Soft tissues sarcomas of the head and neck in adult: Histo-clinical analysis of 30-years material in the data of ENT Department of Silesian Medical University
Journal Title: Otolaryngologia Polska - Year 2012, Vol 66, Issue 6
Abstract
Aim: The aim of this study was the assessment of efficiency treatment of soft tissues sarcomas in adult in the data of ENT Department of Silesian Medical University in Katowice. Material and methods: Retrospective analysis has been carried out for 22 patients with the diagnosis of STS in head and neck, treated in the ENT Department of the Silesian Medical University in Katowice, Poland, in the years 1980-2010. Most common histopathological diagnosis was fibrosarcoma. Preferred treatment was surgery combined with radiotherapy. Despite intensive treatment results remain unsatisfactory. Results: The most frequent cause of treatment failure was local recurrence, which was found in 7 cases. In 2 patients, nodal recurrence occurred, while in further 4 patients dissemination of neoplasm occurred. Of the 22 patients in our study, 13 died. Complete 5-year survival in the study group was achieved in case of 3 patients, 4 other patients have survived up to 3 years so far, while 1 patient survived less than 1 year so far. Conclusions: The application of surgical treatment combined with post-surgical radiotherapy allowed to enhance life quality and to prolong the life of patients. Unfortunately, the percentage of local recurrence cases still remains high. Results of STS treatment are still not satisfactory. The main reasons for it include late for treatment, in relation to the moment of noticing the tumor, in the majority of cases a high malignancy level, as well as technically difficult procedures, along with the strong tendency for local recurrence.
Authors and Affiliations
Jarosław Markowski, Włodzimierz Dziubdziela, Karina Podlejska, Wirginia Likus, Katarzyna Pasternak, Maciej Kajor, Małgorzata Witkowska, Tatiana Gierek
Keywords
Related Articles
- EP ID EP52110
- DOI -
- Views 110
- Downloads 0
Atopia i inne czynniki wpływające na częstość występowania róznych typów cytologicznych polipów nosa
Biofilm from patients with chronic rhinosinusitis. Morphological SEM studies
Introduction. Bacterial biofilm is a three-dimensional structure made of aggregates of bacterial cells (microcolonies) and the extra cellular matrix released by them, adhering to organic and inorganic surfaces. It is est...
Juvenile angiofibroma in adults
Introduction. Juvenile nasopharyngeal angiofibroma is a benign lesion which is characterized by three distinctive features: it occurs only in one sex, one period of age and in one location in the organism. Material and m...
Józefa Czekierskiego (1777–1827) otorynolaryngologiczne związki
The professional and scientific activities of Józef Czekierski (1777–1827), an eminent Varsovian surgeon on the turn of the 18th century are described widely. He was the head of surgical and obstetricial departments in W...
Endoscopic management of cerebrospinal fluid rhinorhea
Endoscopic surgery due to its high effi cacy and relatively minor intraoperative trauma became a standard of transnasal csf leak treatment. The aim of this study: was to present, basing on our own experience, diagnostic...