Table 4. Risk Factors for Contralateral Nodal Disease in Those With Clinically Negative Contralateral Neck Findings.
Risk Factor | Patient Populationa | Univariate Analysis, OR (95% CI) | |
---|---|---|---|
Contralateral pN0 Neck Findings (n = 55)b | Contralateral pN1+ Neck Findings (n = 15)c | ||
Primary tumor location | |||
Lateralized | 34 (61.8) | 4 (26.7) | 6.23 (1.71-22.77) |
Crosses midline | 15 (27.3) | 11 (73.3) | |
Unknown | 6 (10.9) | 0 | |
Distance from midline, mean (SD), cm | 0.46 (0.40) | 0.31 (0.27) | 0.32 (0.004-25.05) |
Clinical T stage | |||
T0 | 14 (25.5) | 2 (13.3) | NA |
T1-T2 | 34 (61.8) | 10 (66.7) | 2.06 (0.40-10.62) |
T3-T4 | 7 (12.7) | 3 (20.0) | 3.00 (0.40-22.30) |
Pathologic T stage | |||
T1-T2 | 45 (81.8) | 12 (80.0) | 0.87 (0.27-4.74) |
T3-T4 | 10 (18.2) | 3 (20.0) | |
LVI | |||
No | 36 (65.5) | 8 (53.3) | 1.75 (0.55-5.59) |
Yes | 18 (32.7) | 7 (46.7) | |
Unknown | 1 (1.8) | 0 | |
PNI | |||
No | 50 (90.9) | 14 (93.3) | 0.89 (0.09-8.64) |
Yes | 4 (7.3) | 1 (6.7) | |
Unknown | 1 (1.8) | 0 | |
N stage in ipsilateral neck | |||
N0 | 4 (7.3) | 1 (6.7) | 1.10 (0.11-10.63) |
N1+ | 51 (92.7) | 14 (93.3) | |
No. of positive nodes, mean (SD) | 2 (2) | 3 (4) | 1.12 (0.90-1.39) |
Largest node, mean (SD), cm | 3.53 (1.52) | 3.87 (1.29) | 1.18 (0.78-1.78) |
ECS | |||
Absent | 22 (40.0) | 5 (33.3) | 1.37 (0.40-4.65) |
Present | 29 (52.7) | 9 (60.0) | |
Unknown | 4 (7.3) | 1 (6.7) |
Abbreviations: BOT, base of tongue; ECS, extracapsular lymph node spread; LVI, lymphovascular invasion; NA, not available; OR, odds ratio; PNI, perineural invasion.
Unless otherwise indicated, data are expressed as number (percentage) of patients.
Refers to patients who on analysis of pathologic findings had no evidence of disease in contralateral neck nodes.
Refers to patients who on analysis of pathologic findings had at least 1 node with evidence of disease in the contralateral neck.