The 3rd congress of the International Academy of Oral Oncology
The meeting on oral oncology was recently held in Singapore. Of the many papers presented there, a couple were of particular interest. The 3rd congress of the International Academy of Oral Oncology was held on July 14—17, 2011, in Singapore. Predicting long term survival in base of tongue cancers The treatment of squamous-cell carcinoma of the tongue-base has evolved from surgery and radiotherapy towards concomitant chemoradiation. Richard Nason (Manitoba, Canada) and colleagues presented results from a historical cohort of 290 patients with advanced cancer of the base of the tongue—followed prospectively—to assess 10-year treatment outcomes over the time that the pattern of treatment was changing. Multivariate models showed an independent effect of stage, sex, age, and initial treatment modality on overall survival. Treatment with radiotherapy and chemotherapy reduced the risk of death over 10 years by 89% (HR 0·11, 95%CI 0·1—0·2; p<0·0001) and surgery plus radiotherapy reduced the risk of death over 10 years by 87% (HR 0·13, 95%CI 0·1—0·2, p<0·0001). Lymph node metastasis gene expressions The assessment and treatment of regional lymph nodes in the neck of patients with squamous-cell carcinoma of the head and neck is the subject of much debate. Frank Leusink (Utrecht, Netherlands) and colleagues presented the validation study of a lymph-node-metastasis gene expression signature to discriminate metastasising from non-metastasising disease. Gene expression was analysed using a DNA microarray that included 696 previously reported predictive genes. The negative predictive value of the signature was assessed on the whole multicentre cohort (n=222), on clinically node negative (cN0) tumours [...]