Ear carcinomas in Department of Otolaryngology of the Medical University of Warsaw in years 2004-2008
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 5
Abstract
SUMMARY Ear carcinoma constitutes 0.5% of all cancers of the head and neck hardly, however with poor prognosis. In the study we use University of Pittsburgh Staging System. This study is retrospective analysis of the surgical treatment outcomes of the patients with external and middle ear carcinomas in the ENT Department at the Medical University of Warsaw in years from 2004 to 2008. Histopatologicallly, there were:18 squamous cell carcinoma, 17 basal cell carcinoma, 2 neuroendocrine carcinoma, basal cell adenocarcinoma and 1 metatypical carcinoma. Tumors were localised: ear concha in 19 patients, external auditory canal in 6 patients, middle ear in 3 patients, temporal bone and skull base in 9 patients. Among 19 tumors of the auricle, basal cell carcinoma occured the most often (12 patients — 63%), following squamous cell carcinoma (6 patients — 31%), in one case (6%) metatypical carcinoma was confirmed. There were 18 tumors of external auditory canal and tumors with temporal bone involvement in stage T1—T4. In this group 8 subtotal temporal bone resection were performed, however in 5 cases tumor was not totally excised. Additional radiotherapy was performed in 5 patients, 5 died of the disease, three had recurrence in the period of the study and 8 had confirmed metastasis into the breast, lung, cervical and mediastinal lymph nodes. Generally, in this group of patients, 6 died (33%) of the disease in the period from one month to 2 years after surgery. In 6 tumors with no evidence of bone involvement resection limited to the tumor was performed. In 2 tumors of external auditory canal the resection was totally and the patients have no recurrence (100%). Squamous cell carcinoma has poor prognosis, but early diagnosis gives the chance for long-term survival.
Authors and Affiliations
Kazimierz Niemczyk, Emilia Karchier, Krzysztof Morawski, Robert Bartoszewicz, Piotr Arcimowicz
Keywords
Related Articles
- EP ID EP52356
- DOI -
- Views 122
- Downloads 0
Rzadki przypadek olbrzymiego polipa włóknistonaczyniowego przełyku
The benign lesions of esophagus constitutes small part of all esophageal tumors and among them giant esophageal polyps are exceptionally rarely reported. The authors present the uncommon case of pedunculated giant fibro...
Rzadki przypadek przerzutu raka krtani do kręgosłupa lędźwiowego
A rare case of distant metastasis to spinal column – lumbar vertebra (L5) – from laryngeal cancer was reported. It must be noted that in 10 % of cases metastases to vertebral column are fi rst symptom of a neoplastic dis...
Assessment of retrocochlear hearing pathway activity in infants with central nervous system impairment occurring as an effect of perinatal asphyxia
Introduction. The most often changes in the central nervous system (CNS) occurring as an effect of perinatal asphyxia are found to be hypoxic-ischemic encephalopathy (HIE) in term newborns, peri- (PVH) or intraventricula...
Ways of treatment of non-malignant laryngeal tumors in older patients – amyloidosis laryngeal
Introduction. Amyloidosis’ are the heterogeneous group of diseases characterized by extracellular accumulation of secondary protein structures causing progressive disturbances of the organs. Amyloid deposits are localize...
Chirurgia onkologiczna dołu podskroniowego
Introduction. The infratemopral fossa pathology cases are very rare. They grow unnoticed for considerable period until there are some impairments of function of the anatomical structures of the place. Aim. The aim of the...