Prognostic factors for local recurrence, metastasis and survival for sebaceous carcinoma of the eyelid: observations in 100 patients

Background/aimsTo validate the predictive value of the American Joint Committee on Cancer (AJCC) 8th-edition classification for local recurrence, metastasis and survival in patients with eyelid sebaceous carcinoma.MethodsWe performed a retrospective review of 100 consecutive patients with eyelid seb...

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Vydáno v:	British journal of ophthalmology Ročník 103; číslo 7; s. 980 - 984
Hlavní autoři:	Sa, Ho-Seok, Rubin, Maria Laura, Xu, Shiqiong, Ning, Jing, Tetzlaff, Michael, Sagiv, Oded, Kandl, Thomas J, Esmaeli, Bita
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England BMJ Publishing Group LTD 01.07.2019
Témata:	Adult Aged Aged, 80 and over Biopsy Cancer therapies Chemotherapy Classification Committees Ethnicity Eye cancer Eyelid Neoplasms - diagnosis Eyelid Neoplasms - mortality Eyelid Neoplasms - secondary Eyelids - pathology Family medical history Female Follow-Up Studies Head & neck cancer Humans Incidence Lymphatic Metastasis Lymphatic system Male Medical prognosis Metastasis Middle Aged Neoplasm Recurrence, Local - epidemiology Neoplasm Staging Ophthalmology Patients Plastic surgery Prognosis Retrospective Studies Sebaceous Gland Neoplasms - diagnosis Sebaceous Gland Neoplasms - mortality Sebaceous Gland Neoplasms - secondary Survival Rate - trends Tumors United States - epidemiology United States United States > US eyelid carcinoma metastasis 8th TNM AJCC survival staging system sebaceous carcinoma
ISSN:	0007-1161, 1468-2079, 1468-2079
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Abstract	Background/aimsTo validate the predictive value of the American Joint Committee on Cancer (AJCC) 8th-edition classification for local recurrence, metastasis and survival in patients with eyelid sebaceous carcinoma.MethodsWe performed a retrospective review of 100 consecutive patients with eyelid sebaceous carcinoma. Eyelid carcinomas were staged according to the AJCC 7th-edition and 8th-edition criteria. Associations between T and N categories and disease-related outcomes including local recurrence, lymph node metastasis, distant metastasis and survival were evaluated.Results60 women and 40 men had a median age of 67 years (range, 41–94 years). The proportions of patients who experienced local recurrence, lymph node metastasis, distant metastasis and death from disease were 6%, 21%, 7% and 6%, respectively. Two-year and 5-year disease-specific survival (DSS) rates were 93.8% and 92.0%, respectively. There were significant correlations between (1) T2c or worse category and lymph node metastasis (p=0.04) and distant metastasis (p=0.01), (2) T3b or worse category and local recurrence (p=0.01) and death from disease (p=0.01) and (3) N1 category at presentation and distant metastasis (p<0.01) and death from disease (p<0.01). The AJCC 8th-edition classification showed a better homogeneity of the T-category distribution (p<0.01) and a slightly higher discrimination ability for lymph node metastasis (C=0.734 vs C=0.728) than the 7th-edition.ConclusionsT and N categories per AJCC 8th-edition classification are predictive of local recurrence, metastasis and DSS outcomes for eyelid sebaceous carcinoma. Surgeons should perform strict surveillance testing for nodal and systemic metastases in patients with T2c or worse T category and/or N1 disease at presentation.
