Squamous cell carcinoma of the nasal vestibule in the Netherlands: A clinical and epidemiological review of 763 cases (2008-2021)

Lise J van de Velde, W F Julius Scheurleer*, W Weibel Braunius, Lot A Devriese, Mischa de Ridder, Remco de Bree, Gerben E Breimer, Boukje A van Dijk, Johannes A Rijken

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Squamous cell carcinoma of the nasal vestibule (SCCNV) is a rare disease, distinctly different in presentation, treatment, and outcome from squamous cell carcinoma (SCC) of the nasal cavity and paranasal sinuses. However, these are often not analyzed separately.

METHODS: The Netherlands Cancer Registry (NCR) and pathology reports from the Dutch Nationwide Pathology Databank (PALGA) were used to identify all newly diagnosed SCCNV cases in the Netherlands between 2008 and 2021.

RESULTS: A total of 763 patients were included. The yearly incidence rate displayed a significant downward trend with an annual percentage change (APC) of -3.9%. The 5-year overall survival (OS) and disease-free survival were 69.0% and 77.2%, respectively. The 5-year relative survival was 77.9% and improved slightly over the inclusion period. OS for patients who were staged cT3 appeared to be worse than those staged cT4a, calling the applicability of the TNM-classification into question.

CONCLUSION: SCC of the nasal vestibule is rare, with declining incidence rates. Introducing a specific topography code for SCCNV is recommended to enhance registration accuracy. The TNM classification seems poorly applicable to SCCNV, suggesting the need to explore alternative staging methods.

Original languageEnglish
Pages (from-to)1809-1821
Number of pages13
JournalHead & neck
Volume46
Issue number7
Early online date21 Mar 2024
DOIs
Publication statusPublished - Jul 2024

Keywords

  • cancer of the nasal vestibule
  • head and neck cancer
  • nasal vestibule
  • nose cancer
  • sinonasal cancer
  • squamous cell carcinoma

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