Sinonasal malignancies: a retrospective review of a tertiary center experience

Detalhes bibliográficos
Autor(a) principal: Gani, Kaamil
Data de Publicação: 2023
Outros Autores: Colaço, Tiago, Castelhano, Luís, Correia, Filipe, Gilberto, Nelson, dos Reis, Luís Roque, Escada, Pedro
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
DOI: 10.34631/sporl.2030
Texto Completo: https://doi.org/10.34631/sporl.2030
Resumo: Objectives: To characterize demographics, presentation, histologic types, treatment and survival of patients with sinonasal malignancies diagnosed at a tertiary hospital center in Portugal. Study design: Retrospective study. Material and methods: Review of clinical records from January 2012 to December 2021. Results: Nineteen patients were included, with male predominance (57.9%) and a mean age at diagnosis of 66.7 ± 9.8 years. The most common presenting symptoms were nasal obstruction and epistaxis (47.4%). Squamous cell carcinoma was the most common histologic subtype (21.1%). Primary surgical therapy was preferred comparative to nonsurgical therapy (84.2% VS 15.8%). Nine patients were submitted to external approach, while 7 patients underwent endonasal endoscopic treatment. The mean follow-up time was 26.9 ± 20.6 months. Five-year overall survival was 53.5% and disease-free survival was 62.8%. Conclusion: In this study prognosis was stage and treatment-dependent, and  endoscopic approach was safe and effective in carefully selected patients.
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spelling Sinonasal malignancies: a retrospective review of a tertiary center experienceTumores malignos nasossinusais: Revisão retrospetiva da experiência de um centro terciáriomalignant neoplasmsnasal cavityparanasal sinusneoplasias malignascavidade nasalseios perinasaisObjectives: To characterize demographics, presentation, histologic types, treatment and survival of patients with sinonasal malignancies diagnosed at a tertiary hospital center in Portugal. Study design: Retrospective study. Material and methods: Review of clinical records from January 2012 to December 2021. Results: Nineteen patients were included, with male predominance (57.9%) and a mean age at diagnosis of 66.7 ± 9.8 years. The most common presenting symptoms were nasal obstruction and epistaxis (47.4%). Squamous cell carcinoma was the most common histologic subtype (21.1%). Primary surgical therapy was preferred comparative to nonsurgical therapy (84.2% VS 15.8%). Nine patients were submitted to external approach, while 7 patients underwent endonasal endoscopic treatment. The mean follow-up time was 26.9 ± 20.6 months. Five-year overall survival was 53.5% and disease-free survival was 62.8%. Conclusion: In this study prognosis was stage and treatment-dependent, and  endoscopic approach was safe and effective in carefully selected patients.Objetivos: Caracterizar a demografia, apresentação, tipos histológicos, tratamento e sobrevida de doentes com tumores malignos nasossinusais diagnosticados num centro hospitalar terciário em Portugal. Desenho do estudo: Estudo retrospetivo. Materiais e métodos: Revisão de registos clínicos de janeiro de 2012 a dezembro de 2021. Resultados: Foram incluídos 19 pacientes, com predomínio do género masculino (57,9%) e uma idade média ao diagnóstico de 66,7 ± 9,8 anos. Os sintomas de apresentação mais comuns foram a obstrução nasal e a epistáxis (47,4%). O carcinoma pavimentocelular foi o subtipo histológico mais frequente (21,1%). Houve um predomínio do tratamento cirúrgico primário comparativamente ao tratamento não cirúrgico (84,2% VS 15,8%). Nove doentes foram submetidos a uma abordagem externa, enquanto em 7 a abordagem foi endoscópica endonasal. O tempo médio de seguimento dos doentes foi de 26,9 ± 20,6 meses. A sobrevida global aos 5 anos foi de 53,5% e a sobrevida livre de doença foi de 62,8%. Conclusões: Neste estudo o prognóstico foi dependente do estadio da doença e da modalidade terapêutica, e, a abordagem endoscópica endonasal foi segura e eficaz em doentes devidamente selecionados.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2023-08-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.2030https://doi.org/10.34631/sporl.2030Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 2 (2023): June; 187-195Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 2 (2023): Junho; 187-195Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 2 (2023): Junho; 187-1952184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://journalsporl.com/index.php/sporl/article/view/2030https://journalsporl.com/index.php/sporl/article/view/2030/41https://journalsporl.com/index.php/sporl/article/view/2030/42Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessGani, KaamilColaço, TiagoCastelhano, LuísCorreia, FilipeGilberto, Nelsondos Reis, Luís RoqueEscada, Pedro2024-06-06T12:57:01Zoai:journalsporl.com:article/2030Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T12:57:01Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Sinonasal malignancies: a retrospective review of a tertiary center experience
