Carcinomas of the paranasal sinuses. A study of sixty-six cases

✍ Scribed by Vincent S. T. Cheng; C. C. Wang

• Publisher: John Wiley and Sons
• Year: 1977
• Tongue: English
• Weight: 315 KB
• Volume: 40
• Category: Article
• ISSN: 0008-543X
• DOI: 10.1002/1097-0142(197712)40:6<3038::aid-cncr2820400641>3.0.co;2-9

✦ Synopsis

The therapy records of 66 patients with carcinomas of the paranasal sinuses were reviewed; primary carcinomas occurred in the maxillary sinus in 50 patients, the ethmoid sinus in 11 patients, the sphenoid sinus in 4 patients and the frontal sinus in 1 patient. The tumors of the maxillary sinus were staged retrospectively according to the American Joint Committee staging system recommended in 1976; 1 of 2 patients with T1, 5 of 11 patients with T2, 10 of 34 patients with T3 and 1 of 3 patients with T4 lesions showed no evidence of disease (NED) at 3 years. Combined high dose irradiation (6,000 rads in 6 weeks) followed by radical surgery in 4 to 6 weeks was well tolerated; this approach is recommended for the treatment of T1, T2, and selected T3-4 maxillary sinus lesions. Only 2 of 11 patients with ethmoid sinus lesions survived at 3 years.