Head and neck squamous cell carcinoma in solid organ transplant recipients
Purpose Characterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population. Methods We carried a retrospective cohort analysis in a tertiary care center in Madrid, Spain. The study reviews 26 cases of non-cutaneous HNSCC diagnosed...
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Published in | European archives of oto-rhino-laryngology Vol. 278; no. 1; pp. 211 - 218 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
2021
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Subjects | |
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Abstract | Purpose
Characterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population.
Methods
We carried a retrospective cohort analysis in a tertiary care center in Madrid, Spain. The study reviews 26 cases of non-cutaneous HNSCC diagnosed in solid organ transplant recipients between 2000 and 2017. We select a cohort of 130 (1:5) non-transplanted patients among all non-transplanted patients diagnosed during the same period for comparison purposes, through hierarchical clustering analysis. Univariate, overall and specific survival analysis and multivariate Cox proportional hazards regression were used to evaluate our objectives.
Results
The overall risk of non-cutaneous HNSCC in solid transplant recipients was 7.2 cases per 1000. Alcohol abuse (
p
= 0.021) and upfront surgery (
p
= 0.019) were more likely to occur in transplanted patients. Age > 60 was an independent predictor of worse outcomes both for overall (HR = 2.4,
p
< 0.001) and specific (HR = 2.1,
p
= 0.012) survival.
Transplant significantly worse overall survival (HR = 2.1,
p
= 0.012) but no statistical significant differences were observed on specific survival (
p
= 0.392).
Conclusions
Solid organ transplant recipients have a higher risk of suffering non-cutaneous HNSCC. The higher mortality rate of these patients does not appear to be directly related to suffering from head and neck cancer, although it seems to contribute to developing other fatal complications in these fragile patients. |
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AbstractList | Purpose
Characterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population.
Methods
We carried a retrospective cohort analysis in a tertiary care center in Madrid, Spain. The study reviews 26 cases of non-cutaneous HNSCC diagnosed in solid organ transplant recipients between 2000 and 2017. We select a cohort of 130 (1:5) non-transplanted patients among all non-transplanted patients diagnosed during the same period for comparison purposes, through hierarchical clustering analysis. Univariate, overall and specific survival analysis and multivariate Cox proportional hazards regression were used to evaluate our objectives.
Results
The overall risk of non-cutaneous HNSCC in solid transplant recipients was 7.2 cases per 1000. Alcohol abuse (
p
= 0.021) and upfront surgery (
p
= 0.019) were more likely to occur in transplanted patients. Age > 60 was an independent predictor of worse outcomes both for overall (HR = 2.4,
p
< 0.001) and specific (HR = 2.1,
p
= 0.012) survival.
Transplant significantly worse overall survival (HR = 2.1,
p
= 0.012) but no statistical significant differences were observed on specific survival (
p
= 0.392).
Conclusions
Solid organ transplant recipients have a higher risk of suffering non-cutaneous HNSCC. The higher mortality rate of these patients does not appear to be directly related to suffering from head and neck cancer, although it seems to contribute to developing other fatal complications in these fragile patients. Characterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population. We carried a retrospective cohort analysis in a tertiary care center in Madrid, Spain. The study reviews 26 cases of non-cutaneous HNSCC diagnosed in solid organ transplant recipients between 2000 and 2017. We select a cohort of 130 (1:5) non-transplanted patients among all non-transplanted patients diagnosed during the same period for comparison purposes, through hierarchical clustering analysis. Univariate, overall and specific survival analysis and multivariate Cox proportional hazards regression were used to evaluate our objectives. The overall risk of non-cutaneous HNSCC in solid transplant recipients was 7.2 cases per 1000. Alcohol abuse (p = 0.021) and upfront surgery (p = 0.019) were more likely to occur in transplanted patients. Age > 60 was an independent predictor of worse outcomes