MH - Neck MH - Prognosis MH - Regression Analysis EDAT- 1999/03/30 03:03 MHDA- 2000/06/20 09:00 CRDT- 1999/03/30 03:03 PHST- 1999/03/30 03:03 [pubmed] PHST- 2000/06/20 09:00 [medline] PHST- 1999/03/30 03:03 [entrez] AID - 10.1002/(SICI)1097-0215(19990420)84:2<188::AID-IJC16>3.0.CO;2-1 [pii] AID - 10.1002/(sici)1097-0215(19990420)84:2<188::aid-ijc16>3.0.co;2-1 [doi] PST - ppublish SO - Int J Cancer. 1999 Apr 20;84(2):188-91. doi: 10.1002/(sici)1097-0215(19990420)84:2<188::aid-ijc16>3.0.co;2-1.