Evidence map›Paper›PMID 39042171›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2024

Exploring tonsillar cancer associations in patients with base of tongue cancer: insights from a single-center study.

Sebastian Udholm, Nina B Sannino-Greve, Tejs Ehlers Klug

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Sebastian UdholmDepartment of Otorhinolaryngology, Head and Neck Surgery, Aarhus N. University Hospital, Aarhus, DK-8200, Denmark. udholm@clin.au.dk.ORCID http://orcid.org/0000-0002-3929-5120
Nina B Sannino-GreveDepartment of Otorhinolaryngology, Head and Neck Surgery, Aarhus N. University Hospital, Aarhus, DK-8200, Denmark.
Tejs Ehlers KlugDepartment of Otorhinolaryngology, Head and Neck Surgery, Aarhus N. University Hospital, Aarhus, DK-8200, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the prevalence of synchronous and metachronous tonsillar cancer in patients with base of tongue cancer, as well as identifying potential risk factors linked to these secondary malignancies. We aim to answer the following question: Should bilateral tonsillectomy be recommended to patients diagnosed with base of tongue cancer?

methodsA case-series study was conducted at Aarhus University Hospital, including all patients with histologically confirmed base of tongue squamous cell carcinoma treated between January 2012 and December 2021. Data from electronic patient records, including diagnosis of prior, synchronous or metachronous tonsillar cancer, demographics, and clinical features were analysed. Fisher's exact test was performed to assess factors associated with synchronous and metachronous tonsillar cancer.

resultsAmong 198 patients with base of tongue cancer, 5.6% had a history of tonsillar cancer, either prior to (4.5%), synchronous (0.5%), or metachronous (0.5%) to the base of tongue diagnosis. The prevalence of synchronous or metachronous tonsillar cancer among patients without previous bilateral tonsillectomy was 1.2%. Patients with tonsillar cancer were older, had heavier smoking histories, and exhibited less frequent P16-overexpression.

conclusionOur findings deepen understanding of tonsillar cancer in patients with base of tongue cancer. The prevalence of synchronous or metachronous tonsillar cancer was found to be relatively low, suggesting that routine tonsillectomy for all base of tongue cancer patients is not warranted.

Indexed as

Tongue NeoplasmsTonsillar NeoplasmsTonsillectomyAdultAgedAged, 80 and overCarcinoma, Squamous CellDenmarkFemaleHumansMaleMiddle AgedNeoplasms, Multiple PrimaryNeoplasms, Second PrimaryPrevalenceRetrospective StudiesBase of tongueCancerCarcinomaHead and neck cancerMalignancySecondary cancer

Identifiers

PMID39042171
PMCPMC11512922

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.