PMID- 32633609 OWN - NLM STAT- MEDLINE DCOM- 20210419 LR - 20210419 IS - 1097-6817 (Electronic) IS - 0194-5998 (Linking) VI - 164 IP - 2 DP - 2021 Feb TI - Pathologic Tumor Size as a Predictor of the Survival Outcomes of Patients With Glottic Carcinoma. PG - 353-358 LID - 10.1177/0194599820937296 [doi] AB - OBJECTIVES: The purpose of this study was to evaluate the potential predictor of tumor size on rates of overall and disease-free survival (OS and DFS) as determined by postoperative pathologic examination in patients with glottic carcinoma. STUDY DESIGN: Retrospective cohort study. SETTING: Tertiary care university hospital. SUBJECTS AND METHODS: In this study, 1337 consecutive patients with glottic carcinoma who underwent surgical treatment from 2005 to 2010 were retrospectively reviewed. The influence of tumor size that was evaluated by tumor area (tumor length x tumor width) on OS and DFS outcomes was assessed by Cox regression analyses. RESULTS: In all, 1303 (97.5%) patients were male, and 34 (2.5%) were female, with a mean +/- SD age of 60.4 +/- 10 years. The 10-year OS and DFS rates were 72.9% and 69.9%, respectively. The tumor area cutoff values that best discriminated OS and DFS rates were both 1.80 cm(2). Patients with glottic carcinoma with a larger tumor area had inferior OS and DFS rates. Based on the results of multivariate analyses, tumor area was an independent prognostic factor for rates of OS (hazard ratio, 1.87; 95% CI, 1.37-2.56; P < .001) and DFS (hazard ratio, 1.79; 95% CI, 1.34-2.38; P < .001) in patients with glottic carcinoma. CONCLUSIONS: The results of this study indicate that patients with glottic carcinoma with a tumor area >1.8 cm(2) have inferior survival outcomes, and this factor independently predicts survival outcomes in these patients. FAU - Gong, Hongli AU - Gong H AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Zhou, Liang AU - Zhou L AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Wu, Haitao AU - Wu H AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Tao, Lei AU - Tao L AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Zhang, Ming AU - Zhang M AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Chen, Xiaoling AU - Chen X AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Li, Xiaoming AU - Li X AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Li, Cai AU - Li C AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Zhou, Jian AU - Zhou J AD - Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. FAU - Wang, Shuyi AU - Wang S AD - Department of Pathology, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200707 PL - England TA - Otolaryngol Head Neck Surg JT - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JID - 8508176 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - China/epidemiology MH - Disease-Free Survival MH - Female MH - Follow-Up Studies MH - Glottis/*pathology/surgery MH - Humans MH - Laryngeal Neoplasms/mortality/*pathology/surgery MH - Laryngectomy MH - Male MH - Middle Aged MH - Neoplasm Staging/*methods MH - Prognosis MH - Retrospective Studies MH - Survival Rate/trends OTO - NOTNLM OT - glottic carcinoma OT - prognosis OT - surgery OT - survival OT - tumor size EDAT- 2020/07/08 06:00 MHDA- 2021/04/20 06:00 CRDT- 2020/07/08 06:00 PHST- 2020/07/08 06:00 [pubmed] PHST- 2021/04/20 06:00 [medline] PHST- 2020/07/08 06:00 [entrez] AID - 10.1177/0194599820937296 [doi] PST - ppublish SO - Otolaryngol Head Neck Surg. 2021 Feb;164(2):353-358. doi: 10.1177/0194599820937296. Epub 2020 Jul 7.