{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T09:50:51Z","timestamp":1792403451522,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,6,3]],"date-time":"2008-06-03T00:00:00Z","timestamp":1212451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>The appreciation of parotid involvement being an independent prognostic factor for metastatic cutaneous squamous cell carcinoma (SCC) is relatively new. A more comprehensive clinical staging system that separates parotid (P) from neck (N) disease, and further stratifies the N category has been proposed [O'Brien et al., Head Neck 2002; 24: 417\u2013422]. This paper presents the clinical outcome of patients with head and neck metastatic cutaneous SCC treated at the four major head &amp; neck surgical oncology centers in New Zealand and tests the proposed staging system, with modifications for pathological staging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients treated with a curative intent from 1990 to 2005 were identified and re\u2010staged. Survival rates were calculated using the Kaplan\u2013Meier method, and curves were compared with the log\u2010rank test. Multivariate analysis using the Cox regression model was performed to assess the impact of each proposed P and N sub\u2010group, and other parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results and Conclusions<\/jats:title><jats:p>One hundred and seventy patients were identified. The 5\u2010year disease\u2010specific survival rate was 69%, and the loco\u2010regional recurrence rate was 36%. The presence of parotid (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) or neck (<jats:italic>P<\/jats:italic>\u2009=\u20090.01) disease, immunosuppression (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and the uptake of radiotherapy (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) impacted significantly on survival. Increasing P or N category worsened the prognosis significantly. J. Surg. Oncol. 2008;98:101\u2013105. \u00a9 2008 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.21092","type":"journal-article","created":{"date-parts":[[2008,6,3]],"date-time":"2008-06-03T18:16:29Z","timestamp":1212516989000},"page":"101-105","source":"Crossref","is-referenced-by-count":95,"title":["Parotid and cervical nodal status predict prognosis for patients with head and neck metastatic cutaneous squamous cell carcinoma"],"prefix":"10.1002","volume":"98","author":[{"given":"Sydney","family":"Ch'ng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aloka","family":"Maitra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S.","family":"Allison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Chaplin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhold T.","family":"Gregor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodney","family":"Lea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swee T.","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,7,11]]},"reference":[{"key":"e_1_2_1_2_2","unstructured":"Health Sponsorship Council [Report] Sunsmart in New Zealand: Facts information and articles 2005."},{"key":"e_1_2_1_3_2","unstructured":"Australian Cancer Network Management of Non\u2010Melanoma Skin Cancer Working Party: Non\u2010melanoma skin cancer: Guidelines for treatment and management in Australia. 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