Clinical Study

Prognostic Value of Classifying Parapharyngeal Extension in Nasopharyngeal Carcinoma Based on Magnetic Resonance Imaging

Table 2

Incidence of tumor parapharyngeal extension by anatomic site.

Anatomic site Death Local failure Distant metastasis
HR* (95% CI)HR* (95% CI)HR* (95% CI)

Masticator space
 None0.551 (0.400–0.760)<0.0010.457 (0.267–0.782)0.0040.394 (0.256–0.606)<0.001
 Medial pterygoid muscle0.623 (0.445–0.873)0.0060.940 (0.566–1.561)0.8120.584 (0.386–0.884)0.011
 Lateral pterygoid muscle111
 Staging masticator space0.906 (0.522–1.573)0.7271.147 (0.467–2.819)0.7651.067 (0.563–2.023)0.842
Masticator space
 None0.885 (0.651–1.202)0.4330.486 (0.302–0.780)0.0030.675 (0.439–1.037)0.073
 Medial pterygoid muscle111
 Lateral pterygoid muscle and beyond1.572 (1.143–2.163) 0.0051.091 (0.678–1.754)0.7201.734 (1.172–2.567) 0.006
Carotid space
 None0.735 (0.586–0.921)0.0080.693 (0.482–0.996)0.0480.689 (0.502–0.947)0.022
 Anterior carotid space111
 Posterior carotid space1.085 (0.787–1.497) 0.6181.035 (0.802–1.507)0.6211.425 (0.952–2.132)0.085
Parapharyngeal extension
 None0.678 (0.494–0.931)0.0160.659 (0.395–1.099)0.1100.832 (0.523–1.325)0.439
 Paranasopharyngeal 111
 Paraoropharyngeal 1.169 (0.756–1.809) 0.4821.734 (0.952–3.158)0.0721.257 (0.857–2.213) 0.312

*HR adjusted for age, gender, chemotherapy, T category, and N category according to the seventh edition AJCC system.