Sinonasal Adenocarcinoma—Experience of an Oncology Center - International Journal of Otolaryngology and Head & Neck Surgery

IJOHNS > Vol.2 No.1, January 2013

International Journal of Otolaryngology and Head & Neck Surgery

Volume 2, Issue 1 (January 2013)

ISSN Print: 2168-5452 ISSN Online: 2168-5460

Google-based Impact Factor: 0.57 Citations

Sinonasal Adenocarcinoma—Experience of an Oncology Center ()

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Download as PDF (Size: 141KB) PP. 13-16

DOI: 10.4236/ijohns.2013.21005 4,034 Downloads 6,169 Views Citations

Author(s)

Teresa Bernardo, Edite Ferreira, Joaquim Castro Silva, Eurico Monteiro

Affiliation(s)

Servi?o de Otorrinolaringologia, Instituto Português de Oncologia do Porto, Francisco Gentil, Portugal.

ABSTRACT

Introduction and Objectives: Sinonasal tumours represent only 3% of all head and neck cancers. Adenocarcinoma is the second most frequent histopathology type. Hardwood exposure has been considered a risk factor. Sinonasal adenocarcinoma grows silently which leads to a late diagnosis and low survival rates. The aim of this study was to present our experience in the management of the patients with sinonasal adenocarcinoma. Method: Retrospective medical records review of patients with sinonasal adenocarcinomas (1974 to 2009). Results: From 301 patients with sinonasal tumors, 67 had histology of adenocarcinoma. Patient average age was 60.1 ± 11.1 years (30 - 84 years). 83.6% were man. 65.7% had history of working with wood. 70.1% of the patients had advance disease. The most common treatment strategy was external surgery (lateral rhinotomy (47.8%), sublabial (17.9%) or cranio-facial resection (6%)) or endoscopic approaches with postoperative radiotherapy. The 3 and 5 years overall survival rate were 60% and 49%, respectively. Conclusions: Our group study showed similar epidemiologic characteristics than other series. We confirmed sinonasal adenocarcinomas tendency to late diagnosis and wood dust exposure relation. In our experience, the limited surgical treatment (without craniofacial resection) and postoperative radiotherapy has good survival rates results, similar to other departments who consider the craniofacial resection as the standard treatment.

KEYWORDS

Sinonasal Adenocarcinomas; Wood Dust; Surgical Treatment; Radiotherapy

Share and Cite:

T. Bernardo, E. Ferreira, J. Silva and E. Monteiro, "Sinonasal Adenocarcinoma—Experience of an Oncology Center," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 2 No. 1, 2013, pp. 13-16. doi: 10.4236/ijohns.2013.21005.

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[2]	Management of Frontal Sinus Malignancy
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[3]	Diagnostic challenges in malignant tumors of nasal cavity and paranasal sinuses
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[4]	Incidence and survival of sinonasal adenocarcinoma by site and histologic subtype
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[5]	Clinical and morphological aspects of adenocarcinomas of the intestinal type in the inner nose: a retrospective multicenter analysis
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[6]	Adenocarcinomas nasossinusais: Experiência do Serviço de Otorrinolaringologia do Instituto Português de Oncologia de Lisboa entre 2000 e 2014
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[7]	Adenocarcinomas of the sinonasal tract: a case series from an Oncology Centre in Northern Portugal
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