Skull base surgery for malignant tumors: The 2nd international collaborative study (1995-2015).
Head Neck
; 2024 May 21.
Article
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| MEDLINE
| ID: mdl-38770972
ABSTRACT
BACKGROUND:
The current study presents the effort of a global collaborative group to review the management and outcomes of malignant tumors of the skull base worldwide. PATIENTS ANDMETHODS:
A total of 28 institutions contributed data on 3061 patients. Analysis evaluated clinical variables, survival outcomes, and multivariable factors associated with outcomes.RESULTS:
The median age was 56 years (IQR 44-67). The open surgical approach was used in 55% (n = 1680) of cases, endoscopic resection was performed in 36% (n = 1087), and the combined approach in 9.6% (n = 294). With a median follow-up of 7.1 years, the 5-year OS DSS and RFS were 65%, 71.7% and 53%, respectively. On multivariable analysis, older age, comorbidities, histology, dural/intracranial involvement, positive margins, advanced stage, and primary site were independent prognostic factors for OS, DSS, and RFS. Adjuvant RT was a protective prognostic factor.CONCLUSION:
The progress across various disciplines may have contributed to improved OS and DSS in this study compared to previous reports.
Texto completo:
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Bases de datos:
MEDLINE
Idioma:
En
Revista:
Head Neck
Asunto de la revista:
NEOPLASIAS
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos