When Should Elective Neck Dissection Be Considered for Early‐Stage Oral Cavity Tumors? Insights From a Multicenter Study of 1109 Patients and Development of a Multiparametric Predictive Model
This study highlights the importance of incorporating multiple histopathological parameters into risk models for occult nodal metastases, overcoming the fixed DOI as a cutoff. The proposed predictive model offers a more precise method for guiding END in early-stage OCSCC, allowing individualized risk estimation.
Authors
- Alessandra Sordi
- Gerardo Petruzzi (ORCID: https://orcid.org/0000-0003-0371-7667)
- Alberto Deganello (ORCID: https://orcid.org/0000-0003-1008-7333)
- Salvatore Poma (ORCID: https://orcid.org/0000-0002-5591-8316)
- Milena Fior
- Vincenzo Saita
- Marco Radici (ORCID: https://orcid.org/0000-0002-4542-9797)
- Cesare Piazza (ORCID: https://orcid.org/0000-0002-2391-9357)
- Maurizio Pinamonti (ORCID: https://orcid.org/0000-0002-9277-9378)
- Mario Turri–Zanoni (ORCID: https://orcid.org/0000-0002-3678-9088)
- Sara Bassani (ORCID: https://orcid.org/0000-0002-3027-5967)
- Stefano Pelucchi (ORCID: https://orcid.org/0000-0003-1524-369X)
- Domenico Cuda (ORCID: https://orcid.org/0000-0003-2437-2872)
- Daniele Spada
- Maria Silvia Lazio (ORCID: https://orcid.org/0000-0001-8928-0317)
- Giancarlo Tirelli
- Matteo Fermi (ORCID: https://orcid.org/0000-0002-2727-0321)
- Andrea Iandelli (ORCID: https://orcid.org/0000-0003-1187-3045)
- Pietro De Luca (ORCID: https://orcid.org/0000-0002-6505-1680)
- Alberto Vito Marcuzzo (ORCID: https://orcid.org/0000-0002-1340-9900)
- Enrico Fazio (ORCID: https://orcid.org/0000-0002-8892-7438)
- Virginia Corazzi (ORCID: https://orcid.org/0000-0002-3189-6247)
- Matteo Garotta
- Marco Ferrari (ORCID: https://orcid.org/0000-0002-4023-0121)
- Paola Stritoni
- Guido Bertolini (ORCID: https://orcid.org/0000-0002-3101-4259)
- Paolo Castelnuovo (ORCID: https://orcid.org/0000-0002-5184-6140)
- Guglielmo Ronzani (ORCID: https://orcid.org/0000-0002-1404-4181)
- Ilaria Girolami (ORCID: https://orcid.org/0000-0003-3537-4929)
- Daniele Marchioni
- Rita De Berardinis (ORCID: https://orcid.org/0000-0003-4959-587X)
- Riccardo Nocini (ORCID: https://orcid.org/0000-0001-5086-4390)
- Mario Bussi (ORCID: https://orcid.org/0000-0003-0192-0194)
- Luca Sacchetto (ORCID: https://orcid.org/0000-0003-3880-4998)
- Simone Mauramati (ORCID: https://orcid.org/0000-0002-6059-8783)
- Monir Abousiam (ORCID: https://orcid.org/0000-0003-3685-510X)
- Fabiola Incandela (ORCID: https://orcid.org/0000-0001-7756-0493)
- Francesco Mazzola (ORCID: https://orcid.org/0000-0003-1533-8832)
- Davide Mattavelli (ORCID: https://orcid.org/0000-0001-7023-6746)
- Andrea Galli (ORCID: https://orcid.org/0000-0003-2677-8091)
- Alessandra Ruaro
- Elisa Castelluccio
- Rossana Bussani (ORCID: https://orcid.org/0000-0001-8241-9726)
- Martina Renna
- Cecilia Albi
- Mohssen Ansarin (ORCID: https://orcid.org/0000-0002-8384-5388)
- Anna Lisa Tosi (ORCID: https://orcid.org/0000-0002-2790-2747)
- Elisa Laura (ORCID: https://orcid.org/0000-0003-4110-5426)
- Luca de Campora
- Angelo Camaioni
- Giorgio Peretti (ORCID: https://orcid.org/0000-0003-2362-8936)
- Darío Gregori (ORCID: https://orcid.org/0000-0001-7906-0580)
- Pierre Guarino (ORCID: https://orcid.org/0000-0003-3796-9483)
- Alberto Grammatica (ORCID: https://orcid.org/0000-0001-7084-8603)
- Marta Tagliabue (ORCID: https://orcid.org/0000-0002-7879-4846)
- Filippo Marchi (ORCID: https://orcid.org/0000-0002-7997-964X)
- Valerio Arietti (ORCID: https://orcid.org/0000-0002-0700-2792)
- G. Maruccio
- Melania Franco
- Andrea Sacchetto (ORCID: https://orcid.org/0000-0002-0272-6652)
