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February 1990

Maxillary Sinus Carcinoma

Author Affiliations

Birmingham, Ala

Arch Otolaryngol Head Neck Surg. 1990;116(2):145-147. doi:10.1001/archotol.1990.01870020021004

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At the 1989 Triological Society meeting in San Francisco, Calif, Drs Randal C. Paniello, J. Gershon Spector, and V. Rao Devineni, St Louis, Mo, presented a retrospective study of 148 patients with primary malignancies of the maxillary sinus observed over a 30-year period. Of this group, the majority had squamous cell or undifferentiated carcinoma. Patients with either of these two neoplasms had an equal survival rate, but they had the worst survival rate of the study group. Adenoid cystic carcinoma had the best long-term survival rate.

The usual treatment consisted of preoperative radiation followed by surgical excision. A smaller population received surgery and postoperative irradiation; radiation alone was limited to patients with advanced disease, and, as expected, these patients had poorer survival rates. There was little difference in outcome for the initial 5 years between the two combined surgery and radiation therapy groups. Interestingly, residual tumor in the surgical specimen

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