Display options
Cite
Moore MG, Lin DT, Deschler DG, et al. Risk of incisional recurrence after midface and anterior skull base surgery in sinonasal malignancies. Skull Base. 2011;21(2):87-92doi: 10.1055/s-0030-1266762.
Moore, M. G., Lin, D. T., Deschler, D. G., Wang, J. J., & Chan, A. W. (2011). Risk of incisional recurrence after midface and anterior skull base surgery in sinonasal malignancies. Skull base : official journal of North American Skull Base Society ... [et al.], 21(2), 87-92. https://doi.org/10.1055/s-0030-1266762
Moore, Michael G, et al. "Risk of incisional recurrence after midface and anterior skull base surgery in sinonasal malignancies." Skull base : official journal of North American Skull Base Society ... [et al.] vol. 21,2 (2011): 87-92. doi: https://doi.org/10.1055/s-0030-1266762
Moore MG, Lin DT, Deschler DG, Wang JJ, Chan AW. Risk of incisional recurrence after midface and anterior skull base surgery in sinonasal malignancies. Skull Base. 2011 Mar;21(2):87-92. doi: 10.1055/s-0030-1266762. PMID: 22451807; PMCID: PMC3312592.
Copy Download .nbib Format: NLM
Share it on

Skull Base. 2011 Mar;21(2):87-92. doi: 10.1055/s-0030-1266762.

Risk of incisional recurrence after midface and anterior skull base surgery in sinonasal malignancies.

Skull base : official journal of North American Skull Base Society ... [et al.]

Michael G Moore, Derrick T Lin, Daniel G Deschler, Jing J Wang, Annie W Chan

PMID: 22451807 PMCID: PMC3312592 DOI: 10.1055/s-0030-1266762

Abstract

We sought to determine the risk of tumor incisional recurrence in patients receiving surgery and postoperative radiation therapy for locally advanced sinonasal malignancies. Medical records for 70 patients newly diagnosed with nonmetastatic American Joint Committee on Cancer stage II to stage IV sinonasal malignancies between 1991 and 2003 were retrospectively reviewed. Patient demographics and tumor variables were recorded. All patients underwent upfront surgical resection with postoperative three-dimensional conformal proton beam radiotherapy. Recurrence and survival-related outcomes were recorded. Two patients with squamous cell carcinoma had pathologically confirmed tumor recurrence at the incision site. The actuarial risk of incisional recurrence for the entire group at 1 year was 3%. One of the two patients had a maxillary sinus tumor and developed isolated skin recurrence along the transfacial incision. The other patient with an ethmoid sinus tumor developed isolated dural recurrence along the craniotomy incision. Both patients underwent multiple courses of salvage surgery and radiation therapy. One was successfully salvaged locally but developed distant metastases and the other died of local recurrence. Tumor seeding following transfacial and craniotomy surgery can occur, especially for squamous cell carcinoma. Sound oncological surgical technique, even when utilizing these difficult surgical approaches, is important to minimize incisional recurrence.

Keywords: Incisional recurrence; anterior skull base surgery; transfacial surgery; tumor implantation; wound metastasis

References

  1. Int J Gynecol Cancer. 2006 Jan-Feb;16 Suppl 1:334-7 - PubMed
  2. Dis Colon Rectum. 1983 Sep;26(9):571-2 - PubMed
  3. Med Clin North Am. 1980 Sep;64(5):885-900 - PubMed
  4. Semin Oncol. 1977 Mar;4(1):59-64 - PubMed
  5. Int J Radiat Oncol Biol Phys. 1985 Apr;11(4):731-41 - PubMed
  6. Br J Oral Maxillofac Surg. 2002 Apr;40(2):125-30 - PubMed
  7. Surg Endosc. 2004 Mar;18(3):540-2 - PubMed
  8. Int J Gynecol Cancer. 2003 Nov-Dec;13(6):901-3 - PubMed
  9. Gynecol Oncol. 1994 Nov;55(2):169-73 - PubMed
  10. Gynecol Oncol. 1994 Jun;53(3):357-60 - PubMed
  11. Endoscopy. 2003 May;35(5):462 - PubMed
  12. Arch Dermatol. 1972 Jun;105(6):862-8 - PubMed
  13. Endoscopy. 2004 May;36(5):472 - PubMed
  14. Int J Radiat Oncol Biol Phys. 1995 Oct 15;33(3):579-84 - PubMed
  15. World J Gastroenterol. 2008 Nov 7;14(41):6428-31 - PubMed
  16. Cancer. 1974 Oct;34(4):1278-92 - PubMed
  17. Int J Gynecol Cancer. 2005 Nov-Dec;15(6):1183-6 - PubMed
  18. AJNR Am J Neuroradiol. 2000 Mar;21(3):578-83 - PubMed
  19. Gynecol Oncol. 1986 Jun;24(2):177-82 - PubMed
  20. Dis Colon Rectum. 1996 Feb;39(2):200-7 - PubMed

Publication Types