The role of histology on the outcome of sinonasal carcinomas treated with radiotherapy: a single institution experience.

Radiation oncology journal Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI:10.3857/roj.2022.00514
Ali Kazemian, Borna Farazmand, Maryam Taherioun, Mahdie Razmkhah, Mohammad Shirkhoda, Amirmohsen Jalaeefar, Ata Garajei, Mehrdad Jafari, Farrokh Heidari, Mahdi Aghili, Reza Ghalehtaki
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Abstract

Purpose: Sinonasal malignancies are a rare group of head and neck cancers. We aimed to report the oncological outcomes based on histological types in patients who underwent radiotherapy.

Materials and methods: In this single-institution study, we retrospectively retrieved and analyzed data of patients with sinonasal carcinomas who underwent radiotherapy during 2011-2016 as part of their treatment. The 3-year rate of local, regional, and distant recurrences, and overall survival were evaluated according to the histological type.

Results: A total of 28 patients were evaluated in this study, the majority of whom were male (60%). Squamous cell carcinoma (SCC), adenoid cystic carcinoma (ACC), and adenocarcinoma (ADC) were found in 15 patients (53.5%), 8 (28.5%), and 5 (18%), respectively. The highest rates of local and regional recurrences were observed in ACC and SCC, respectively. Distant recurrences were numerically more common in ADC. The 3-year OS was 48%, 50%, and 73% in SCC, ADC, and ACC, respectively.

Conclusion: Different histopathologies of sinonasal cancer seem to have different patterns of failure, and this may be considered in the treatment approach.

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组织学对鼻窦癌放疗疗效的影响:一家医疗机构的经验。
目的:鼻窦恶性肿瘤是一类罕见的头颈部癌症。我们旨在报告接受放射治疗的患者根据组织学类型得出的肿瘤学结果:在这项单一机构研究中,我们回顾性检索并分析了 2011-2016 年期间接受放疗的鼻窦癌患者的数据,作为治疗的一部分。根据组织学类型评估了3年的局部、区域和远处复发率以及总生存率:本研究共评估了 28 名患者,其中大部分为男性(60%)。发现鳞状细胞癌(SCC)、腺样囊性癌(ACC)和腺癌(ADC)的患者分别为 15 人(53.5%)、8 人(28.5%)和 5 人(18%)。ACC 和 SCC 的局部和区域复发率分别最高。远处复发在 ADC 中更为常见。SCC、ADC和ACC的3年OS分别为48%、50%和73%:结论:不同组织病理学的鼻窦癌似乎有不同的失败模式,这一点可在治疗方法中加以考虑。
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