Volume 36, Issue 11 pp. 1567-1572
Original Article

Effect of local extension sites on survival in locally advanced maxillary sinus cancer

Satoshi Kano MD, PhD

Satoshi Kano MD, PhD

Department of Otolaryngology–Head and Neck Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan

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Ryuichi Hayashi MD

Ryuichi Hayashi MD

Division of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan

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Akihiro Homma MD, PhD

Corresponding Author

Akihiro Homma MD, PhD

Department of Otolaryngology–Head and Neck Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan

Corresponding author: A. Homma, Department of Otolaryngology–Head and Neck Surgery, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan. E-mail: [email protected]Search for more papers by this author
Kazuto Matsuura MD, PhD

Kazuto Matsuura MD, PhD

Division of Head and Neck Surgery, Miyagi Cancer Center, Sendai, Japan

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Kengo Kato MD, PhD

Kengo Kato MD, PhD

Department of Otolaryngology–Head and Neck Surgery, Tohoku University School of Medicine, Sendai, Japan

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Kazuyoshi Kawabata MD, PhD

Kazuyoshi Kawabata MD, PhD

Department of Head and Neck Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan

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Nobuya Monden MD, PhD

Nobuya Monden MD, PhD

Department of Otorhinolaryngology–Head and Neck Surgery, National Shikoku Cancer Center, Matsuyama, Japan

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Yasuhisa Hasegawa MD, PhD

Yasuhisa Hasegawa MD, PhD

Department of Head and Neck Surgery, Aichi Cancer Center, Nagoya, Japan

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Tetsuro Onitsuka MD, PhD

Tetsuro Onitsuka MD, PhD

Department of Head and Neck Surgery, Shizuoka Cancer Center, Shizuoka, Japan

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Yasushi Fujimoto MD, PhD

Yasushi Fujimoto MD, PhD

Department of Otolaryngology, Nagoya University Graduate School of Medicine, Nagoya, Japan

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Shigemichi Iwae MD, PhD

Shigemichi Iwae MD, PhD

Department of Head and Neck Surgery, Hyogo Cancer Center, Akashi, Japan

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Kenji Okami MD, PhD

Kenji Okami MD, PhD

Department of Otolaryngology, Tokai University, Isehara, Japan

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Takashi Matsuzuka MD, PhD

Takashi Matsuzuka MD, PhD

Department of Otolaryngology, Fukushima Medical University, Fukushima, Japan

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Kunitoshi Yoshino MD, PhD

Kunitoshi Yoshino MD, PhD

Department of Otolaryngology, Head and Neck Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

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Masato Fujii MD, PhD

Masato Fujii MD, PhD

Department of Otorhinolaryngology, National Tokyo Medical Center, Tokyo, Japan

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First published: 30 August 2013
Citations: 16

Abstract

Background

We analyzed the effects of local extension sites on survival in patients with locally advanced maxillary sinus cancer.

Methods

The criteria for inclusion in this study were as follows: (1) previously untreated maxillary sinus cancer; (2) squamous cell carcinoma; (3) T4 disease; and (4) curative-intent treatment. The data for 118 patients were obtained from 28 institutions across Japan and analyzed for overall survival and local control rates by local extension site.

Results

Sites with a poor prognosis included the cribriform plate, dura, nasopharynx, middle cranial fossa, and cranial nerves other than V2. There was a significant correlation among these sites, except for the cranial nerves. Additionally, the hard palate was the only site that correlated with nodal involvement and showed a poor treatment outcome.

Conclusion

Even in cases presenting with similar T4 maxillary sinus cancer, treatment should be performed in consideration of the local extension site. © 2013 Wiley Periodicals, Inc. Head Neck 36: 1567–1572, 2014

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