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Tumour budding in cutaneous squamous cell carcinoma: A novel prognosis risk factor.
Heredia, Loreto; Vargas-Mora, Pablo; Jahr, Catalina; Herranz, José; Ferrer-Rosende, Pedro.
Afiliação
  • Heredia L; Dermatology Department, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
  • Vargas-Mora P; Dermatology Department, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
  • Jahr C; Melanoma and Skin Cancer Unit, Instituto Nacional del Cáncer, Santiago, Chile.
  • Herranz J; Dermatology Department, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
  • Ferrer-Rosende P; Dermopathology Section, Pathology Service, Hospital Clínico Universidad de Chile, Santiago, Chile.
Australas J Dermatol ; 64(4): e340-e347, 2023 Nov.
Article em En | MEDLINE | ID: mdl-37665122
INTRODUCTION: Most cutaneous squamous cell carcinomas (cSCC) have a good prognosis, there is a small group where metastasis and death occur and the evaluation of this risk is still cause for controversy. Tumour budding is a pattern of histological invasion that is an emerging risk factor in other solid tumours. OBJECTIVE: To examine the association between tumour budding and other known high-risk predictors in cSCC. In addition, the impact of tumour budding on overall survival (OS) and disease-specific survival (DSS) was analysed. METHOD: Retrospective study. It included patients with a diagnosis of non-genital cSCC by excisional biopsy at a university hospital, between 2010 and 2020. A pathologist re-analysed their histological slides and evaluated budding. Univariate and multivariate analyses were made to study the associations. RESULTS: 156 cSCC biopsies were found, and positive tumour budding was found in 13.5%. This correlated with worse DSS and OS. On univariate analysis, budding was correlated with the diameter, thickness of the tumour, histological grade, level of invasion, perineural and lymphovascular invasion, previous radiotherapy, recurrent tumours and lymph node metastasis (LNM). Multivariate analysis: tumour budding was associated with poorly differentiated tumours, prior radiotherapy and LNM. CONCLUSION: An association was found between tumour budding and most known risk factors in cSCC. We found findings that indicate that the presence of tumour budding is associated with a worse prognosis in terms of LNM, OS and DSS. This supports the results of previous work which has suggested that budding could be related to high-risk cSCC.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Cutâneas / Carcinoma de Células Escamosas Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Australas J Dermatol Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Chile País de publicação: Austrália
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Cutâneas / Carcinoma de Células Escamosas Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Australas J Dermatol Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Chile País de publicação: Austrália