Novel Correlations among the Histopathological Components of Oral Squamous Cell Carcinoma

Authors

  • Aween Auda Ablahad Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Duhok, Duhok, Iraq
  • Hashim Dawood Mousa Department of Periodontology and Oral Medicine, College of Dentistry, University of Duhok, Duhok, Iraq
  • Jalal Ali Jalal Department of Basic Sciences and Pathology, College of Medicine, Hawler Medical University, Erbil, Iraq

DOI:

https://doi.org/10.3889/oamjms.2022.10781

Keywords:

Hematoxylin and eosin, Masson’s trichrome, Oral squamous cell carcinoma

Abstract

Background: Oral squamous cell carcinoma (OSCC) is an aggressive tumor with high mortality and morbidity rates.

Aims:In this study, we aimed to probe whether there is association between stromal histopathological parameters with patient data, as well as, the correlation of these parameters with each other.

MaterialsandMethods:This study was performed at University of Duhok, College of Dentistry, the practical section was carried out between February 2022 and June 2022 as follow:A group of 86 formalin fixed paraffin embedded (FFPE) samples of OSCC and 20 FFPE samplesof healthy gingiva were stained with Hematoxylin and eosin(H&E) and Mason’s trichrome (MT)stains. Tumor/ stroma ratio(TSR), stromal tumor-infiltrating lymphocytes(sTIL), budding activity (BA), cell nest size (CNS), orientation and packing of collagen fibers and collagen fibercontent(CFC) were evaluated. These histomorphological parameters were correlated with clinicopathological characteristics and with each other.

Statistical Analysis Used: Chi square test, fisher exacts test and spearman’s rank correlation coefficient were used for analyzing our study data.

Results: Tumor/ stroma ratio, BA, CNS, orientation and packing of collagen fibers, and CFC were significantly associated with pT stage of the tumor. Moreover, significant correlations were observed among TSR, BA, CNS and CFC. In addition, orientation and packing of collagen fibers were significantly correlated with each other.

Conclusions: Novel correlations were found between collagen fiber features with TSR, BA, and CNS in an easy and cost- effective methods.

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References

Mascitti M, Zhurakivska K, Togni L, Caponio VC, Almangush A, Balercia P, et al. The addition of tumour-stroma ratio to the 8th edition American Joint Committee on Cancer staging system improves survival prediction in oral tongue squamous cell carcinoma. Histopathology 2020;77:810-22. https://doi.org/10.1111/his.14202 PMid:32633006 DOI: https://doi.org/10.1111/his.14202

Firkins JL, Tarter R, Driessnack M, Hansen L. A closer look at quality of life in the hepatocellular carcinoma literature. Qual Life Res. 2021;30(6):1525-35. https://doi.org/10.1007/s11136-021-02789-2 PMid:33625648 DOI: https://doi.org/10.1007/s11136-021-02789-2

Raboh NM, Mady OM, Hakim SA. Evaluation of the potential prognostic value of tumor budding in laryngeal carcinoma by conventional and immunohistochemical staining. Anal Cell Pathol (Amst). 2020;2020:9183671. https://doi.org/10.1155/2020/9183671 PMid:33274177 DOI: https://doi.org/10.1155/2020/9183671

Caruntu A, Moraru L, Lupu M, Ciubotaru DA, Dumitrescu M, Eftimie L, et al. Assessment of histological features in squamous cell carcinoma involving head and neck skin and mucosa. J Clin Med. 2021;10(11):2343. https://doi.org/10.3390/jcm10112343 PMid:34071843 DOI: https://doi.org/10.3390/jcm10112343

Almangush A, Alabi RO, Troiano G, Coletta RD, Salo T, Pirinen M, et al. Clinical significance of tumor-stroma ratio in head and neck cancer: A systematic review and meta- analysis. BMC Cancer. 2021;21(1):480. https://doi.org/10.1186/s12885-021-08222-8 PMid:33931044 DOI: https://doi.org/10.1186/s12885-021-08222-8

Smit MA, Philipsen MW, Postmus PE, Putter H, Tollenaar RA, Cohen D, et al. The prognostic value of the tumor-stroma ratio in squamous cell lung cancer, a cohort study. Cancer Treat Res Commun. 2020;25:100247. https://doi.org/10.1016/j.ctarc.2020.100247 PMid:33249210 DOI: https://doi.org/10.1016/j.ctarc.2020.100247

Brcic I, Gallob M, Schwantzer G, Zrnc T, Weiland T, Thurnher D, et al. Concordance of tumor infiltrating lymphocytes, PD-L1 and p16 expression in small biopsies, resection and lymph node metastases of oropharyngeal squamous cell carcinoma. Oral Oncol. 2020;106:104719. https://doi.org/10.1016/j.oraloncology.2020.104719 PMid:32335324 DOI: https://doi.org/10.1016/j.oraloncology.2020.104719

