Positive frozen section margins predict local recurrence in R0-resected squamous cell carcinoma of the head and neck

Highlights • Close margins (<5 mm) on permanent analysis are associated with aggressive tumour characteristics like high-grade differentiation, hemangiosis, lymphangiosis and regional tumour disease. • Close margins, advanced tumour size, nodal disease, high-grade differentiation, lymphangiosis a...

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Published inOral oncology Vol. 55; pp. 17 - 23
Main Authors Ettl, Tobias, El-Gindi, Alain, Hautmann, Matthias, Gosau, Martin, Weber, Florian, Rohrmeier, Christian, Gerken, Michael, Müller, Steffen, Reichert, Torsten, Klingelhöffer, Christoph
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.04.2016
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Summary:Highlights • Close margins (<5 mm) on permanent analysis are associated with aggressive tumour characteristics like high-grade differentiation, hemangiosis, lymphangiosis and regional tumour disease. • Close margins, advanced tumour size, nodal disease, high-grade differentiation, lymphangiosis and local recurrence are predictors for poor disease-specific survival. • Positive frozen section margins highly predict local recurrence in R0-resected carcinomas of the head and neck. This points to a limited accuracy of frozen section analysis guiding revisional resection.
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ISSN:1368-8375
1879-0593
DOI:10.1016/j.oraloncology.2016.02.012