Research Article

A Novel Overall Survival Nomogram Prediction of Secondary Primary Malignancies after Hypopharyngeal Cancer: A Population-Based Study

Table 1

Characteristics of hypopharyngeal cancer patients with SPMs.

VariableTotalTraining cohortValidation cohort
()()()

Age (y)
 <65363 (59.2%)253 (59.0%)110 (59.8%)0.858
 ≥65250 (40.8%)176 (41.0%)74 (40.2%)
Gender
 Female113 (18.4%)76 (17.7%)37 (20.1%)0.496
 Male500 (81.6%)353 (82.3%)147 (79.9%)
Marital status
 Married355 (57.9%)247 (57.6%)108 (58.7%)0.858
 Others258 (42.1%)182 (42.4%)76 (41.3%)
Race
 White500 (81.6%)349 (81.4%)151 (82.1%)0.983
 Black83 (13.5%)59 (13.7%)24 (13.0%)
 Others30 (4.9%)21 (4.9%)9 (4.9%)
Month interval (month)
 ≤24214 (34.9%)140 (32.6%)74 (40.2%)0.079
 >24399 (65.1%)289 (67.4%)110 (59.8%)
Diagnose year (y)
 2000-2009448 (73.1%)317 (73.9%)131 (71.2%)0.489
 2010-2018165 (26.9%)112 (26.1%)53 (28.8%)
Primary site of HPC
 Pyriform sinus359 (58.6%)259 (60.4%)100 (54.3%)0.653
 Postcricoid region14 (2.3%)10 (2.3%)4 (2.2%)
 Aryepiglottic fold, hypopharyngeal63 (10.3%)43 (10.0%)20 (10.9%)
 Posterior wall of the hypopharynx42 (6.9%)30 (7.0%)12 (6.5%)
 Overlapping lesion of the hypopharynx14 (2.3%)10 (2.3%)4 (2.2%)
 Hypopharynx, NOS121 (19.7%)77 (17.9%)44 (23.9%)
Histology of HPC
 SCC603 (98.4%)423 (98.6%)180 (97.8%)0.497
 Others10 (1.6%)6 (1.4%)4 (2.2%)
SEER stage of HPC
 Localized105 (17.1%)76 (17.7%)29 (15.8%)0.775
 Regional400 (65.3%)276 (64.3%)124 (67.4%)
 Distant108 (17.6%)77 (17.9%)31 (16.8%)
Surgery for HPC
 No436 (71.1%)311 (72.5%)125 (67.9%)0.285
 Yes177 (28.9%)118 (27.5%)59 (32.1%)
Radiotherapy for HPC
 No65 (10.6%)43 (10.0%)22 (12.0%)0.477
 Yes548 (89.4%)386 (90.0%)162 (88.0%)
Chemotherapy for HPC
 No/unknown198 (32.3%)139 (32.4%)59 (32.1%)1
 Yes415 (67.7%)290 (67.6%)125 (67.9%)
Therapy model for HPC
 None or alone137 (22.3%)98 (22.8%)39 (21.2%)0.674
 Combined therapy476 (77.7%)331 (77.2%)145 (78.8%)
Tumor site of SPM
 Respiratory system228 (37.2%)155 (36.1%)73 (39.7%)0.716
 Digestive system122 (19.9%)85 (19.8%)37 (20.1%)
 Oral cavity and pharynx123 (20.1%)91 (21.2%)32 (17.4%)
 Others140 (22.8%)98 (22.8%)42 (22.8%)
Histology of SPM
 SCC299 (48.8%)210 (49.0%)89 (48.4%)0.973
 Adenocarcinoma178 (29.0%)125 (29.1%)53 (28.8%)
 Others136 (22.2%)94 (21.9%)42 (22.8%)
SEER stage of SPM
 In situ16 (2.6%)12 (2.8%)4 (2.2%)0.725
 Localized262 (42.7%)183 (42.7%)79 (42.9%)
 Regional154 (25.1%)102 (23.8%)52 (28.3%)
 Distant137 (22.3%)101 (23.5%)36 (19.6%)
 Localized/regional (only for prostate)44 (7.2%)31 (7.2%)13 (7.1%)
Surgery for SPM
 No314 (51.2%)228 (53.1%)86 (46.7%)0.159
 Yes299 (48.8%)201 (46.9%)98 (53.3%)
Radiotherapy for SPM
 No419 (68.4%)289 (67.4%)130 (70.7%)0.449
 Yes194 (31.6%)140 (32.6%)54 (29.3%)
Chemotherapy for SPM
 No435 (71.0%)305 (71.1%)130 (70.7%)0.923
 Yes178 (29.0%)124 (28.9%)54 (29.3%)
Therapy model for SPM
 None or alone459 (74.9%)323 (75.3%)136 (73.9%)0.761
 Combined154 (25.1%)106 (24.7%)48 (26.1%)

Abbreviations: SPMs: second primary malignancies; HPC: hypopharyngeal cancer; SCC: squamous cell carcinoma.