Tumores malignos nasossinusais: Revisão retrospetiva da experiência de um centro terciário
title Sinonasal malignancies: a retrospective review of a tertiary center experience
spellingShingle Sinonasal malignancies: a retrospective review of a tertiary center experience
Sinonasal malignancies: a retrospective review of a tertiary center experience
Gani, Kaamil
malignant neoplasms
nasal cavity
paranasal sinus
neoplasias malignas
cavidade nasal
seios perinasais
Gani, Kaamil
malignant neoplasms
nasal cavity
paranasal sinus
neoplasias malignas
cavidade nasal
seios perinasais
title_short Sinonasal malignancies: a retrospective review of a tertiary center experience
title_full Sinonasal malignancies: a retrospective review of a tertiary center experience
title_fullStr Sinonasal malignancies: a retrospective review of a tertiary center experience
Sinonasal malignancies: a retrospective review of a tertiary center experience
title_full_unstemmed Sinonasal malignancies: a retrospective review of a tertiary center experience
Sinonasal malignancies: a retrospective review of a tertiary center experience
title_sort Sinonasal malignancies: a retrospective review of a tertiary center experience
author Gani, Kaamil
author_facet Gani, Kaamil
Gani, Kaamil
Colaço, Tiago
Castelhano, Luís
Correia, Filipe
Gilberto, Nelson
dos Reis, Luís Roque
Escada, Pedro
Colaço, Tiago
Castelhano, Luís
Correia, Filipe
Gilberto, Nelson
dos Reis, Luís Roque
Escada, Pedro
author_role author
author2 Colaço, Tiago
Castelhano, Luís
Correia, Filipe
Gilberto, Nelson
dos Reis, Luís Roque
Escada, Pedro
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gani, Kaamil
Colaço, Tiago
Castelhano, Luís
Correia, Filipe
Gilberto, Nelson
dos Reis, Luís Roque
Escada, Pedro
dc.subject.por.fl_str_mv malignant neoplasms
nasal cavity
paranasal sinus
neoplasias malignas
cavidade nasal
seios perinasais
topic malignant neoplasms
nasal cavity
paranasal sinus
neoplasias malignas
cavidade nasal
seios perinasais
description Objectives: To characterize demographics, presentation, histologic types, treatment and survival of patients with sinonasal malignancies diagnosed at a tertiary hospital center in Portugal. Study design: Retrospective study. Material and methods: Review of clinical records from January 2012 to December 2021. Results: Nineteen patients were included, with male predominance (57.9%) and a mean age at diagnosis of 66.7 ± 9.8 years. The most common presenting symptoms were nasal obstruction and epistaxis (47.4%). Squamous cell carcinoma was the most common histologic subtype (21.1%). Primary surgical therapy was preferred comparative to nonsurgical therapy (84.2% VS 15.8%). Nine patients were submitted to external approach, while 7 patients underwent endonasal endoscopic treatment. The mean follow-up time was 26.9 ± 20.6 months. Five-year overall survival was 53.5% and disease-free survival was 62.8%. Conclusion: In this study prognosis was stage and treatment-dependent, and  endoscopic approach was safe and effective in carefully selected patients.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-28
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.2030
https://doi.org/10.34631/sporl.2030
url https://doi.org/10.34631/sporl.2030
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2030
https://journalsporl.com/index.php/sporl/article/view/2030/41
https://journalsporl.com/index.php/sporl/article/view/2030/42
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 2 (2023): June; 187-195
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 2 (2023): Junho; 187-195
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 2 (2023): Junho; 187-195
2184-6499
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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dc.identifier.doi.none.fl_str_mv 10.34631/sporl.2030