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. 2019 Nov 7;146(1):50–56. doi: 10.1001/jamaoto.2019.3277

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.

a

Unless otherwise indicated, data are expressed as number (percentage) of patients.

b

Refers to patients who on analysis of pathologic findings had no evidence of disease in contralateral neck nodes.

c

Refers to patients who on analysis of pathologic findings had at least 1 node with evidence of disease in the contralateral neck.