AbstractList	Background/aimsTo validate the predictive value of the American Joint Committee on Cancer (AJCC) 8th-edition classification for local recurrence, metastasis and survival in patients with eyelid sebaceous carcinoma.MethodsWe performed a retrospective review of 100 consecutive patients with eyelid sebaceous carcinoma. Eyelid carcinomas were staged according to the AJCC 7th-edition and 8th-edition criteria. Associations between T and N categories and disease-related outcomes including local recurrence, lymph node metastasis, distant metastasis and survival were evaluated.Results60 women and 40 men had a median age of 67 years (range, 41–94 years). The proportions of patients who experienced local recurrence, lymph node metastasis, distant metastasis and death from disease were 6%, 21%, 7% and 6%, respectively. Two-year and 5-year disease-specific survival (DSS) rates were 93.8% and 92.0%, respectively. There were significant correlations between (1) T2c or worse category and lymph node metastasis (p=0.04) and distant metastasis (p=0.01), (2) T3b or worse category and local recurrence (p=0.01) and death from disease (p=0.01) and (3) N1 category at presentation and distant metastasis (p<0.01) and death from disease (p<0.01). The AJCC 8th-edition classification showed a better homogeneity of the T-category distribution (p<0.01) and a slightly higher discrimination ability for lymph node metastasis (C=0.734 vs C=0.728) than the 7th-edition.ConclusionsT and N categories per AJCC 8th-edition classification are predictive of local recurrence, metastasis and DSS outcomes for eyelid sebaceous carcinoma. Surgeons should perform strict surveillance testing for nodal and systemic metastases in patients with T2c or worse T category and/or N1 disease at presentation. To validate the predictive value of the American Joint Committee on Cancer (AJCC) 8th-edition classification for local recurrence, metastasis and survival in patients with eyelid sebaceous carcinoma.BACKGROUND/AIMSTo validate the predictive value of the American Joint Committee on Cancer (AJCC) 8th-edition classification for local recurrence, metastasis and survival in patients with eyelid sebaceous carcinoma.We performed a retrospective review of 100 consecutive patients with eyelid sebaceous carcinoma. Eyelid carcinomas were staged according to the AJCC 7th-edition and 8th-edition criteria. Associations between T and N categories and disease-related outcomes including local recurrence, lymph node metastasis, distant metastasis and survival were evaluated.METHODSWe performed a retrospective review of 100 consecutive patients with eyelid sebaceous carcinoma. Eyelid carcinomas were staged according to the AJCC 7th-edition and 8th-edition criteria. Associations between T and N categories and disease-related outcomes including local recurrence, lymph node metastasis, distant metastasis and survival were evaluated.60 women and 40 men had a median age of 67 years (range, 41-94 years). The proportions of patients who experienced local recurrence, lymph node metastasis, distant metastasis and death from disease were 6%, 21%, 7% and 6%, respectively. Two-year and 5-year disease-specific survival (DSS) rates were 93.8% and 92.0%, respectively. There were significant correlations between (1) T2c or worse category and lymph node metastasis (p=0.04) and distant metastasis (p=0.01), (2) T3b or worse category and local recurrence (p=0.01) and death from disease (p=0.01) and (3) N1 category at presentation and distant metastasis (p<0.01) and death from disease (p<0.01). The AJCC 8th-edition classification showed a better homogeneity of the T-category distribution (p<0.01) and a slightly higher discrimination ability for lymph node metastasis (C=0.734 vs C=0.728) than the 7th-edition.RESULTS60 women and 40 men had a median age of 67 years (range, 41-94 years). The proportions of patients who experienced local recurrence, lymph node metastasis, distant metastasis and death from disease were 6%, 21%, 7% and 6%, respectively. Two-year and 5-year disease-specific survival (DSS) rates were 93.8% and 92.0%, respectively. There were significant correlations between (1) T2c or worse category and lymph node metastasis (p=0.04) and distant metastasis (p=0.01), (2) T3b or worse category and local recurrence (p=0.01) and death from disease (p=0.01) and (3) N1 category at presentation and distant metastasis (p<0.01) and death from disease (p<0.01). The AJCC 8th-edition classification showed a better homogeneity of the T-category distribution (p<0.01) and a slightly higher discrimination ability for lymph node metastasis (C=0.734 vs C=0.728) than the 7th-edition.T and N categories per AJCC 8th-edition classification are predictive of local recurrence, metastasis and DSS outcomes for eyelid sebaceous