07Apr 2022
Impact of secondary tumor‐free resection margins in soft tissue on local, regional, and distant recurrence in R0‐resected oral squamous cell carcinoma

Impact of secondary tumor‐free resection margins in soft tissue on local, regional, and distant recurrence in R0‐resected oral squamous cell carcinoma

The impact of additional soft tissue resection on oral squamous cell carcinoma (OSCC) recurrence remains controversial. Therefore, the study aim was to compare recurrence between patients with secondary tumour-free resection margins after additional intraoperative resection (STF‐RM) and patients with primary tumour-free resection margins without additional resection (PTF‐RM). Patients with STF‐RM showed lower local and distant control rates compared to patients with PTF‐RM (66.2% vs. 82.8%; p = 0.045 and 86.3% vs. 100.0%; p = 0.021). STF‐RM was the only predictor of local recurrence accounting for tumor (T) status, nodal (N) status, tumor grade, margin distance, and extracapsular extension (hazard ratio 4.21 [95% confidence interval 1.26–14.04]; p = 0.019). STF‐RM have an adverse impact on local and distant recurrence of OSCC.

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