both for overall (HR = 2.4, p < 0.001) and specific (HR = 2.1, p = 0.012) survival. Transplant significantly worse overall survival (HR = 2.1, p = 0.012) but no statistical significant differences were observed on specific survival (p = 0.392). Solid organ transplant recipients have a higher risk of suffering non-cutaneous HNSCC. The higher mortality rate of these patients does not appear to be directly related to suffering from head and neck cancer, although it seems to contribute to developing other fatal complications in these fragile patients. PURPOSECharacterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population. METHODSWe carried a retrospective cohort analysis in a tertiary care center in Madrid, Spain. The study reviews 26 cases of non-cutaneous HNSCC diagnosed in solid organ transplant recipients between 2000 and 2017. We select a cohort of 130 (1:5) non-transplanted patients among all non-transplanted patients diagnosed during the same period for comparison purposes, through hierarchical clustering analysis. Univariate, overall and specific survival analysis and multivariate Cox proportional hazards regression were used to evaluate our objectives. RESULTSThe overall risk of non-cutaneous HNSCC in solid transplant recipients was 7.2 cases per 1000. Alcohol abuse (p = 0.021) and upfront surgery (p = 0.019) were more likely to occur in transplanted patients. Age > 60 was an independent predictor of worse outcomes both for overall (HR = 2.4, p < 0.001) and specific (HR = 2.1, p = 0.012) survival. Transplant significantly worse overall survival (HR = 2.1, p = 0.012) but no statistical significant differences were observed on specific survival (p = 0.392). CONCLUSIONSSolid organ transplant recipients have a higher risk of suffering non-cutaneous HNSCC. The higher mortality rate of these patients does not appear to be directly related to suffering from head and neck cancer, although it seems to contribute to developing other fatal complications in these fragile patients. |
Author | Ibarra Estupiñan, Christian Gavilanes-Plasencia, Javier Sanz Rodríguez, Marta Almodóvar Álvarez, Carlos García González, Esther Fernández-Carrera González, Isabel Rivero Fernández, Irene |
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Cites_doi | 10.1002/hed.23283 10.1002/ijc.32299 10.1002/cncr.3178 10.1002/lary.23328 10.1002/hed.10055 10.1002/cncr.32136 10.1016/j.oraloncology.2005.03.014 10.1111/ajt.13978 10.1002/hed.25937 10.1016/j.anl.2017.11.006 10.1002/hed.23943 10.1001/jama.2011.1592 10.1016/j.oraloncology.2017.07.010 10.1016/j.mcna.2016.01.006 10.1016/j.oraloncology.2013.12.016 10.1111/ajt.12472 |
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Keywords | Head and neck cancer Immunosuppression Non-cutaneous head and neck squamous cell carcinoma Solid organ transplantation Survival |
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References | Doycheva, Amer, Watt (CR18) 2016; 100 Alsidawi, Price, Chintakuntlawar, Westin, Garcia, Ma, Okuno (CR13) 2017; 72 Noone, Pfeiffer, Dorgan (CR3) 2019; 125 Rabinovics, Mizrachi, Hadar (CR7) 2014; 36 Engels, Pfeiffer, Fraumeni, Kasiske, Israni, Snyder (CR1) 2011; 306 Deeb, Sharma, Mahan, Al-Khudari, Hall, Yoshida (CR6) 2012; 122 Preciado, Matas, Adams (CR10) 2002; 24 Nelissen, Lambrecht, Nevens, Van Raemdonck, Vanhaecke, Kuypers (CR8) 2014; 50 Coordes, Albers, Lenarz, Seehofer, Puhl, Pascher (CR14) 2015; 38 D’Arcy, Coghill, Lynch (CR4) 2019; 125 Benoni, Eloranta, Ekbom (CR2) 2020; 146 Madeleine, Finch, Lynch, Goodman, Engels (CR9) 2013; 13 CR11 Acuna, Huang, Scott, Micic, Daly, Brezden-Masley, Kim, Baxter (CR19) 2017; 17 Mowery, Conlin, Clayburgh (CR5) 2019; 41 Scheifele, Reichart, Hippler-Benscheidt, Neuhaus, Neuhaus (CR15) 2005; 41 Coordes, Albers, Lenarz, Seehofer, Puhl, Pascher, Neuhaus, Neuhaus, Pratschke, Andreou (CR16) 2016; 38 Liu, Yan, Cheng, Aihua, Zhao, Jiang (CR17) 2014; 14 Park, Roh, Choi, Nam, Kim, Lee (CR12) 2018; 45 N Rabinovics (6129_CR7) 2014; 36 H Benoni (6129_CR2) 2020; 146 C Scheifele (6129_CR15) 2005; 41 I Doycheva (6129_CR18) 2016; 100 Q Liu (6129_CR17) 2014; 14 MJ Park (6129_CR12) 2018; 45 ME D’Arcy (6129_CR4) 2019; 125 AM Noone (6129_CR3) 2019; 125 AJ Mowery (6129_CR5) 2019; 41 MM Madeleine (6129_CR9) 2013; 13 S Alsidawi (6129_CR13) 2017; 72 6129_CR11 SA Acuna (6129_CR19) 2017; 17 D Preciado (6129_CR10) 2002; 24 A Coordes (6129_CR16) 2016; 38 EA Engels (6129_CR1) 2011; 306 R Deeb (6129_CR6) 2012; 122 C Nelissen (6129_CR8) 2014; 50 A Coordes (6129_CR14) 2015; 38 |