carcinoma. Surgeons should perform strict surveillance testing for nodal and systemic metastases in patients with T2c or worse T category and/or N1 disease at presentation.CONCLUSIONST and N categories per AJCC 8th-edition classification are predictive of local recurrence, metastasis and DSS outcomes for eyelid sebaceous carcinoma. Surgeons should perform strict surveillance testing for nodal and systemic metastases in patients with T2c or worse T category and/or N1 disease at presentation. To validate the predictive value of the American Joint Committee on Cancer (AJCC) 8th-edition classification for local recurrence, metastasis and survival in patients with eyelid sebaceous carcinoma. We performed a retrospective review of 100 consecutive patients with eyelid sebaceous carcinoma. Eyelid carcinomas were staged according to the AJCC 7th-edition and 8th-edition criteria. Associations between T and N categories and disease-related outcomes including local recurrence, lymph node metastasis, distant metastasis and survival were evaluated. 60 women and 40 men had a median age of 67 years (range, 41-94 years). The proportions of patients who experienced local recurrence, lymph node metastasis, distant metastasis and death from disease were 6%, 21%, 7% and 6%, respectively. Two-year and 5-year disease-specific survival (DSS) rates were 93.8% and 92.0%, respectively. There were significant correlations between (1) T2c or worse category and lymph node metastasis (p=0.04) and distant metastasis (p=0.01), (2) T3b or worse category and local recurrence (p=0.01) and death from disease (p=0.01) and (3) N1 category at presentation and distant metastasis (p<0.01) and death from disease (p<0.01). The AJCC 8th-edition classification showed a better homogeneity of the T-category distribution (p<0.01) and a slightly higher discrimination ability for lymph node metastasis (C=0.734 vs C=0.728) than the 7th-edition. T and N categories per AJCC 8th-edition classification are predictive of local recurrence, metastasis and DSS outcomes for eyelid sebaceous carcinoma. Surgeons should perform strict surveillance testing for nodal and systemic metastases in patients with T2c or worse T category and/or N1 disease at presentation.
Author	Ning, Jing Rubin, Maria Laura Sagiv, Oded Xu, Shiqiong Sa, Ho-Seok Kandl, Thomas J Tetzlaff, Michael Esmaeli, Bita
Author_xml	– sequence: 1 givenname: Ho-Seok surname: Sa fullname: Sa, Ho-Seok email: besmaeli@mdanderson.org organization: Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea – sequence: 2 givenname: Maria Laura surname: Rubin fullname: Rubin, Maria Laura email: besmaeli@mdanderson.org organization: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 3 givenname: Shiqiong surname: Xu fullname: Xu, Shiqiong email: besmaeli@mdanderson.org organization: Department of Ophthalmology, Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China – sequence: 4 givenname: Jing surname: Ning fullname: Ning, Jing email: besmaeli@mdanderson.org organization: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 5 givenname: Michael surname: Tetzlaff fullname: Tetzlaff, Michael email: besmaeli@mdanderson.org organization: Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 6 givenname: Oded surname: Sagiv fullname: Sagiv, Oded email: besmaeli@mdanderson.org organization: Orbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 7 givenname: Thomas J surname: Kandl fullname: Kandl, Thomas J email: besmaeli@mdanderson.org organization: Orbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 8 givenname: Bita surname: Esmaeli fullname: Esmaeli, Bita email: besmaeli@mdanderson.org organization: Orbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
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Keywords	eyelid carcinoma metastasis 8th TNM AJCC survival staging system sebaceous carcinoma
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SubjectTerms	Adult Aged Aged, 80 and over Biopsy Cancer therapies Chemotherapy Classification Committees Ethnicity Eye cancer Eyelid Neoplasms - diagnosis Eyelid Neoplasms - mortality Eyelid Neoplasms - secondary Eyelids - pathology Family medical history Female Follow-Up Studies Head & neck cancer Humans Incidence Lymphatic Metastasis Lymphatic system Male Medical prognosis Metastasis Middle Aged Neoplasm Recurrence, Local - epidemiology Neoplasm Staging Ophthalmology Patients Plastic surgery Prognosis Retrospective Studies Sebaceous Gland Neoplasms - diagnosis Sebaceous Gland Neoplasms - mortality Sebaceous Gland Neoplasms - secondary Survival Rate - trends Tumors United States - epidemiology
Title	Prognostic factors for local recurrence, metastasis and survival for sebaceous carcinoma of the eyelid: observations in 100 patients
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