Research Article

Tumour Recurrence, Depth of Invasion, and Temple Location as Independent Prognostic Parameters of Lymph Node Metastases of Head and Neck Cutaneous Squamous Cell Carcinomas

Table 6

List of cSCC risk factors and their significance for incidence of metastases in our patients and in previously published studies.

Risk parametersOur results of statistical analysisStudies confirming a significant risk for incidence of metastases

T stage and tumour sizeSignificantHaisma [8], Wermken [9], Thompson [10], Cherpelis [11], Clark [12], Rowe [26], Zeng [28], Jambusaria-Pahlajani [30], Lehnerdt [31], Quaedvlieg [32], Roozeboom [33]

Tumour recurrenceSignificantWermken [9], Cherpelis [11], Moore [34]

Depth of infiltrationSignificantHaisma [8], Wermken [9], Thompson [10], Cherpelis [11], Brougham [16], Rowe [26], Leibovitch [27], Brantsch [35], Lehnerdt [31], Quaedvlieg [32], Roozeboom [33]

Subcutaneous infiltrationSignificantWermken [9], Cherpelis [11], Clark [12], Jambusaria-Pahlajani [30], Moore [34], Quaedvlieg [32]

Positive resection marginsSignificantWermken [9], Lee [36], Ch’ng [37], Quaedvlieg [32], Genders [38], Mourouzis [39],

Close resection marginsNot significantJenkins [40], Stratigos [41]

Poor differentiationNot significantHaisma [8], Wermken [9], Clark [12], Brougham [16], Vauterin [22], Rowe [26], Zeng [28], Jambusaria-Pahlajani [30], Karia [37], Lehnerdt [31], Moore [34], Quaedvlieg [32]

Desmoplastic typeNot evaluatedBreuninger [42]

Actinic keratosisNot significantCherpelis [11], Rowe [26], Moore [34], Quaedvlieg [32], Del Regno [43]
Inflammation
Scarring
Irradiation

Temple locationSignificantHaisma [8], Thompson [10], Brougham [16]

Ear locationNot significantHaisma [8], Wermken [9], Thompson [10], Rowe [26], Brantsch [35], Karia [44], Lehnerdt [31],

Perineural invasionNot evaluatedThompson [10], Cherpelis [11], Brougham [16], Rowe [26], Jambusaria-Pahlajani [30], Ch’ng [37], Karia [44], Moore [34], Quaedvlieg [32], Lin [45], Carter [46]

AngioinvasionNot evaluatedQuaedvlieg [32]

ImmunosuppressionNot evaluatedCherpelis [11], Rowe [26], Venables [47], Tokez [48], Ch’ng [37]

Lymphatic invasionNot evaluatedMoore [34]