Primary surgical treatment of nasal vestibule cancer : therapeutic outcome and reconstructive strategies / K. Zaoui, P.K. Plinkert, P.A. Federspil

OBJECTIVE: The treatment strategy of squamous cell carcinoma of the nasal vestibule (SCCNV) is controversial. The objective of this study is to investigate the role of surgery, which is the preferred treatment option at our institution. - DESIGN: This was a monocentric prospective study of patients that were diagnosed with SCCNV between 2005 and 2013. - MATERIAL AND METHODS: Twenty-six patients were included. Tumors were staged using the UICC (7th edition) TNM classification of nasal cavity cancer and the classification proposed by Wang. The primary treatment was surgery in all patients. Survival data were statistically analyzed using the Kaplan-Meier method. The median follow-up time was 6 years. - RESULTS: Using the UICC classification, 9/26 tumors were staged as pT1 (35%), 7/26 as pT2 (27%), and 10/26 as pT4a (39%). Using the classification by Wang, 9/26 tumors were staged as pT1 (35%), 15/26 as pT2 (58%), and 2/26 as pT3 (8%). Reconstruction was performed using an implant-retained prosthesis in 50% of patients and by plastic surgery in the remaining 50%. Only 2/26 patients (8%) needed adjuvant radiation therapy. The five-year recurrence-free survival (RFS) was 86.7%, disease-specific survival was 96.2% and overall survival was 91.8% after five years. - CONCLUSION: Surgery in SCCNV gives an excellent prognosis and minimized the need for radiotherapy..

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:56

Enthalten in:

Rhinology - 56(2018), 4, Seite 393-399

Sprache:

Englisch

Beteiligte Personen:

Zaoui, Karim, 1977- [VerfasserIn]
Plinkert, Peter K. [VerfasserIn]
Federspil, Philippe A., 1967- [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Adult
Aged
Aged, 80 and over
Carcinoma, Squamous Cell
Female
Humans
Male
Middle Aged
Nasal Cavity
Neoplasm Staging
Nose Neoplasms
Prognosis
Prospective Studies
Prostheses and Implants
Risk Factors
Survival Rate
Treatment Outcome

Anmerkungen:

Gesehen am 11.03.2020

Umfang:

7

doi:

10.4193/Rhin17.157

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

1692277170