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Treatment results for ethmoid sinus carcinoma

Published online by Cambridge University Press:  03 August 2009

J R Gras-Cabrerizo ,
J R Montserrat-Gili ,
X León-Vintró ,
H Massegur-Solench ,
J M de Vega  and
D Virós-Porcuna
J R Gras-Cabrerizo*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain
J R Montserrat-Gili
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain
X León-Vintró
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain
H Massegur-Solench
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain
J M de Vega
Affiliation:
Department of Radiology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain
D Virós-Porcuna
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain
*
Address for correspondence: Dr Juan R Gras-Cabrerizo, Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain. E-mail: jgras@hsp.santpau.es
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Abstract

Objective:

The aim of this study was to describe the results of treatment in patients with ethmoid sinus carcinoma.

Materials and method:

We performed a retrospective study of 34 patients with carcinoma of the ethmoid sinus, and collected the following data: age, sex, employment, tobacco and alcohol consumption, tumour-node-metastasis stage, treatment, and survival.

Results:

The mean patient age was 64 years. Seventy-six per cent of patients were men and 24 per cent women. Squamous cell carcinoma was the most frequent histological tumour type (44 per cent). Eleven patients were classified as T2, six as T3, six as T4a and 11 as T4b. Two patients (6 per cent) had nodal metastasis at the time of diagnosis. The anterior skull base was involved in 17 patients (50 per cent) and the anterior orbital contents were affected in seven patients (21 per cent). The five-year actuarial observed survival rate for all patients was 44 per cent.

Conclusions:

Combined treatment with surgery and post-operative radiotherapy permitted good local control in patients with ethmoid sinus carcinoma. We do not recommend prophylactic neck treatment for ethmoid sinus carcinoma.

Keywords

Ethmoid SinusesCarcinomaParanasal Sinus NeoplasmsSurgeryRadiotherapy

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 10 , October 2009 , pp. 1120 - 1124
Copyright
Copyright © JLO (1984) Limited 2009

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