Volume 44, Issue 6 pp. 961-967
ORIGINAL ARTICLE

Squamous cell carcinoma of the nasal cavity: A descriptive analysis of cases from the head and neck 5000 study

Oliver T. Dale

Corresponding Author

Oliver T. Dale

Department of ENT/Head & Neck Surgery, University Hospitals Bristol, Bristol, UK

Correspondence

Oliver T. Dale, Department of ENT/Head & Neck Surgery, University Hospitals Bristol, Bristol, UK.

Email: [email protected]

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Miranda Pring

Miranda Pring

Department of Oral & Maxillofacial Pathology, Bristol Dental School, University of Bristol, Bristol, UK

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Amy Davies

Amy Davies

NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and University of Bristol, Bristol, UK

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Sam Leary

Sam Leary

NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and University of Bristol, Bristol, UK

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Kate Ingarfield

Kate Ingarfield

NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and University of Bristol, Bristol, UK

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Stu Toms

Stu Toms

NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and University of Bristol, Bristol, UK

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Tim Waterboer

Tim Waterboer

Department of Molecular Diagnostics of Oncogenic Infections, German Cancer Research Center (DKFZ), Heidelberg, Germany

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Michael Pawlita

Michael Pawlita

Department of Molecular Diagnostics of Oncogenic Infections, German Cancer Research Center (DKFZ), Heidelberg, Germany

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Andy R. Ness

Andy R. Ness

NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and University of Bristol, Bristol, UK

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Steve J. Thomas

Steve J. Thomas

NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and University of Bristol, Bristol, UK

Department of Oral & Maxillofacial Surgery, University Hospitals Bristol, Bristol, UK

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First published: 16 August 2019
Citations: 8

Abstract

Objectives

This paper aims to provide contemporary epidemiological data on squamous cell carcinoma (SCC) of the nasal cavity, which represents a rare type of head and neck cancer.

Design, Setting & Participants

A descriptive analysis of people with nasal cavity SCC treated with curative intent from the Head and Neck 5000 study; a multicentre clinical cohort study of people from the UK with head and neck cancer. People with tumours of the nasopharynx, paranasal sinuses and other sub-sites of the head and neck were excluded.

Main outcome measures

Demographic data and treatment details are presented for all participants. The main outcomes were overall survival and survival according to categories of characteristics (eg, smoker vs non-smoker); these were explored using Kaplan-Meier plots.

Results

Thirty people with nasal cavity SCC were included in the study, of which most were male (67%) and current or ex-smokers (70%). The majority (70%) presented with early-stage (T1/2, N0) tumours. Cervical lymph node metastases at presentation were rare, occurring in only one person. Nine people died during the follow-up period (30%). Worse survival outcomes were seen in people with moderate or severe co-morbidities.

Conclusions

This paper provides epidemiological data on nasal cavity SCC in the UK. Patterns of disease and survival outcomes are described, identifying high-risk groups. Further studies should explore whether primary treatment modality alters survival.

CONFLICT OF INTEREST

None to declare.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.