Distant metastasis in head and neck squamous cell carcinoma variants: A population‐based study. Issue 4 (21st February 2023)

• Record Type: Journal Article
• Authors: Takenaka, Yukinori; Uno, Atsuhiko; Tanaka, Hidenori; Takemoto, Norihiko; Inohara, Hidenori
• Is Part Of: Head & neck. Volume 45:Issue 4(2023)
• Page Start: 882
• Page End: 889
• Publication Date: 2023-02-21
• Subjects: basaloid carcinoma -- differentiation -- metastasis -- spindle cell carcinoma -- squamous cell carcinoma; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.27305
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Head and neck squamous cell carcinoma (HNSCC) with distant metastasis (DM) has poor prognosis. HNSCC has several histological variants with varying characteristics. We investigated the DM rates and prognoses of patients with DM among the HNSCC variants. Methods: We obtained data from 54 722 cases using the Surveillance, Epidemiology, and End Results database. Odds ratios (ORs) for DM and hazard ratios (HRs) for overall survival (OS) were estimated using a logistic regression model and a Cox proportional hazard model, respectively. Results: DM rate was the lowest in verrucous carcinoma and the highest in basaloid squamous cell carcinoma (BSCC) (0.2% and 9.4%, respectively). ORs for DM were 3.63 for adenosquamous carcinoma, 6.80 for BSCC, and 3.91 for spindle cell carcinoma (SpCC). SpCC was significantly associated with a poor OS (HR, 1.61). Conclusions: DM rates differed among the HNSCC variants. The prognosis of metastatic SpCC is worse than that of other metastatic HNSCCs.