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Organ preservation with neoadjuvant chemoradiation in patients with orbit invasive sinonasal cancer otherwise requiring exenteration

  • Amsbaugh, Mark J. (Department of Radiation Oncology, University of Louisville) ;
  • Yusuf, Mehran (Department of Radiation Oncology, University of Louisville) ;
  • Silverman, Craig (Department of Radiation Oncology, University of Louisville) ;
  • Bumpous, Jeffrey (Department of Otolaryngology, University of Louisville) ;
  • Perez, Cesar A. (Department of Medicine, University of Louisville) ;
  • Potts, Keven (Department of Otolaryngology, University of Louisville) ;
  • Tennant, Paul (Department of Otolaryngology, University of Louisville) ;
  • Redman, Rebecca (Department of Medicine, University of Louisville) ;
  • Dunlap, Neal (Department of Radiation Oncology, University of Louisville)
  • 투고 : 2016.03.30
  • 심사 : 2016.06.21
  • 발행 : 2016.09.30

초록

Purpose: We sought to determine if organ preservation (OP) with neoadjuvant chemoradiation (CRT) was feasible in patients with sinonasal cancer determined to require exenteration. Materials and Methods: Twenty patients were determined to require exenteration for definitive treatment from 2005 to 2014. Fourteen patients underwent OP and 6 patients received exenteration with adjuvant CRT. Exenteration free survival (EFS), locoregional control (LRC), progression-free survival (PFS), and overall survival (OS) were estimated. Results: Five patients (36%) receiving OP had complete disease response at time of surgery. With a median follow-up of 18.8 months, EFS was 62% at 2 years for patients undergoing OP. At 2 years, there were no significant differences in LRC, PFS or OS (all all p > 0.050) between the groups. Less grade 3 or greater toxicity was seen in patients undergoing OP (p = 0.003). Visual function was preserved in all patients undergoing OP. Conclusion: For patients with sinonasal cancer, OP may avoid exenteration, offering similar disease control and improved toxicity.

키워드

참고문헌

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피인용 문헌

  1. Sinonasal Squamous Cell Carcinoma, a Narrative Reappraisal of the Current Evidence vol.13, pp.11, 2016, https://doi.org/10.3390/cancers13112835
  2. Orbital exenteration and reconstruction in a tertiary UK institution: a 5-year experience vol.40, pp.4, 2016, https://doi.org/10.1080/01676830.2020.1775262
  3. Surgical Management of Sinonasal Cancers: A Comprehensive Review vol.13, pp.16, 2016, https://doi.org/10.3390/cancers13163995