Prognostic factors influencing relapse of squamous cell carcinoma of the maxillary sinus

M. Kondo, K. Ogawa, Y. Inuyama, S. Yamashita, S. Tominaga, Naoyuki Shigematsu, I. Nishiguchi, S. Hashimoto

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

In 95 surgically staged patients with squamous cell carcinoma of the maxillary sinus, multivariate regression analyses were employed to identify prognostic factors. Possible prognostic factors for local control were TNM stage and type of surgical procedures: T2 or T3 tumors and use of total maxillectomy showed better local control rates (P < 0.01). High radiation doses of 40 Gy or more also seemed to be of prognostic significance: P < 0.2 for 40 to 60 Gy, and P < 0.1 for 60 Gy or more. The risk of cervical relapse increased when the cheek or alveolus was grossly involved (P < 0.2). However, since cervical relapse frequently accompanied uncontrollable primary recurrence or distant spread, and since cervical relapse alone was frequently salvaged by radical neck dissection, prophylactic irradiation to the neck is not recommended. Sex, age, nodal state, addition of chemotherapy, total doses of bleomycin or 5-fluorouracil (5-FU), or intra-arterial administration of chemotherapeutic agents did not appear to be of prognostic significance.

Original languageEnglish
Pages (from-to)190-196
Number of pages7
JournalCancer
Volume55
Issue number1
DOIs
Publication statusPublished - 1985

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Maxillary Sinus
Squamous Cell Carcinoma
Recurrence
Neck Dissection
Cheek
Bleomycin
Fluorouracil
Neck
Multivariate Analysis
Regression Analysis
Radiation
Drug Therapy
Neoplasms

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Prognostic factors influencing relapse of squamous cell carcinoma of the maxillary sinus. / Kondo, M.; Ogawa, K.; Inuyama, Y.; Yamashita, S.; Tominaga, S.; Shigematsu, Naoyuki; Nishiguchi, I.; Hashimoto, S.

In: Cancer, Vol. 55, No. 1, 1985, p. 190-196.

Research output: Contribution to journalArticle

Kondo, M, Ogawa, K, Inuyama, Y, Yamashita, S, Tominaga, S, Shigematsu, N, Nishiguchi, I & Hashimoto, S 1985, 'Prognostic factors influencing relapse of squamous cell carcinoma of the maxillary sinus', Cancer, vol. 55, no. 1, pp. 190-196. https://doi.org/10.1002/1097-0142(19850101)55:1<190::AID-CNCR2820550130>3.0.CO;2-2
Kondo, M. ; Ogawa, K. ; Inuyama, Y. ; Yamashita, S. ; Tominaga, S. ; Shigematsu, Naoyuki ; Nishiguchi, I. ; Hashimoto, S. / Prognostic factors influencing relapse of squamous cell carcinoma of the maxillary sinus. In: Cancer. 1985 ; Vol. 55, No. 1. pp. 190-196.
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AU - Inuyama, Y.

AU - Yamashita, S.

AU - Tominaga, S.

AU - Shigematsu, Naoyuki

AU - Nishiguchi, I.

AU - Hashimoto, S.

PY - 1985

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N2 - In 95 surgically staged patients with squamous cell carcinoma of the maxillary sinus, multivariate regression analyses were employed to identify prognostic factors. Possible prognostic factors for local control were TNM stage and type of surgical procedures: T2 or T3 tumors and use of total maxillectomy showed better local control rates (P < 0.01). High radiation doses of 40 Gy or more also seemed to be of prognostic significance: P < 0.2 for 40 to 60 Gy, and P < 0.1 for 60 Gy or more. The risk of cervical relapse increased when the cheek or alveolus was grossly involved (P < 0.2). However, since cervical relapse frequently accompanied uncontrollable primary recurrence or distant spread, and since cervical relapse alone was frequently salvaged by radical neck dissection, prophylactic irradiation to the neck is not recommended. Sex, age, nodal state, addition of chemotherapy, total doses of bleomycin or 5-fluorouracil (5-FU), or intra-arterial administration of chemotherapeutic agents did not appear to be of prognostic significance.

AB - In 95 surgically staged patients with squamous cell carcinoma of the maxillary sinus, multivariate regression analyses were employed to identify prognostic factors. Possible prognostic factors for local control were TNM stage and type of surgical procedures: T2 or T3 tumors and use of total maxillectomy showed better local control rates (P < 0.01). High radiation doses of 40 Gy or more also seemed to be of prognostic significance: P < 0.2 for 40 to 60 Gy, and P < 0.1 for 60 Gy or more. The risk of cervical relapse increased when the cheek or alveolus was grossly involved (P < 0.2). However, since cervical relapse frequently accompanied uncontrollable primary recurrence or distant spread, and since cervical relapse alone was frequently salvaged by radical neck dissection, prophylactic irradiation to the neck is not recommended. Sex, age, nodal state, addition of chemotherapy, total doses of bleomycin or 5-fluorouracil (5-FU), or intra-arterial administration of chemotherapeutic agents did not appear to be of prognostic significance.

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