Oral Cavity Squamous Cell Carcinoma: Impact of Clear Margin Distance on Locoregional Control in Patients Undergoing Postoperative Radiotherapy

We congratulate Lang and colleagues for their study investigating the impact of resection margin (RM) size on locoregional control (LC) outcomes, overall survival (OS), progression-free survival (PFS), and treatment-related toxicity in 162 patients with oral cavity squamous cell carcinoma (OCSCC) wh...

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Main Authors: Erkan Topkan MD, Efsun Somay PhD, Ugur Selek MD
Format: Article
Language:English
Published: SAGE Publishing 2025-02-01
Series:Technology in Cancer Research & Treatment
Online Access:https://doi.org/10.1177/15330338241305823
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author Erkan Topkan MD
Efsun Somay PhD
Ugur Selek MD
author_facet Erkan Topkan MD
Efsun Somay PhD
Ugur Selek MD
author_sort Erkan Topkan MD
collection DOAJ
description We congratulate Lang and colleagues for their study investigating the impact of resection margin (RM) size on locoregional control (LC) outcomes, overall survival (OS), progression-free survival (PFS), and treatment-related toxicity in 162 patients with oral cavity squamous cell carcinoma (OCSCC) who received postoperative radiotherapy (PORT).1 In this study, 77 (47.5%), 22 (13.6%), and 63 (38.9%) patients had involved (5 mm) RM, respectively. A RM of ≤5 mm was found to be a significant predictor for worse LC (HR 2.6), but not for OS (HR 1.2) or PFS (HR 1.2). The findings of this study provide important insights into how the status of RM affects the local control and survival outcomes of OCSCC patients who undergo PORT. However, we have two concerns that we believe need to be addressed to interpret the results more comprehensively and guide future research on this critical topic.
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institution Kabale University
issn 1533-0338
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publishDate 2025-02-01
publisher SAGE Publishing
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series Technology in Cancer Research & Treatment
spelling doaj-art-5a89ed8c9d3942d6a0c9e14ad2d634162025-02-04T15:03:34ZengSAGE PublishingTechnology in Cancer Research & Treatment1533-03382025-02-012410.1177/15330338241305823Oral Cavity Squamous Cell Carcinoma: Impact of Clear Margin Distance on Locoregional Control in Patients Undergoing Postoperative RadiotherapyErkan Topkan MD0Efsun Somay PhD1Ugur Selek MD2 Department of Radiation Oncology, , Adana, Turkey Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, , Ankara, Turkey , , Istanbul, TurkeyWe congratulate Lang and colleagues for their study investigating the impact of resection margin (RM) size on locoregional control (LC) outcomes, overall survival (OS), progression-free survival (PFS), and treatment-related toxicity in 162 patients with oral cavity squamous cell carcinoma (OCSCC) who received postoperative radiotherapy (PORT).1 In this study, 77 (47.5%), 22 (13.6%), and 63 (38.9%) patients had involved (5 mm) RM, respectively. A RM of ≤5 mm was found to be a significant predictor for worse LC (HR 2.6), but not for OS (HR 1.2) or PFS (HR 1.2). The findings of this study provide important insights into how the status of RM affects the local control and survival outcomes of OCSCC patients who undergo PORT. However, we have two concerns that we believe need to be addressed to interpret the results more comprehensively and guide future research on this critical topic.https://doi.org/10.1177/15330338241305823
spellingShingle Erkan Topkan MD
Efsun Somay PhD
Ugur Selek MD
Oral Cavity Squamous Cell Carcinoma: Impact of Clear Margin Distance on Locoregional Control in Patients Undergoing Postoperative Radiotherapy
Technology in Cancer Research & Treatment
title Oral Cavity Squamous Cell Carcinoma: Impact of Clear Margin Distance on Locoregional Control in Patients Undergoing Postoperative Radiotherapy
title_full Oral Cavity Squamous Cell Carcinoma: Impact of Clear Margin Distance on Locoregional Control in Patients Undergoing Postoperative Radiotherapy
title_fullStr Oral Cavity Squamous Cell Carcinoma: Impact of Clear Margin Distance on Locoregional Control in Patients Undergoing Postoperative Radiotherapy
title_full_unstemmed Oral Cavity Squamous Cell Carcinoma: Impact of Clear Margin Distance on Locoregional Control in Patients Undergoing Postoperative Radiotherapy
title_short Oral Cavity Squamous Cell Carcinoma: Impact of Clear Margin Distance on Locoregional Control in Patients Undergoing Postoperative Radiotherapy
title_sort oral cavity squamous cell carcinoma impact of clear margin distance on locoregional control in patients undergoing postoperative radiotherapy
url https://doi.org/10.1177/15330338241305823
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AT efsunsomayphd oralcavitysquamouscellcarcinomaimpactofclearmargindistanceonlocoregionalcontrolinpatientsundergoingpostoperativeradiotherapy
AT ugurselekmd oralcavitysquamouscellcarcinomaimpactofclearmargindistanceonlocoregionalcontrolinpatientsundergoingpostoperativeradiotherapy