Faculty Collaboration Database

Definitive Surgical Therapy after Open Neck Biopsy for HPV-Related Oropharyngeal Cancer. Otolaryngol Head Neck Surg 2016 Apr;154(4):657-66

Date

02/11/2016

Pubmed ID

26861231

DOI

10.1177/0194599815627642

Scopus ID

2-s2.0-84962667885 (requires institutional sign-in at Scopus site)   15 Citations

Abstract

OBJECTIVE: To determine the impact of prior open neck biopsy on the prognosis of patients with human papillomavirus (HPV)-related oropharyngeal squamous cell carcinoma (OPSCC) who are subsequently treated with a definitive surgical paradigm, including adjuvant therapy when indicated.

STUDY DESIGN: Retrospective cohort.

SETTING: Tertiary care university hospital.

SUBJECTS AND METHODS: Patients with open neck biopsies who were treated with definitive surgery, with or without adjuvant therapy, for HPV-related OPSCC between 1998 and 2012 were compared with a matched control group who did not undergo open neck biopsy. Outcomes were disease-free survival, overall survival, disease-specific survival, incidence of tumor deposit in dermal scar, patterns of recurrence, and neck dissection complications.

RESULTS: Forty-five patients who underwent open neck biopsy were compared with 90 matched controls. Tumor deposits in dermal scars from the prior open neck biopsy were found in 3 patients (7%) during completion neck dissection. Overall complications of the neck dissection were not significantly increased in the open biopsy group over matched controls (20% vs 12%, respectively; P > .05). Five-year Kaplan-Meier estimates for disease-free survival, overall survival, and disease-specific survival were not significantly different between the open biopsy and control groups (93% vs 91%, 98% vs 97%, 98% vs 99%, respectively; all P > .05). Recurrence rates were also not significantly different between groups.

CONCLUSIONS: Patients with HPV-related OPSCC who have undergone a prior open neck biopsy can be successfully treated with a definitive surgical paradigm. Although needle biopsy is preferable to establish a diagnosis, previous open neck biopsy does not affect prognosis in these patients.

Author List

Zenga J, Graboyes EM, Haughey BH, Paniello RC, Mehrad M, Lewis JS Jr, Thorstad WL, Nussenbaum B, Rich JT

Author

Joseph Zenga MD Assistant Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Biopsy
Carcinoma, Squamous Cell
Case-Control Studies
Female
Humans
Male
Middle Aged
Neck Dissection
Neoplasm Recurrence, Local
Neoplasm Staging
Oropharyngeal Neoplasms
Postoperative Complications
Prognosis
Retrospective Studies
Survival Rate
Treatment Outcome