Sinonasal malignancies: a retrospective review of a tertiary center experience
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
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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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 |
format |
article |
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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1822183191673307136 |
dc.identifier.doi.none.fl_str_mv |
10.34631/sporl.2030 |