Mucoepidermoid carcinoma of the head and neck: Clinical analysis of 43 patients

Hiroyuki Ozawa, Toshiki Tomita, Koji Sakamoto, Takamasa Tagawa, Ryoichi Fujii, Sho Kanzaki, Kaoru Ogawa, Kaori Kameyama, Masato Fujii

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Objective: It is well known that mucoepidermoid carcinoma (MEC) displays a variety of biological behaviors. While the high-grade type is a highly aggressive tumor, its low-grade counterpart usually demonstrates a more benign nature and several systems have, therefore, been proposed to grade this neoplasm. Methods: This report analyzes 43 patients suffering from head and neck MEC, who were treated in our department during the period from 1989 to 2005. The relationship between clinical and pathologic characteristics and survival rate was investigated. Results: The 5-year overall and disease-free survival rate was 62.3 and 57.2%. Multivariate analysis demonstrated that the parameters that significantly affected survival were the patient's age (P = 0.040) and treatment method (P = 0.011). Conclusions: The patient's age and treatment method is the prognostic parameter in this study. Although complete surgical resection is the standard treatment for MEC, we should aggressively consider adjunctive radiotherapy in those cases that have a high risk of recurrence and poor prognosis.

Original languageEnglish
Pages (from-to)414-418
Number of pages5
JournalJapanese journal of clinical oncology
Volume38
Issue number6
DOIs
Publication statusPublished - 2008 Jun

Keywords

  • Head and neck cancer
  • Mucoepidermoid carcinoma
  • Prognosis
  • Salivary gland

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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