Combined therapy with conservative surgery, radiotherapy, and regional chemotherapy for maxillary sinus carcinoma
| Autor: | Mamoru Miyata, Hiroshi Nishino, Takeharu Kanazawa, Keiichi Ichimura, Kazuhiro Ishikawa, Mamoru Morita |
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| Rok vydání: | 2000 |
| Předmět: |
Male
Antimetabolites Antineoplastic Cancer Research medicine.medical_specialty Maxillary sinus Maxillary Sinus Neoplasms medicine.medical_treatment Trismus medicine Carcinoma Humans Neoplasm Invasiveness Foramen rotundum Retrospective Studies business.industry Foramen lacerum Radiotherapy Dosage Foramen ovale (skull) Middle Aged medicine.disease Combined Modality Therapy Primary tumor Otorhinolaryngologic Surgical Procedures Surgery Survival Rate Radiation therapy medicine.anatomical_structure Oncology Female Fluorouracil Neoplasm Recurrence Local medicine.symptom business |
| Zdroj: | Cancer. 89:1925-1932 |
| ISSN: | 1097-0142 0008-543X |
| DOI: | 10.1002/1097-0142(20001101)89:9<1925::aid-cncr8>3.3.co;2-8 |
| Popis: | BACKGROUND Current goals for the treatment of carcinoma of the maxillary sinus include the preservation of vision, ability to eat, ability to communicate, and appearance as well as cure. METHODS Seventy-five Japanese patients who presented with maxillary sinus carcinoma between 1979 and 1997 were analyzed retrospectively. There were 48 males and 27 females with a median age of 62 years. The mean follow-up period was 73 months. All patients underwent multimodality therapy including surgery through a sublabial incision, radiotherapy, and regional chemotherapy. The regional lymph nodes were treated only in those patients with cervical lymph node involvement. RESULTS The 5-year and 10-year overall survival rates were 76% and 66%, respectively. In 65 patients with squamous cell carcinoma, the 5-year and 10-year overall survival rates were 77% and 66%, respectively. All 23 patients with orbital involvement retained the orbital contents and 17 patients demonstrated adequate ocular function. There was no disease recurrence reported among patients with involvement of the foramen rotundum or the foramen ovale, whereas two of the three patients with invasion of the foramen lacerum developed disease recurrence. There were 12 complications in 12 patients, including double vision (4 patients), cataracts (3 patients), trismus (4 patients), and fistula formation (1 patient). CONCLUSIONS Control of the primary tumor site is important in the curative treatment of patients with maxillary sinus carcinoma. Combined therapy with conservative surgery, radiotherapy, and regional chemotherapy appears to be an effective method for local control and the preservation of ocular function. Cancer 2000;89:1925–32. © 2000 American Cancer Society. |
| Databáze: | OpenAIRE |
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