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start-page: 1891 issue: 17 year: 2011 end-page: 1901 ident: CR1 article-title: Spectrum of cancer risk among US solid organ transplant recipients publication-title: JAMA doi: 10.1001/jama.2011.1592 contributor: fullname: Snyder – volume: 72 start-page: 104 year: 2017 end-page: 1009 ident: CR13 article-title: Characteristics and long term outcome of head and neck squamous-cell carcinoma in solid organ transplantation publication-title: Oral Oncol doi: 10.1016/j.oraloncology.2017.07.010 contributor: fullname: Okuno – ident: CR11 – volume: 100 start-page: 551 year: 2016 end-page: 567 ident: CR18 article-title: De novo malignancies after transplantation: risk and surveillance strategies publication-title: Med Clin North Am doi: 10.1016/j.mcna.2016.01.006 contributor: fullname: Watt – volume: 50 start-page: 263 year: 2014 end-page: 268 ident: CR8 article-title: Noncutaneous head and neck cancer in solid organ transplant patients: single center experience publication-title: Oral Oncol doi: 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publication-title: Cancer contributor: fullname: Q Liu – volume: 72 start-page: 104 year: 2017 ident: 6129_CR13 publication-title: Oral Oncol doi: 10.1016/j.oraloncology.2017.07.010 contributor: fullname: S Alsidawi – volume: 306 start-page: 1891 issue: 17 year: 2011 ident: 6129_CR1 publication-title: JAMA doi: 10.1001/jama.2011.1592 contributor: fullname: EA Engels – volume: 36 start-page: 181 issue: 2 year: 2014 ident: 6129_CR7 publication-title: Head Neck doi: 10.1002/hed.23283 contributor: fullname: N Rabinovics – volume: 41 start-page: 670 issue: 7 year: 2005 ident: 6129_CR15 publication-title: Oral Oncol doi: 10.1016/j.oraloncology.2005.03.014 contributor: fullname: C Scheifele – ident: 6129_CR11 – volume: 24 start-page: 319 year: 2002 ident: 6129_CR10 publication-title: Head Neck doi: 10.1002/hed.10055 contributor: fullname: D Preciado – volume: 38 start-page: 707 issue: 5 year: 2016 ident: 6129_CR16 publication-title: Head Neck doi: 10.1002/hed.23943 contributor: fullname: A Coordes – volume: 125 start-page: 2647 year: 2019 ident: 6129_CR3 publication-title: Cancer doi: 10.1002/cncr.32136 contributor: fullname: AM Noone – volume: 122 start-page: 1566 year: 2012 ident: 6129_CR6 publication-title: Laryngoscope doi: 10.1002/lary.23328 contributor: fullname: R Deeb – volume: 100 start-page: 551 year: 2016 ident: 6129_CR18 publication-title: Med Clin North Am doi: 10.1016/j.mcna.2016.01.006 contributor: fullname: I Doycheva – volume: 41 start-page: 4009 year: 2019 ident: 6129_CR5 publication-title: Head Neck doi: 10.1002/hed.25937 contributor: fullname: AJ Mowery – volume: 13 start-page: 3202 year: 2013 ident: 6129_CR9 publication-title: Am J Transplant doi: 10.1111/ajt.12472 contributor: fullname: MM Madeleine – volume: 17 start-page: 103 year: 2017 ident: 6129_CR19 publication-title: Am J Transplant doi: 10.1111/ajt.13978 contributor: fullname: SA Acuna – volume: 50 start-page: 263 year: 2014 ident: 6129_CR8 publication-title: Oral Oncol doi: 10.1016/j.oraloncology.2013.12.016 contributor: fullname: C Nelissen – volume: 38 start-page: 707 year: 2015 ident: 6129_CR14 publication-title: Head Neck doi: 10.1002/hed.23943 contributor: fullname: A Coordes – volume: 146 start-page: 682 year: 2020 ident: 6129_CR2 publication-title: Int J Cancer doi: 10.1002/ijc.32299 contributor: fullname: H Benoni – volume: 45 start-page: 838 issue: 4 year: 2018 ident: 6129_CR12 publication-title: Auris Nasus Larynx doi: 10.1016/j.anl.2017.11.006 contributor: fullname: MJ Park |
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Characterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population.
Methods
We... Characterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population. We carried a... PURPOSECharacterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population. METHODSWe... |
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SubjectTerms | Carcinoma, Squamous Cell - epidemiology Carcinoma, Squamous Cell - etiology Head and Neck Head and Neck Neoplasms - epidemiology Head and Neck Neoplasms - etiology Head and Neck Surgery Humans Medicine Medicine & Public Health Neurosurgery Organ Transplantation - adverse effects Otorhinolaryngology Retrospective Studies Spain Squamous Cell Carcinoma of Head and Neck - epidemiology Transplant Recipients |
Title | Head and neck squamous cell carcinoma in solid organ transplant recipients |
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