Vol. 11, No 1, 2004 pp. 31 - 34
UC 616.21:616-006.6
MALIGNANT TUMORS OF THE MAXILLARY SINUS.
A TEN-YEAR EXPERIENCE
Dragoljub Popović, Dušan Milisavljević
Clinic of Otorhinolaryngology, Clinical Center, Faculty of Medicine,
Niš, Serbia
Summary. Optimal treatment policies of maxillary sinus carcinoma
remain to be defined. In this study 20 cases of maxillary sinus malignant
tumors in the past 10 years were retrospectively reviwed. The most common
histopathological diagnosis were squamous cell carcinoma. All patients
were staged clinically according to the 1997 AJCC staging systems. The
T classification of the tumors of the patients was as follows: 8 with T2,
7 with T3, and 5 with T4 according to the 1997 AJCC staging system. Eleven
patients had lymph node involvement at diagnosis. All patients received
a combination of surgical and radiation treatments. Complete surgical removal
of the tumor with postoperative radiation therapy remains the standard
of care for resectable lesions.
Key words: Squamous cell carcinoma, maxillary sinus, treatment
MALIGNI TUMORI MAKSILARNIH SINUSA. DESETOGODIŠNJE
ISKUSTVO
Kratak sadržaj: Uprkos ogromnom napretku u dijagnostičkim i hiruskim
metodama prognoza malignih tumora maksilarnih sinusa je i dalje loša U
našoj retrospektivnoj studiji prikazujemo desetogodišnjoj iskustvo u lecenju
malignih tumora maksilarnih sinusa. Svi tumori su gradirani po 1997 AJCC
stejdžing sistemu i to 8 tumora je klasifikovano kao T2, 7 kao T3 i 5 kao
T4. Kod jedanest pacijenata je registrovano zahvatanje limfnih nodusa u
momentu postavljanja dijagnoze. Svih 20 pacijenata je podvrgnuto hiruškoj
i postoperativnoj zračnoj terapiji. Naše iskustvo ide u prilog shvatanju
da kompletno hiruško odklanjanje tumora sa postoperativnom zračnom terapijom
ostaje standard u lečnju resektibilnih malignih tumora maksilarnih sinusa.
Ključne reči: Planocelularni karcinoma, maksilarni sinusi, terapija
