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October 1, 1983Archives of Otolaryngology - Head and Neck Surgery

Malignant Salivary Gland Tumors of the Paranasal Sinuses and Nasal Cavity

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Authors

HGHelmuth GoepfertMLMario A. LunaRLRobert D. Lindberg

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Overview

Retrospective cohort study reveals tumor grade and local invasion dictate survival in sinonasal salivary gland cancer, highlighting the necessity of combined surgery and adjuvant radiotherapy.

Key Points

  • To assess the clinical behavior, prognostic determinants, and management strategies for malignant minor salivary gland tumors arising in the sinonasal tract.
  • Retrospective review of 122 patients with minor salivary gland tumors of the nose and paranasal sinuses, analyzing a single-institution treatment cohort of 66 patients.
  • Evaluation of primary tumor histology, microscopic tumor grade, stage at presentation, surgical resection approach, and adjuvant radiation therapy.
  • Adenoid cystic carcinoma and adenocarcinoma predominated, with 80% of treated patients presenting with locally advanced disease (T3 and T4).
  • Pathologic tumor grade, anatomic extent, and degree of invasion directly influenced patient prognosis.
  • Adjuvant radiation therapy demonstrated clinical utility in multimodality protocols and exhibited efficacy as a standalone treatment in selected cases.

Cite This Study

Goepfert et al. (1983) studied this question.

synapsesocial.com/papers/6a903b0ff5c79ce9992da5d8https://doi.org/10.1001/archotol.1983.00800240028005
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