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Narrow‐band imaging combined with magnified endoscopy has enabled the detection of superficial squamous cell carcinoma of the head and neck (SSCCHN) that has been resected with minimally invasive treatment, preserving vocalization and swallowing functions. However, risk factors of lymph node metastasis (LNM) must be identified, as some patients with LNM have a poor prognosis. From an initial 599 patients with 700 lesions who underwent trans‐oral surgery in 27 Japanese hospitals (a nationwide registration survey), we enrolled 541 patients with 633 SSCCHNs, as indicated by central pathological diagnoses. All pathological specimens for each patient were examined using 20 pathological factors that are thought to affect the LNM of SSCCHN. In all, 24 (4.4%) of the 568 SSCCHNs exhibited LNM, and all 24 had at least one solitary nest of epithelial neoplastic cells present in the stroma, clearly separated from the intraepithelial carcinoma. Multivariate analysis also showed that tumor thickness (p = 0.0132, RR: 7.85, 95% confidence interval [CI]: 1.54–40.02), and an INFc pattern classified as infiltrating growth (INF) with unclear boundaries between tumor and non‐tumor tissues (p = 0.0003, RR: 14.47, 3.46–60.46), and tumor budding (p = 0.0019, RR: 4.35, CI: 1.72–11.01) were significantly associated with LNM. Solitary nests may be indicative of LNM. In addition, tumor thickness was revealed to be a risk factor for LNM in SSCCHNs using pT factors that do not include an invasion depth element because of the anatomical absence of the muscularis mucosae. [ABSTRACT FROM AUTHOR]

Hollow sinking experiments and tensile tests were conducted to clarify the evolution of surface roughness during hollow sinking. Stainless steel tubes (outer diameter: 1.5 mm; wall thickness: 0.045 mm) featuring a single grain spanning the wall thickness achieved via annealing as the starting material. The tube was drawn without an internal tool using a draw bench by controlling the tube drawing speed ratio of the die entrance and exit sides. The surface roughnesses of the inner and outer surfaces at the die entrance and exit sides of the drawn tube were compared with the surface roughnesses of the inner and outer surfaces under the uniaxial tensile deformation of the starting material. As a result, two major findings were revealed; the surface roughness formation behavior during the hollow sinking; the uniaxial tensile deformation exhibits a tube on both sides of the entrance and the exit of a die. Former uniaxial tensile deformation forms surface roughness of the tube at the die-entrance-side. However, hollow sinking reduces the roughness. The tube keeps its small roughness even though it is applied the later uniaxial tensile deformation behind the die exit. Furthermore, the conventional formula to predict the surface roughness of a metal sheet caused by the uniaxial tensile deformation can predict the surface roughness of a tube in the hollow sinking. At both die entrance and exit sides, the roughness of the inner surface was larger than that of the outer surface at the die entrance and exit side. The outer surface of the tube contacts the inside of a die when the tube passes through the die. The height of the convex parts decreased at that moment. Hollow sinking suppressed the increase in surface roughness of the inner surface as the outer surface was smoothed in the die. However, due to the formation of surface roughness after leaving the die, there is an overall increasing trend in inner surface roughness. [ABSTRACT FROM AUTHOR]

Oncocytoma arising from the parotid gland and extending into the parapharyngeal space (PPS) has not been previously reported. A 64-year-old woman presented with a large slowly growing mass extending from the parotid to the submandibular area, expanding medially to displace the pharynx across the midline. Core-needle biopsy revealed an oncocytoma in the PPS measuring 120 × 88 × 60 mm in size. Although the tumor was of an unprecedentedly large size and extended into multiple spaces, it could be removed via a cervical–parotid approach without osteotomy. The resected tumor was again diagnosed as oncocytoma. A postoperative complication was weakness of the ipsilateral facial nerve, which almost completely resolved in 6 months. No recurrence has been noted on 1 y follow-up. We were able to resect an extremely large oncocytoma arising from the parotid gland without osteotomy. [ABSTRACT FROM AUTHOR]

Oncocytoma arising from the parotid gland and extending into the parapharyngeal space (PPS) has not been previously reported. A 64-year-old woman presented with a large slowly growing mass extending from the parotid to the submandibular area, expanding medially to displace the pharynx across the midline. Core-needle biopsy revealed an oncocytoma in the PPS measuring 120 × 88 × 60 mm in size. Although the tumor was of an unprecedentedly large size and extended into multiple spaces, it could be removed via a cervical-parotid approach without osteotomy. The resected tumor was again diagnosed as oncocytoma. A postoperative complication was weakness of the ipsilateral facial nerve, which almost completely resolved in 6 months. No recurrence has been noted on 1 y follow-up. We were able to resect an extremely large oncocytoma arising from the parotid gland without osteotomy., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.