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Table 1 Univariable analyses of factors related to level IB LNs metastases at diagnosis in 1438 patients

From: Investigation of the feasibility of elective irradiation to neck level Ib using intensity-modulated radiotherapy for patients with nasopharyngeal carcinoma: a retrospective analysis

Variable

Metastasis to level Ib LNs at diagnosis, N (%)

*P

(−), n = 1398

(+), n = 40

Sex

   

Male

1052 (75.3)

33 (82.5)

.294

Female

346 (24.7)

7 (17.5)

Age

   

<50 years

950 (68.0)

23 (57.5)

.163

≥50 years

448 (32.0)

17 (42.5)

Histologic type

   

Keratinizing squamous cell carcinoma

5 (0.4)

0

1.000

Nonkeratinizing carcinoma

1393 (99.6)

40 (100.0)

T stage

  

’

T1

247 (17.7)

5 (12.5)

.537

T2

207 (14.8)

6 (15.0)

T3

679 (48.6)

18 (45.0)

T4

265 (19.0)

11 (27.5)

T classification

   

T1-3

1133 (81.0)

29 (72.5)

.176

T4

265 (19.0)

11 (27.5)

Oropharynx involvement

   

(−)

1291 (92.3)

31 (77.5)

.001

(+)

107 (7.7)

9 (22.5)

Nasal cavity involvement

   

(−)

918 (65.7)

22 (55.0)

.162

(+)

480 (34.3)

18 (45.0)

N classification

   

N0

235 (16.8)

0

<.001

N1

823 (58.9)

19 (47.5)

N2

216 (15.5)

13 (32.5)

N3

124 (8.9)

8 (20.1)

Positive RLNs

   

(−)

387 (27.7)

3 (7.5)

.005

(+)

1011 (72.3)

37 (92.5)

Positive CLNs

   

(−)

570 (40.8)

4 (10.0)

<.001

(+)

828 (59.2)

36 (90.0)

LN necrosis

   

(−)

1054 (75.4)

22 (55.0)

<.001

(+)

344 (24.6)

18 (45.0)

LNs with ES

   

(−)

1051 (75.2)

26 (65.0)

.143

(+)

347 (24.8)

14 (35.0)

DLN-IIa ≥30 mm or level IIa LNs with ES

  

(−)

1247 (89.2)

34 (85.0)

.435

(+)

151 (10.8)

6 (15.0)

DLN-IIa ≥20 mm or level IIa LNs with ES

  

(−)

1113 (79.6)

19 (47.5)

<.001

(+)

285 (20.4)

21 (52.5)

MAD of LNs ≥30 mm

   

(−)

1196 (85.6)

26 (65.0)

<.001

(+)

202 (14.4)

14 (35.0)

Positive bilateral CLNs

   

(−)

1121 (80.2)

20 (50.0)

<.001

(+)

277 (19.8)

20 (50.0)

 

Positive CLNs at supraclavicular fossa

  

(−)

1318 (94.3)

21 (80.0)

<.001

(+)

80 (5.7)

8 (20.0)

  1. Abbreviations: LNs, lymph nodes; WHO, World Health Organization; RLNs, retropharyngeal lymph nodes; CLNs, cervical lymph nodes; LNs, lymph nodes; DLN-IIa, greatest dimension of level IIa lymph nodes; MAD, maximal axial diameter; ES, extra-capsular spread
  2. *P-values were calculated using an unadjusted chi-square test (or Fisher’s exact test, if indicated)