Abstract
Purpose: To report long-term outcomes of modern radiotherapy for sinonasal cancers. Methods and materials: A retrospective analysis of patients with sinonasal tumors treated with intensity-modulated radiotherapy or proton therapy. Multivariate analysis was used to determine predictive variables of progression free survival (PFS) and overall survival (OS). Results: Three hundred and eleven patients were included, with median follow-up of 75 months. The most common histologies were squamous cell (42%), adenoid cystic (15%), and sinonasal undifferentiated carcinoma (15%). Induction chemotherapy was administered to 47% of patients; 68% had adjuvant radiotherapy. Ten-year local control, regional control, distant metastasis free survival, PFS, and overall survival rates were 73%, 88%, 47%, 32%, and 51%, respectively. Age, non-nasal cavity tumor site, T3-4 stage, neck dissection, and radiation dose were predictive of PFS, while age, non-nasal cavity tumor site, T3-4 stage, positive margins, neck dissection, and use of neoadjuvant chemotherapy were predictive of OS. There was a 13% rate of late grade ≥3 toxicities. Conclusion: This cohort of patients with sinonasal cancer treated with modern radiotherapy demonstrates favorable disease control rate and acceptable toxicity profile.
Original language | English (US) |
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Pages (from-to) | 1692-1703 |
Number of pages | 12 |
Journal | Head and Neck |
Volume | 45 |
Issue number | 7 |
DOIs | |
State | Published - Jul 2023 |
Keywords
- conformal radiotherapy
- head and neck cancer
- IMPT
- IMRT
- intensity modulated radiation therapy
- paranasal sinus cancer
- proton therapy
- radiation therapy
- radiotherapy
- SCC
- sinonasal tumors
- SNUC
- VMAT
ASJC Scopus subject areas
- Otorhinolaryngology