PMID- 23780687 OWN - NLM STAT- MEDLINE DCOM- 20141117 LR - 20211025 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 36 IP - 4 DP - 2014 Apr TI - Predictors of cervical lymph node metastasis in salivary gland cancer. PG - 517-23 LID - 10.1002/hed.23332 [doi] AB - BACKGROUND: This study compares clinicopathological parameters with novel molecular markers for predicting cervical lymph node metastasis in salivary gland cancer. METHODS: Three hundred sixteen salivary gland carcinomas were included in this study. Genomic epidermal growth factor receptor (EGFR), human epidermal growth factor receptor 2 (HER2), phosphatase and tensin homolog (PTEN), and hepatocyte growth factor receptor (MET) was determined by fluorescence in situ hybridization (FISH). Chi-square tests, multivariate regression, and Kaplan-Meier survival analysis were used for statistics. RESULTS: Nodal staging determines long-term survival. Clinicopathological parameters associated with positive neck nodes are advanced age (p = .006), T3/T4 classification, histological high-grade malignancy, and diagnosis of salivary duct carcinoma (p < .001 each). Neck node metastases also correlate with copy number gain of EGFR (p = .004) and HER2, aberration of MET, and deletion of PTEN (p < .001 each). Multivariate analysis showed SDC (p = .002) to be the strongest predictor of lymph node metastasis, followed by MET aberration (p = .009), T3/T4 classification (p = .017), PTEN deletion (p = .042), and adenocarcinoma not otherwise specified (NOS; p = .047). CONCLUSION: The histological subtype is crucial for decisions regarding neck dissection. New molecular parameters may also indicate elective treatment of the neck. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Ettl, Tobias AU - Ettl T AD - Department of Oral and Maxillofacial Surgery, Regensburg University Medical Center, Regensburg, Germany. FAU - Gosau, Martin AU - Gosau M FAU - Brockhoff, Gero AU - Brockhoff G FAU - Schwarz-Furlan, Stephan AU - Schwarz-Furlan S FAU - Agaimy, Abbas AU - Agaimy A FAU - Reichert, Torsten E AU - Reichert TE FAU - Rohrmeier, Christian AU - Rohrmeier C FAU - Zenk, Johannes AU - Zenk J FAU - Iro, Heinrich AU - Iro H LA - eng PT - Journal Article DEP - 20130618 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) SB - IM MH - Age Factors MH - Carcinoma/genetics/metabolism/mortality/*pathology MH - ErbB Receptors/metabolism MH - Female MH - Follow-Up Studies MH - Gene Deletion MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lymph Nodes/pathology MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Neck Dissection MH - Neoplasm Staging MH - PTEN Phosphohydrolase/genetics/metabolism MH - Proto-Oncogene Proteins c-met/genetics/metabolism MH - Receptor, ErbB-2/metabolism MH - Retrospective Studies MH - Salivary Gland Neoplasms/genetics/metabolism/mortality/*pathology OTO - NOTNLM OT - MET OT - PTEN OT - nodal metastasis OT - predictors OT - salivary gland cancer EDAT- 2013/06/20 06:00 MHDA- 2014/11/18 06:00 CRDT- 2013/06/20 06:00 PHST- 2013/02/08 00:00 [accepted] PHST- 2013/06/20 06:00 [entrez] PHST- 2013/06/20 06:00 [pubmed] PHST- 2014/11/18 06:00 [medline] AID - 10.1002/hed.23332 [doi] PST - ppublish SO - Head Neck. 2014 Apr;36(4):517-23. doi: 10.1002/hed.23332. Epub 2013 Jun 18.