Adenoid cystic carcinoma of the sinonasal tract: Outcome of endonasal endoscopic surgery at five-year follow up

Balwant Singh Gendeh, Farah Dayana Zahedi, H. Ahmad, Thean Yean Kew

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To study the outcome of endonasal endoscopic surgery for adenoid cystic carcinoma of the sinonasal tract over a five-year follow-up period. Design: Retrospective analysis. Methods: Four consecutive patients with adenoid cystic carcinoma of the sinonasal tract, who had undergone endonasal endoscopic surgery, were reviewed regarding age at diagnosis, sex, primary site, tumour-node-metastasis staging, treatment modalities, histopathological findings, duration of follow up, distant metastases and treatment outcome. Results: All patients were diagnosed at an advanced stage and had post-operative adjuvant radiotherapy. Three patients underwent endoscopic endonasal resection and one endoscopic assisted craniofacial resection. The most common primary site was the ethmoid sinus (three patients). Three patients had no evidence of recurrence. One patient who had undergone partial clearance via endoscopic endonasal resection developed cervical node metastases a year after treatment; this patient also developed distant metastases. Conclusion: Adenoid cystic carcinoma is difficult to treat. Sinonasal tract tumours can be resected via endoscopic endonasal resection or endoscopic assisted craniofacial resection, but prolonged follow up is advisable. Radiotherapy is an important adjuvant treatment.

Original languageEnglish
Pages (from-to)511-515
Number of pages5
JournalJournal of Laryngology and Otology
Volume127
Issue number5
DOIs
Publication statusPublished - May 2013

Fingerprint

Adenoid Cystic Carcinoma
Neoplasm Metastasis
Ethmoid Sinus
Adjuvant Radiotherapy
Neoplasms
Radiotherapy
Therapeutics
Outcome Assessment (Health Care)
Recurrence

Keywords

  • Carcinoma, Adenoid Cystic
  • Endoscopy
  • Nasal Cavity
  • Neoplasm Metastasis
  • Paranasal Sinuses
  • Radiotherapy
  • Surgical Procedures, Operative

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Adenoid cystic carcinoma of the sinonasal tract : Outcome of endonasal endoscopic surgery at five-year follow up. / Gendeh, Balwant Singh; Zahedi, Farah Dayana; Ahmad, H.; Kew, Thean Yean.

In: Journal of Laryngology and Otology, Vol. 127, No. 5, 05.2013, p. 511-515.

Research output: Contribution to journalArticle

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