We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Proton radiation therapy for primary sphenoid sinus malignancies: Treatment outcome and prognostic factors.
- Authors
Truong, Minh Tam; Kamat, Urmila R.; Liebsch, Norbert J.; Curry, William T.; Lin, Derrick T.; Barker, II, Fred G.; Loeffler, Jay S.; Chan, Annie W.
- Abstract
Background The purpose of this study was to determine treatment outcome and prognostic factors in patients with locally advanced primary sphenoid sinus malignancy treated with proton radiation therapy. Methods Between 1991 and 2005, 20 patients with primary sphenoid sinus malignancy received proton beam to a median dose of 76 Gray equivalent. Results With a median follow-up of 27 months, the 2-year local, regional, and freedom from distant metastasis rates were 86%, 86%, and 50%, respectively. The disease-free and overall-survival rates at 2 years were 31% and 53%, respectively. In multivariate analysis, oropharyngeal involvement (p = .005) and anterior cranial fossa invasion (p = .02) were predictive for poor disease-free survival rate. Brain invasion was predictive for decreased overall-survival rate (p = .05). Conclusions Proton radiation therapy results in excellent local control in patients with advanced primary sphenoid sinus malignancy. Brain invasion, involvement of the oropharynx and anterior cranial fossa are important prognostic factors. © 2009 Wiley Periodicals, Inc. Head Neck, 2009
- Subjects
SPHENOID sinus; PARANASAL sinus diseases; RADIOTHERAPY; PATIENTS; MEDICAL care; CANCER
- Publication
Head & Neck, 2009, Vol 31, Issue 10, p1297
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.21092