Publications by authors named "Adam Couves"

3 Publications

  • Page 1 of 1

Multiple concomitant oral cavity cancers: Incidence, management, and outcomes.

J Surg Oncol 2017 Jun 20;115(7):835-841. Epub 2017 Mar 20.

Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Tao-Yuan, Taiwan.

Background: Little is known about the appropriate treatment and long-term survival of patients with multiple concomitant oral cavity cancers (MOC). The aim of this study was to clarify the clinicopathological features of MOC, to compare the prognosis of MOC patients with that of patients with single oral cavity cancers (SOC), and to describe reconstructive options based on the concept of economy in autologous tissue transfer.

Methods: Data from 603 patients diagnosed with at least one squamous cell carcinoma of the oral cavity who underwent surgery for primary oral cavity cancers between 2006 and 2014 were reviewed retrospectively to identify MOC patients.

Results: Among 603 cases of surgically resected primary oral cancers, 20 cases (3.3%) with MOC were identified. Patients with MOC did not differ from patients with SOC in age, and their index lesions did not differ in pT value, pN value, pathological stage, extracapsule spread, or perineural or bone invasion. The 5-year overall and disease-free survival rates for MOC and SOC cases were 72.6% versus 68.7%, and 65.3% versus 64.8%, respectively (Pā€‰=ā€‰0.785 and 0.770, respectively). The anterolateral thigh flap was widely applied. According to its origin of blood supply, the reconstructive options of MOC patients with separated defects were classified and proposed.

Conclusions: MOC and SOC were similar in clinicopathological characteristics. The prognosis of patients with MOC was similar to that of patients with SOC. Resections were performed with curative intent. A multidisciplinary team management approach is essential for customized treatment in MOC patients.
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http://dx.doi.org/10.1002/jso.24600DOI Listing
June 2017

A Letter to the Editor.

Ann Surg 2018 02;267(2):e39

Department of General Surgery, Royal Alexandra Hospital, Paisley, Greater Glasgow and Clyde NHS Trust, Glasgow, Scotland, UK.

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http://dx.doi.org/10.1097/SLA.0000000000002052DOI Listing
February 2018

Re: Long-term recurrence and chronic pain after repair for small umbilical or epigastric hernias: a regional cohort study.

Am J Surg 2016 Jan 5;211(1):305-6. Epub 2015 Aug 5.

Glasgow Royal Infirmary, Department of General Surgery, Glasgow, Scotland, UK.

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http://dx.doi.org/10.1016/j.amjsurg.2015.05.029DOI Listing
January 2016
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