Che K, Zhao Y, Qu X, Pang Z, Ni Y, Zhang T, et al. Prognostic significance of tumor budding and single cell invasion in gastric adenocarcinoma. Onco Targets Ther. 2017;10:1039-47. https://doi.org/10.2147/OTT.S127762 PMid:28255247 DOI: https://doi.org/10.2147/OTT.S127762

Karpathiou G, Vieville M, Gavid M, Camy F, Dumollard JM, Magné N, et al. Prognostic significance of tumor budding, tumor-stroma ratio, cell nests size, and stroma type in laryngeal and pharyngeal squamous cell carcinomas. Head Neck. 2019;41(6):1918-27. https://doi.org/10.1002/hed.25629 PMid:30620425 DOI: https://doi.org/10.1002/hed.25629

Bordoloi B, Siddiqui S, Jaiswal R, Tandon A, Jain A, Chaturvedi R. A quantitative and qualitative comparative analysis of collagen fibers to determine the role of connective tissue stroma in oral squamous cell carcinoma using special stains and polarized microscopy. J Oral Maxillofac Pathol. 2020;24(2):398. https://doi.org/10.4103/jomfp.JOMFP_84_18 PMid:33456256 DOI: https://doi.org/10.4103/jomfp.JOMFP_84_18

Yu M, Shen W, Shi X, Wang Q, Zhu L, Xu X, et al. Upregulated LOX and increased collagen content associated with aggressive clinicopathological features and unfavorable outcome in oral squamous cell carcinoma. J Cell Biochem. 2019;120(9):14348- 59. https://doi.org/10.1002/jcb.28669 PMid:31140650 DOI: https://doi.org/10.1002/jcb.28669

Xu B, Salama AM, Valero C, Yuan A, Khimraj A, Saliba M, et al. The prognostic role of histologic grade, worst pattern of invasion, and tumor budding in early oral tongue squamous cell carcinoma: A comparative study. Virchows Arch. 2021;479(3):597-606. https://doi.org/10.1007/s00428-021-03063-z PMid:33661329 DOI: https://doi.org/10.1007/s00428-021-03063-z

Nakashima C, Kirita T, Yamamoto K, Mori S, Luo Y, Sasaki T, et al. Malic enzyme 1 is associated with tumor budding in oral squamous cell carcinomas. Int J Mol Sci. 2020;21(19):7149. https://doi.org/10.3390/ijms21197149 PMid:32998265 DOI: https://doi.org/10.3390/ijms21197149

Zlobec I, Berger MD, Lugli A. Tumour budding and its clinical implications in gastrointestinal cancers. Br J Cancer. 2020;123(5):700-8. https://doi.org/10.1038/s41416-020-0954-z PMid:32601463 DOI: https://doi.org/10.1038/s41416-020-0954-z

Boxberg M, Bollwein C, Jöhrens K, Kuhn PH, Haller B, Steiger K, et al. Novel prognostic histopathological grading system in oral squamous cell carcinoma based on tumour budding and cell nest size shows high interobserver and intra observer concordance. J Clin Pathol. 2019;72(4):285-94. https://doi.org/10.1136/jclinpath-2018-205454 PMid:30530818 DOI: https://doi.org/10.1136/jclinpath-2018-205454

Jesinghaus M, Strehl J, Boxberg M, Brühl F, Wenzel A, Konukiewitz B, et al. Introducing a novel highly prognostic grading scheme based on tumour budding and cell nest size for squamous cell carcinoma of the uterine cervix. J Pathol Clin Res. 2018;4(2):93-102. https://doi.org/10.1002/cjp2.95 PMid:29665323 DOI: https://doi.org/10.1002/cjp2.95

Zainab H, Sultana A, Shaimaa. Stromal desmoplasia as a possible prognostic indicator in different grades of oral squamous cell carcinoma. J Oral Maxillofac Pathol. 2019;23(3):338-43. https://doi.org/10.4103/jomfp.JOMFP_136_19 PMid:31942111 DOI: https://doi.org/10.4103/jomfp.JOMFP_136_19

Manjunatha BS, Agrawal A, Shah V. Histopathological evaluation of collagen fibers using picrosirius red stain and polarizing microscopy in oral squamous cell carcinoma. J Cancer Res Ther. 2015;11(2):272-6. https://doi.org/10.4103/0973-1482.154061 PMid:26148583 DOI: https://doi.org/10.4103/0973-1482.154061

Boxberg M, Jesinghaus M, Dorfner C, Mogler C, Drecoll E, Warth A, et al. Tumour budding activity and cell nest size determine patient outcome in oral squamous cell carcinoma: Proposal for an adjusted grading system. Histopathology. 2017;70(7):1125-37. https://doi.org/10.1111/his.13173 PMid:28122134 DOI: https://doi.org/10.1111/his.13173

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Published

2022-09-22

How to Cite

1.
Ablahad AA, Mousa HD, Jalal JA. Novel Correlations among the Histopathological Components of Oral Squamous Cell Carcinoma. Open Access Maced J Med Sci [Internet]. 2022 Sep. 22 [cited 2024 Nov. 23];10(A):1538-43. Available from: https://oamjms.eu/index.php/mjms/article/view/10781