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The role of chemotherapy for skull base carcinomas and sarcomas.

Abstract
The rarity of most primary skull base carcinomas and sarcomas has prevented a careful examination of the role of chemotherapy in these diseases. For advanced nasopharyngeal cancer, however, convincing data have now been generated supporting the role of systemic chemotherapy in conjunction with definitive locoregional treatment. Chemotherapy also seems to have a role in the management of other squamous cell head and neck cancers, and its use concurrently with radiation may be appropriate when extension to the base of the skull is identified. The role of chemotherapy in the management of the other skull base neoplasms remains less well established. Existing evidence is little more than anecdotal, and the use of systemic chemotherapy should generally be restricted to the palliative treatment setting. The ultimate role of this intervention in the aggressive sinonasal undifferentiated carcinomas and primary neuroendocrine carcinomas is unknown, but for these diseases, chemotherapy is a reasonable addition to locoregional treatment.
AuthorsD J Adelstein
JournalNeurosurgery clinics of North America (Neurosurg Clin N Am) Vol. 11 Issue 4 Pg. 681-91 (Oct 2000) ISSN: 1042-3680 [Print] UNITED STATES
PMID11082178 (Publication Type: Journal Article, Review)
Chemical References
  • Antineoplastic Agents
Topics
  • Antineoplastic Agents (therapeutic use)
  • Carcinoma (drug therapy, radiotherapy)
  • Combined Modality Therapy
  • Humans
  • Neoadjuvant Therapy
  • Radiotherapy, Adjuvant
  • Randomized Controlled Trials as Topic
  • Sarcoma (drug therapy, radiotherapy)
  • Skull Base Neoplasms (drug therapy, radiotherapy)

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