Carcinoma of the nasal cavity and paranasal sinuses: an analysis of radical radiotherapy.
Affiliation
Department of Radiotherapy and Oncology, Christie Hospital and Holt Radium Institute, Manchester, UK.Issue Date
1991-03
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A retrospective analysis was conducted of 152 patients with carcinoma of the nasal cavity and paranasal sinuses who were treated with radical radiotherapy between 1975-1984. Stages at presentation were T1 11%, T2 18%, T3 27%, and T4 44%. The median follow-up was 61 months. The overall corrected 5-year survival was 47% and by T stage, T1 86%, T2 82%, T3 49%, T4 25%. Local control was achieved in 45% of cases following radiotherapy. Salvage surgery was attempted in 20 patients where radiotherapy failed and was successful in eight. Nodal disease was present in 6.5% of patients at presentation and 10.5% developed nodal disease after treatment. Nodal disease as sole relapse occurred in four patients and was associated with prolonged survival following radical salvage treatment. Distant metastatic disease occurred in 25 patients and of these 17 (68%) also had locoregional failure. Osteoradionecrosis occurred in three cases, and a further three cases developed bilateral blindness. We conclude that radical radiotherapy achieves results comparable to published data for combined surgery and radiotherapy with acceptable toxicity.Citation
Carcinoma of the nasal cavity and paranasal sinuses: an analysis of radical radiotherapy. 1991, 3 (2):84-9 Clin OncolJournal
Clinical OncologyDOI
10.1016/S0936-6555(05)81169-0PubMed ID
2031888Type
ArticleLanguage
enISSN
0936-6555ae974a485f413a2113503eed53cd6c53
10.1016/S0936-6555(05)81169-0
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