Exploring the Epidemiology and Survival Trends in Pediatric Major Salivary Gland Malignancies: Insights from the National Cancer Database
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Source and Patient Selection
2.2. Variables
2.3. Statistical Analysis
3. Results
3.1. Demographics and Tumor General Characteristics
3.2. Age, Gender, and Racial Differences in Histopathologic Characteristics of Malignancies
3.3. Differences in Stage of Presentation and Histology by Age Groups and Race
3.4. Margin Status
3.5. Tumor Features and Therapies
3.6. Age and Histological Considerations for Radiation
3.7. 5-Year Survival Analyses
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Demographics and Tumor Characteristics | N | % | |
---|---|---|---|
Sex | Female | 572 | 59.1 |
Male | 395 | 40.8 | |
Race | White | 675 | 69.8 |
African American | 165 | 17.1 | |
Asian | 54 | 5.6 | |
American Indian, Aleutian, or Eskimo | 10 | 1 | |
Pacific islander | 11 | 1.1 | |
Other/Unknown | 52 | 5.4 | |
Age distribution (years) | 0–5 | 24 | 2.5 |
6–10 | 84 | 8.7 | |
11–15 | 285 | 29.5 | |
16–21 | 574 | 59.4 | |
Location | Parotid gland | 833 | 86.1 |
Submandibular gland | 98 | 10.1 | |
Sublingual gland | 5 | 0.5 | |
Unspecified | 31 | 3.2 | |
Histology | Mucoepidermoid carcinoma | 399 | 41.3 |
Acinic cell adenocarcinoma | 325 | 33.6 | |
Adenoid cystic carcinoma | 72 | 7.4 | |
Sarcoma, MC & Rhabdomyosarcoma | 45 | 4.7 | |
Adenocarcinoma | 32 | 3.3 | |
Others | 94 | 9.7 |
Acinic Cell Adenocarcinoma (N = 325) | Adenocarcinoma (N = 32) | Adenoid Cystic Carcinoma (N = 72) | MC/Sarcoma/RMS (N = 45) | Mucoepidermoid Carcinoma (N = 399) | Others (N = 94) | p-Value | |
---|---|---|---|---|---|---|---|
Chemotherapy | |||||||
No | 325 (100%) | 29 (90.6%) | 66 (91.7%) | 20 (44.4%) | 372 (93.7%) | 69 (73.4%) | <0.001 |
Yes | 0 (0%) | 3 (9.4%) | 6 (8.3%) | 25 (55.6%) | 25 (6.3%) | 25 (26.6%) | |
Surg_prim_site | |||||||
No | 7 (2.2%) | 1 (3.1%) | 2 (2.8%) | 11 (24.4%) | 4 (1.0%) | 11 (11.7%) | <0.001 |
Yes | 318 (97.8%) | 31 (96.9%) | 70 (97.2%) | 34 (75.6%) | 395 (99.0%) | 83 (88.3%) | |
Radiation | |||||||
No | 263 (80.9%) | 16 (50.0%) | 21 (29.2%) | 20 (44.4%) | 226 (56.6%) | 48 (51.1%) | <0.001 |
Yes | 62 (19.1%) | 16 (50.0%) | 51 (70.8%) | 25 (55.6%) | 173 (43.4%) | 46 (48.9%) |
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Coleman, M.; Liang, J.; Rastatter, J.C.; Arch, R.S.; Gartrell, J.; Chelius, D.C., Jr.; Sheyn, A.; Li, C.; Richard, C. Exploring the Epidemiology and Survival Trends in Pediatric Major Salivary Gland Malignancies: Insights from the National Cancer Database. Curr. Oncol. 2023, 30, 6134-6147. https://doi.org/10.3390/curroncol30070456
Coleman M, Liang J, Rastatter JC, Arch RS, Gartrell J, Chelius DC Jr., Sheyn A, Li C, Richard C. Exploring the Epidemiology and Survival Trends in Pediatric Major Salivary Gland Malignancies: Insights from the National Cancer Database. Current Oncology. 2023; 30(7):6134-6147. https://doi.org/10.3390/curroncol30070456
Chicago/Turabian StyleColeman, Madison, Jia Liang, Jeffrey C. Rastatter, Rebecca S. Arch, Jessica Gartrell, Daniel C. Chelius, Jr., Anthony Sheyn, Cai Li, and Celine Richard. 2023. "Exploring the Epidemiology and Survival Trends in Pediatric Major Salivary Gland Malignancies: Insights from the National Cancer Database" Current Oncology 30, no. 7: 6134-6147. https://doi.org/10.3390/curroncol30070456
APA StyleColeman, M., Liang, J., Rastatter, J. C., Arch, R. S., Gartrell, J., Chelius, D. C., Jr., Sheyn, A., Li, C., & Richard, C. (2023). Exploring the Epidemiology and Survival Trends in Pediatric Major Salivary Gland Malignancies: Insights from the National Cancer Database. Current Oncology, 30(7), 6134-6147. https://doi.org/10.3390/curroncol30070456