Table 4.
Relationships between clinical and endoscopic variables, standard and measured histopathological variables, immunohistochemical results and lymph node metastasis in the 170 tissue microarray cases with submucosal invasion thickness ≥250µm
| Parameters | Total | Lymph node metastasis (%) |
Univariate Logistic regression | Receiver-Operating-Characteristic curve |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Odds ratio | 95% CI | Global P |
P- for-trend |
Area under the curve |
95% CI | P | ||||
| Clinical variables | ||||||||||
| Sex | Male | 124 | 38(31) | 1 | 0.555 | 0.460–0.649 | 0.271 | |||
| Female | 46 | 9(20) | 0.550 | 0.242–1.253 | 0.155 | |||||
| Age | <60 | 106 | 32(30) | 1 | 0.540 | 0.444–0.636 | 0.425 | |||
| ≥60 | 64 | 15(23) | 0.708 | 0.347–1.442 | 0.341 | |||||
| Symptoms | No | 5 | 0 | 1 | 0.520 | 0.425–0.616 | 0.682 | |||
| Yes | 165 | 47(28) | 6.435×108 | 0-∝ | 0.999 | |||||
| Endoscopic variables | ||||||||||
| Tumor location | Cervical | 2 | 0 | 0 | 0-∝ | 0.999 | 0.578 | 0.481–0.675 | 0.117 | |
| Upper thoracic | 33 | 7(21) | 0.736 | 0.289–1.872 | 0.520 | |||||
| Middle thoracic | 112 | 30(27) | 1 | |||||||
| Lower thoracic | 23 | 10(43) | 2.103 | 0.834–5.299 | 0.115 | |||||
| Tumor size (measured | <2cm | 37 | 8(22) | 1 | 0.533 | 0.437–0.628 | 0.509 | |||
| endoscopically) | ≥2cm | 133 | 39(29) | 1.504 | 0.632–3.580 | 0.356 | ||||
| Macroscopic type | Papillary | 22 | 2(9) | 1 | 0.618 | 0.527–0.710 | 0.017 | |||
| Erosive | 32 | 7(22) | 2.800 | 0.523–14.992 | 0.229 | |||||
| Plaque-like | 92 | 28(30) | 4.375 | 0.957–20.001 | 0.057 | |||||
| Ulcerative | 10 | 5(50) | 10.000 | 1.480–67.554 | 0.018 | |||||
| Intraluminal | 14 | 5(36) | 5.556 | 0.901–34.246 | 0.065 | |||||
| mass | ||||||||||
| Standard histopathological variables | ||||||||||
| Invasion depth level | Sm1 | 10 | 3(30) | 1.423 | 0.766–2.646 | 0.264 | 0.556 | 0.460–0.651 | 0.262 | |
| Sm2 | 41 | 7(17) | ||||||||
| Sm3 | 119 | 37(31) | ||||||||
| Degree of differentiation | Well | 36 | 4(11) | 1 | 0.617 | 0.526–0.707 | 0.019 | |||
| Moderate | 68 | 21(31) | 3.574 | 1.121–11.400 | 0.031 | |||||
| Poor | 40 | 14(35) | 4.308 | 1.264–14.676 | 0.020 | |||||
| Basaloid | 19 | 5(26) | 2.857 | 0.665–12.267 | 0.158 | |||||
| Sarcomatoid | 7 | 3(43) | 6.000 | 0.970–37.121 | 0.054 | |||||
| Angiolymphatic invasion | No | 132 | 32(24) | 1 | 0.566 | 0.467–0.665 | 0.183 | |||
| Yes | 38 | 15(39) | 2.038 | 0.951–4.369 | 0.067 | |||||
| Multicentric invasive | No | 160 | 39(24) | 1 | 0.518 | 0.420–0.617 | 0.714 | |||
| lesions | Yes | 10 | 8(80) | 1.814 | 0.488–6.740 | 0.374 | ||||
| Glandular involvement by | No | 129 | 33(26) | 1 | 0.539 | 0.441–0.638 | 0.430 | |||
| high-grade dysplasia/ | Yes | 41 | 14(34) | 1.508 | 0.708–3.216 | 0.287 | ||||
| carcinoma-in situ | ||||||||||
| Measured histopathological variables | ||||||||||
| Tumor thickness | <3000µm | 34 | 6(18) | 1 | 0.550 | 0.456–0.644 | 0.314 | |||
| ≥3000µm | 136 | 41(30) | 2.014 | 0.775–5.233 | 0.151 | |||||
| Submucosal invasion | <2000µm | 71 | 14(20) | 1 | 0.583 | 0.489–0.677 | 0.095 | |||
| thickness | ||||||||||
| ≥2000µm | 99 | 33(33) | 2.036 | 0.992–4.176 | 0.053 | |||||
| Diameter of the largest | <2cm | 90 | 25(28) | 1 | 0.508 | 0.411–0.606 | 0.867 | |||
| invasive lesion | ||||||||||
| ≥2cm | 80 | 22(28) | 0.935 | 0.476–1.838 | 0.846 | |||||
| Immunohistochemical staining | ||||||||||
| P53 | − | 76 | 19(25) | 1.100 | 0.739–1.637 | 0.638 | 0.526 | 0.430–0.622 | 0.606 | |
| + | 41 | 15(37) | ||||||||
| ++ | 47 | 13(28) | ||||||||
| CyclinD1 | − | 51 | 12(24) | 1.155 | 0.766–1.740 | 0.492 | 0.531 | 0.434–0.628 | 0.534 | |
| + | 47 | 15(32) | ||||||||
| ++ | 64 | 19(30) | ||||||||
| EGFR | − | 59 | 14(24) | 1.506 | 0.984–2.304 | 0.060 | 0.589 | 0.487–0.691 | 0.079 | |
| + | 53 | 10(19) | ||||||||
| ++ | 52 | 21(40) | ||||||||
| VEGF | − | 51 | 7(14) | 2.133 | 1.362–3.340 | 0.001 | 0.660 | 0.570–0.750 | 0.001 | |
| + | 45 | 12(27) | ||||||||
| ++ | 66 | 28(42) | ||||||||
Abbreviation: CI, confidence interval.