Dataset Information

Elemental characterization of oral cavity squamous cell carcinoma and its relationship with smoking, prognosis and survival.

ABSTRACT: Oral cancer squamous cell carcinoma (OCSCC) mainly affects individuals aged between 50 and 70 years who consume tobacco and alcohol. Tobacco smoke contains hundreds of known toxic and carcinogenic molecules, and a few studies have sought to verify the relationship of such trace elements as risk or prognostic factors for head and neck cancer. We obtained 78 samples of tumor tissues from patients with OCSCC, and performed a qualitative elemental characterization using the micro X-Ray Fluorescence technique based on synchrotron radiation. We found the presence of magnesium, phosphorus, sulfur, chlorine, potassium, calcium, chromium, manganese, iron, zinc, cobalt, nickel, copper, arsenic and bromine in OCSCC samples. Magnesium, chlorine, chromium, manganese, nickel, arsenic and bromine are associated with smoking. We observed a significant association between relapse and chlorine and chromium. The presence of chlorine in the samples was an independent protective factor against relapse (OR?=?0.105, CI?=?0.01-0.63) and for best disease-free survival (HR?=?0.194, CI?=?0.04-0.87). Reporting for the first time in oral cancer, these results suggest a key relationship between smoking and the presence of certain elements. In addition, chlorine proved to be important in the context of patient prognosis and survival.

SUBMITTER: Archanjo AB

PROVIDER: S-EPMC7316707 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Elemental characterization of oral cavity squamous cell carcinoma and its relationship with smoking, prognosis and survival.

Archanjo Anderson Barros AB Assis Arícia Leone Evangelista Monteiro de ALEM Oliveira Mayara Mota de MM Mendes Suzanny Oliveira SO Borçoi Aline Ribeiro AR Maia Lucas de Lima LL Souza Rafael Pereira de RP Cicco Rafael de R Saito Kelly Cristina KC Kimura Edna Teruko ET Carvalho Marcos Brasilino de MB Nunes Fabio Daumas FD Tajara Eloiza H EH Santos Marcelo Dos MD Nogueira Breno Valentim BV Trivilin Leonardo Oliveira LO Pinheiro Christiano Jorge Gomes CJG Álvares-da-Silva Adriana Madeira AM

Scientific reports 20200625 1

Oral cancer squamous cell carcinoma (OCSCC) mainly affects individuals aged between 50 and 70 years who consume tobacco and alcohol. Tobacco smoke contains hundreds of known toxic and carcinogenic molecules, and a few studies have sought to verify the relationship of such trace elements as risk or prognostic factors for head and neck cancer. We obtained 78 samples of tumor tissues from patients with OCSCC, and performed a qualitative elemental characterization using the micro X-Ray Fluorescence ...[more]

PMID: 32587307

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Project description:ImportanceQuality metrics for patients with head and neck cancer are available, but it is unknown whether compliance with these metrics is associated with improved patient survival.ObjectiveTo identify whether compliance with various process-related quality metrics is associated with improved survival in patients with oral cavity squamous cell carcinoma who receive definitive surgery with or without adjuvant therapy.Design, setting, and participantsA retrospective cohort study was conducted at a tertiary academic medical center among 192 patients with previously untreated oral cavity squamous cell carcinoma who underwent definitive surgery with or without adjuvant therapy between January 1, 2003, and December 31, 2010. Data analysis was performed from January 26 to August 7, 2015.InterventionsSurgery with or without adjuvant therapy.Main outcomes and measuresCompliance with a collection of process-related quality metrics possessing face validity that covered pretreatment evaluation, treatment, and posttreatment surveillance was evaluated. Association between compliance with these quality metrics and overall survival, disease-specific survival, and disease-free survival was calculated using univariable and multivariable Cox proportional hazards analysis.ResultsAmong 192 patients, compliance with the individual quality metrics ranged from 19.7% to 93.6% (median, 82.8%). No pretreatment or surveillance metrics were associated with improved survival. Compliance with the following treatment-related quality metrics was associated with improved survival: elective neck dissection with lymph node yield of 18 or more, no unplanned surgery within 14 days of the index surgery, no unplanned 30-day readmissions, and referral for adjuvant radiotherapy for pathologic stage III or IV disease. Increased compliance with a "clinical care signature" composed of these 4 metrics was associated with improved overall survival, disease-specific survival, and disease-free survival on univariable analysis (log-rank test; P < .05 for each). On multivariable analysis controlling for pT stage, pN stage, extracapsular spread, margin status, and comorbidity, increased compliance with these 4 metrics was associated with improved overall survival (100% vs ≤50% compliance: adjusted hazard ratio [aHR], 4.2; 95% CI, 2.1-8.5; 100% vs 51%-99% compliance: aHR, 1.7; 95% CI, 1.0-3.1), improved disease-specific survival (100% vs ≤50% compliance: aHR, 3.9; 95% CI, 1.7-9.0; 100% vs 51%-99%: aHR, 1.3; 95% CI, 0.6-2.9), and improved disease-free survival (100% vs ≤50% compliance: aHR, 3.0; 95% CI, 1.5-5.8; 100% vs 51%-99% compliance: aHR, 1.6; 95% CI, 0.9-2.7).Conclusions and relevanceCompliance with a core set of process-related quality metrics was associated with improved survival for patients with surgically managed oral cavity squamous cell carcinoma. Multi-institutional validation of these metrics is warranted.

Dataset Information

Elemental characterization of oral cavity squamous cell carcinoma and its relationship with smoking, prognosis and survival.

Publications

Elemental characterization of oral cavity squamous cell carcinoma and its relationship with smoking, prognosis and survival.

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