Role of endoscopic surgery in the management of selected malignant epithelial neoplasms of the naso-ethmoidal complex.
Head Neck
; 29(12): 1075-82, 2007 Dec.
Article
em En
| MEDLINE
| ID: mdl-17492654
ABSTRACT
BACKGROUND:
This study reviews the outcome of patients with adenocarcinoma (AC) and squamous cell carcinoma (SCC) of the naso-ethmoidal complex treated by endoscopic surgery.METHODS:
Sixteen patients underwent a purely endoscopic excision of AC (n = 12) or SCC (n = 4) at 2 university hospitals. All patients were prospectively followed by endoscopic and MRI evaluations.RESULTS:
The tumor originated from the ethmoid in 13 cases and the nasal fossa in 3. Lesions were staged as follows 5 T1, 10 T2, and 1 T3. Adjuvant radiotherapy was delivered in 7 cases. Follow-up (range, 28-70 months; mean, 47.25) was available for all patients. One patient died for brain metastases 28 months after surgery. Another patient required salvage craniofacial resection and radiotherapy for recurrent AC. Five-year disease-specific and disease-free survival rates were 93.3% and 87.0%, respectively.CONCLUSIONS:
In selected T1-T2 lesions of the naso-ethmoidal complex, endoscopic surgery seems to offer a satisfactory alternative to external procedures.
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias dos Seios Paranasais
/
Carcinoma de Células Escamosas
/
Adenocarcinoma
/
Neoplasias Nasais
/
Endoscopia
/
Seio Etmoidal
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article