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Lateral temporal bone resections for peri-auricular cutaneous squamous cell carcinoma: prognostic indicators and radiological predictive values

Published online by Cambridge University Press:  25 November 2021

M M K Kwok ,
K W K Choong ,
J Virk ,
S Kleid  and
M J R Magarey
M M K Kwok*
Affiliation:
Head and Neck Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
K W K Choong
Affiliation:
Head and Neck Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
J Virk
Affiliation:
Head and Neck Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
S Kleid
Affiliation:
Head and Neck Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
M J R Magarey
Affiliation:
Head and Neck Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
*
Author for correspondence: Dr Matthew M K Kwok, Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne, VIC 3000, Australia E-mail: mattmkkwok@gmail.com
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Abstract

Background

Lateral temporal bone resections are used in the management of locally advanced peri-auricular cutaneous squamous cell carcinomas, but there is still conflicting evidence regarding the staging, surgical and adjuvant treatment decisions.

Methods

A retrospective analysis was performed on all patients who underwent lateral temporal bone resection for cutaneous squamous cell carcinoma between January 2015 and December 2019 at a dedicated tertiary oncology referral centre.

Results

Twenty-nine patients were included, with a median age of 77 years. Computed tomography, magnetic resonance imaging and positron emission tomography showed good diagnostic accuracy in identifying disease in the parotid gland, external auditory canal and mastoid bone, but had poor sensitivity in identifying cervical nodal metastasis. Six patients had recurrence at a median of 4.8 months post-operatively. Tumour differentiation (p = 0.0040) and post-operative radiotherapy (p = 0.0199) were associated with significantly better recurrence-free survival.

Conclusion

Lateral temporal bone resection for peri-auricular cutaneous squamous cell carcinoma requires careful surgical planning using clinico-radiological correlation, particularly in patients with poorly differentiated tumours.

Keywords

Head And Neck CancerHeadNeckHead And Neck Squamous Cell CarcinomasSkull BaseSkinEar
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 4 , April 2022 , pp. 297 - 303
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr M M K Kwok takes responsibility for the integrity of the content of the paper

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