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1 results

  • Endoscopic resection of malignant sinonasal tumours with or without chemotherapy and radiotherapy

  • I Tojima, T Ogawa, H Kouzaki, S Seno, M Shibayama, T Shimizu
  • Journal:
    The Journal of Laryngology & Otology / Volume 126 / Issue 10 / October 2012
    Published online by Cambridge University Press:
    21 August 2012, pp. 1027-1032
    Print publication:
    October 2012
  • Objective:

    An increasing number of transnasal endoscopic surgical procedures are being performed, and these procedures are now also utilised in the management of malignant sinonasal tumours. This study aimed to evaluate the outcome of endoscopic resection of sinonasal malignancies, with or without chemotherapy and radiotherapy.

    Methods:

    Between 2000 and 2009, six patients with sinonasal malignancies (diagnosed on pre-operative biopsy) underwent endoscopic resection at our hospital. The histopathological diagnoses varied and included squamous cell carcinoma, olfactory neuroblastoma, chordoma, extramedullary plasmacytoma and haemangiopericytoma.

    Results:

    Surgical resection was combined with chemotherapy and/or radiotherapy in four cases. The mean follow-up period was 43 months. One patient suffered local recurrence of chordoma, 84 months after the first operation, but this was successfully treated with proton beam radiotherapy.

    Conclusion:

    These results suggest that endoscopic resection may be a valid alternative to conventional resection in selected cases of malignant sinonasal tumour.