Research Article

Patterns and Prognostic Value of Lymph Node Metastasis on Distant Metastasis and Survival in Nasopharyngeal Carcinoma: A Surveillance, Epidemiology, and End Results Study, 2006–2015

Table 4

Cox regression analyses for evaluating the risk LN metastasis categories for CSS in 1884 eligible NPC patients with LN metastasis.

LN metastasis categoryUnivariate analysisMultivariate analysis
HR (95% CI)HR (95% CI)

Level 2ReferenceReference
Levels 231.106 (0.770, 1.587)0.5871.137 (0.786, 1.646)0.495
Level 11.200 (0.811, 1.776)0.3611.175 (0.790, 1.749)0.426
Level 51.073 (0.704, 1.634)0.7451.048 (0.682, 1.609)0.832
Levels 251.397 (0.934, 2.090)0.1031.118 (0.736, 1.699)0.600
Levels 121.361 (0.850, 2.180)0.2001.360 (0.841, 2.201)0.210
Levels 23451.338 (0.844, 2.123)0.2160.928 (0.563, 1.528)0.768
Levels 2351.518 (0.989, 2.329)0.0561.708 (1.089, 2.678)0.020
Levels 2rp0.717 (0.365, 1.409)0.3340.588 (0.295, 1.173)0.132
Levels 2341.435 (0.876, 2.349)0.1511.299 (0.772, 2.188)0.325
Level rp1.106 (0.581, 2.105)0.7580.869 (0.452, 1.672)0.674
Level 31.709 (1.017, 2.873)0.0431.602 (0.938, 2.737)0.084
Levels 23rp1.266 (0.665, 2.409)0.4721.248 (0.646, 2.408)0.510
Levels 241.889 (1.045, 3.412)0.0351.587 (0.866, 2.908)0.135

CI, confidence interval; CSS, cancer-specific survival; HR, hazard ratio; LN, lymph node; rp, retropharynx. Level 2 means the patients with only level II LN metastasis, Levels 23 means the patients with level II and III LN metastases, etc. Multivariate analysis adjusted for age, sex, race, histology, TNM stage, and treatment (radiotherapy, surgery, and chemotherapy).