Abstract | OBJECTIVE: Multidisciplinary management of esthesioneuroblastoma has effected markedly increased survival during the past 20 years. The potential for radical craniofacial surgery for complete en bloc resection, the availability of advanced neuroimaging modalities, and the incorporation of neoadjuvant therapy into treatment strategies for tumor remission have all contributed to this accomplishment. However, a standard protocol for the management of these lesions has not been accepted; preoperative radiation and chemotherapy have been advocated, but neither radiographic nor clinical response has been quantified. METHODS: RESULTS: In a multivariate regression analysis, advanced age was predictive of decreased disease-free survival (P=0.008), whereas advanced Kadish stage was associated with a borderline higher rate of disease-related mortality (P=0.056). Two-thirds of the patients showed a significant reduction in tumor burden with adjuvant therapy. Patients with response to neoadjuvant therapy demonstrated a significantly lower rate of disease-related mortality (P=0.050). In this series, the overall 5- and 10-year survival rates were 81.0 and 54.5%, respectively. CONCLUSION:
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Authors | R S Polin, J P Sheehan, A G Chenelle, E Munoz, J Larner, C D Phillips, R W Cantrell, E R Laws Jr, S A Newman, P A Levine, J A Jane |
Journal | Neurosurgery
(Neurosurgery)
Vol. 42
Issue 5
Pg. 1029-37
(May 1998)
ISSN: 0148-396X [Print] United States |
PMID | 9588547
(Publication Type: Journal Article, Review)
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Topics |
- Adolescent
- Adult
- Age Factors
- Aged
- Antineoplastic Combined Chemotherapy Protocols
(administration & dosage, therapeutic use)
- Chemotherapy, Adjuvant
- Combined Modality Therapy
- Disease-Free Survival
- Drug Administration Schedule
- Esthesioneuroblastoma, Olfactory
(drug therapy, mortality, pathology, radiotherapy, surgery)
- Female
- Humans
- Life Tables
- Male
- Middle Aged
- Multivariate Analysis
- Nasal Cavity
- Neoplasm Staging
- Nose Neoplasms
(drug therapy, mortality, pathology, radiotherapy, surgery)
- Premedication
- Prognosis
- Radiotherapy, Adjuvant
- Regression Analysis
- Remission Induction
- Retrospective Studies
- Treatment Outcome
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