- Giandomenico Maggiore (ORCID: https://orcid.org/0000-0002-2741-4460)
- Pasquale D’Alessio (ORCID: https://orcid.org/0000-0001-6339-3778)
- Leone Giordano (ORCID: https://orcid.org/0000-0001-9094-4205)
- Alessia Rubini (ORCID: https://orcid.org/0000-0002-2603-0801)
- Antonio Sarno (ORCID: https://orcid.org/0000-0002-9308-8018)
- Luca Gazzini (ORCID: https://orcid.org/0000-0002-5077-9847)
- Giulia Togo
- Doriano Politi
- Domenico Michele Modica (ORCID: https://orcid.org/0000-0003-2016-4101)
- Franco Ionna (ORCID: https://orcid.org/0000-0002-0512-274X)
- Francesco Mattioli (ORCID: https://orcid.org/0000-0002-1481-668X)
- Raul Pellini (ORCID: https://orcid.org/0000-0001-6051-3041)
- Marco Benazzo (ORCID: https://orcid.org/0000-0001-6873-6258)
- Gabriele Molteni (ORCID: https://orcid.org/0000-0001-7764-2122)
- Bianca Maria Festa (ORCID: https://orcid.org/0000-0002-8785-9277)
- Daria Salsi
- Remo Accorona (ORCID: https://orcid.org/0000-0002-0016-3294)
- Davide Di Santo (ORCID: https://orcid.org/0000-0002-8239-3850)
- Chiara Bianchini (ORCID: https://orcid.org/0000-0002-5115-6107)
- Mario Ciniglio Appiani (ORCID: https://orcid.org/0000-0002-8946-2839)
- Roberto Saetti (ORCID: https://orcid.org/0000-0001-6250-1474)
- Livio Presutti (ORCID: https://orcid.org/0000-0002-2752-132X)
- M Ducci
- Angela Gasparini
- Virginia Dallari (ORCID: https://orcid.org/0000-0001-9260-1003)
- Andy Bertolin
- Francesco Uderzo
- Gloria Brigiari (ORCID: https://orcid.org/0009-0000-7274-4373)
- Carlotta Borghini (ORCID: https://orcid.org/0000-0001-9170-481X)
- Francesca Angioletti (ORCID: https://orcid.org/0009-0004-1146-8693)
- Fabrizio Russo
- Luca Calabrese
- M. C. Galfano
- Alberto Giulio Dragonetti
- Claudio Donadio Caporale
- Roberto Di Carlo
- Piero Nicolai
- Giulia Gobbo
Institutions
- University of Bergamo (IT)
- Humanitas University (IT)
- University of Padua (IT)
- Vita-Salute San Raffaele University (IT)
- University of Ferrara (IT)
- Azienda Ospedaliera San Giovanni Addolorata (IT)
- Agostino Gemelli University Polyclinic (IT)
- Ospedale Santa Chiara (IT)
- Ospedale di Bolzano (IT)
- Ospedale "Santa Maria delle Croci" di Ravenna (IT)
- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
- Azienda Ospedaliera Universitaria Integrata Verona (IT)
- AULSS 2 Marca Trevigiana (IT)
- Ospedale Vincenzo Cervello (IT)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT)
- Azienda Unità Sanitaria Locale Piacenza (IT)
- Ospedale di Santo Spirito (IT)
- Azienda Ospedaliero-Universitaria di Modena (IT)
- Azienda Ospedaliero-Universitaria Careggi (IT)
- Azienda USL di Bologna (IT)
- National Cancer Institute (UA)
- Ospedale di Circolo di Busto Arsizio (IT)
- National Cancer Institute (MY)
- Ospedale Sandro Pertini (IT)
- Ospedale Cannizzaro (IT)
- Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale" (IT)
- Ospedale dell' Angelo (IT)
- European Society of Concurrent Enterprising Network (IT)
- Ca' Foncello Hospital (IT)
- Ospedale Policlinico San Martino (IT)
- Ospedale Santa Maria della Misericordia di Rovigo (IT)
- Ospedale Sant'Anna (IT)
- Policlinico San Matteo Fondazione (IT)
- Ospedale San Bortolo (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Azienda Usl Toscana Centro (IT)
- Ospedale Civile di Vittorio Veneto (IT)
- IRCCS Humanitas Research Hospital (IT)
- Azienda Sanitaria Universitaria Integrata di Trieste (IT)
- Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele (IT)
- European Institute of Oncology (IT)
- University of Bologna (IT)
- KU Leuven (BE)
Publication Details
- Journal
- Head & Neck
- Published
- 2025-10-13
- DOI
- https://doi.org/10.1002/hed.70064
- Primary Topic
- Head and Neck Cancer Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00