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November 1958


AMA Arch Otolaryngol. 1958;68(5):639-640. doi:10.1001/archotol.1958.00730020661015

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Reminiscences. Alfred Lewy, M.D.

Malignancies of the Paranasal Sinuses.William G. Hemenway, M.D. (by invitation), and Jonh R. Lindsay, M.D.  Sixty-two cases of malignant diseases of the paranasal sinuses were reviewed. Fifty-seven were carcinomas, the majority of which were of the squamous-cell variety. Adenocarcinomas have a better prognosis than squamous-cell carcinomas.Treatment here during the 25 year period has changed from primary x-ray therapy to primary radical surgery. Supervoltage x-ray therapy has been used for three and one-half years. It is too soon to assess its value in these cases, but early results are disappointing. We have no cures in cases treated by x-ray alone or x-ray followed by radical surgery.Improved results since 1947 are considered due to earlier diagnosis and to the introduction of radical surgery. Six of ten cases in which surgery was employed primarily are alive and well at least for four years.X-ray therapy is

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