Craniofacial surgery for nonmelanoma skin malignancy: Report of an international collaborative study

Background. This study examined the efficacy of craniofacial surgery (CFS) in treating locally advanced nonmelanoma skin cancer (NMSC). Methods. One hundred twenty patients who underwent CFS for NMSC were identified from 17 participating institutions. Patient, tumor, and treatment information was an...

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Veröffentlicht in:Head & neck 2007-12, Vol.29 (12), p.1136-1143
Hauptverfasser: Maghami, Ellie G., Talbot, Simon G., Patel, Snehal G., Singh, Bhuvanesh, Polluri, Ashok, Bridger, Patrick G., Cantu, Giulio, Cheesman, Anthony D., Sa, Geraldo De, Donald, Paul, dos Santos, Luiz R. M., Fliss, Dan, Gullane, Patrick, Janecka, Ivo, Kamata, Shin‐Etsu, Kowalski, Luiz P., Kraus, Dennis H., Levine, Paul A., Pradhan, Sultan, Schramm, Victor, Snyderman, Carl, Wei, William I., Shah, Jatin P., Wax, Mark L.
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container_end_page 1143
container_issue 12
container_start_page 1136
container_title Head & neck
container_volume 29
creator Maghami, Ellie G.
Talbot, Simon G.
Patel, Snehal G.
Singh, Bhuvanesh
Polluri, Ashok
Bridger, Patrick G.
Cantu, Giulio
Cheesman, Anthony D.
Sa, Geraldo De
Donald, Paul
dos Santos, Luiz R. M.
Fliss, Dan
Gullane, Patrick
Janecka, Ivo
Kamata, Shin‐Etsu
Kowalski, Luiz P.
Kraus, Dennis H.
Levine, Paul A.
Pradhan, Sultan
Schramm, Victor
Snyderman, Carl
Wei, William I.
Shah, Jatin P.
Wax, Mark L.
description Background. This study examined the efficacy of craniofacial surgery (CFS) in treating locally advanced nonmelanoma skin cancer (NMSC). Methods. One hundred twenty patients who underwent CFS for NMSC were identified from 17 participating institutions. Patient, tumor, and treatment information was analyzed for prognostic impact on survival. Results. Surgical margins were negative in 74%, close in 3%, and involved in 23% of patients. Complications occurred in 35% of patients, half of which were local wound problems. Operative mortality was 4%. Median follow‐up interval after CFS was 27 months. The 5‐year overall survival (OS), disease‐specific survival (DSS), and recurrence‐free survival (RFS) rates were 64%, 75%, and 60%, respectively. Squamous cell histology, brain invasion, and positive resection margins independently predicted worse OS, DSS, and RFS. Conclusion. CFS is an effective treatment for patients with NMSC invading the skull base. Histology, extent of disease, and resection margins are the most significant predictors of outcome. © 2007 Wiley Periodicals, Inc. Head Neck, 2007
doi_str_mv 10.1002/hed.20656
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M. ; Fliss, Dan ; Gullane, Patrick ; Janecka, Ivo ; Kamata, Shin‐Etsu ; Kowalski, Luiz P. ; Kraus, Dennis H. ; Levine, Paul A. ; Pradhan, Sultan ; Schramm, Victor ; Snyderman, Carl ; Wei, William I. ; Shah, Jatin P. ; Wax, Mark L.</creator><creatorcontrib>Maghami, Ellie G. ; Talbot, Simon G. ; Patel, Snehal G. ; Singh, Bhuvanesh ; Polluri, Ashok ; Bridger, Patrick G. ; Cantu, Giulio ; Cheesman, Anthony D. ; Sa, Geraldo De ; Donald, Paul ; dos Santos, Luiz R. M. ; Fliss, Dan ; Gullane, Patrick ; Janecka, Ivo ; Kamata, Shin‐Etsu ; Kowalski, Luiz P. ; Kraus, Dennis H. ; Levine, Paul A. ; Pradhan, Sultan ; Schramm, Victor ; Snyderman, Carl ; Wei, William I. ; Shah, Jatin P. ; Wax, Mark L.</creatorcontrib><description>Background. This study examined the efficacy of craniofacial surgery (CFS) in treating locally advanced nonmelanoma skin cancer (NMSC). Methods. One hundred twenty patients who underwent CFS for NMSC were identified from 17 participating institutions. Patient, tumor, and treatment information was analyzed for prognostic impact on survival. Results. Surgical margins were negative in 74%, close in 3%, and involved in 23% of patients. Complications occurred in 35% of patients, half of which were local wound problems. Operative mortality was 4%. Median follow‐up interval after CFS was 27 months. The 5‐year overall survival (OS), disease‐specific survival (DSS), and recurrence‐free survival (RFS) rates were 64%, 75%, and 60%, respectively. Squamous cell histology, brain invasion, and positive resection margins independently predicted worse OS, DSS, and RFS. Conclusion. CFS is an effective treatment for patients with NMSC invading the skull base. Histology, extent of disease, and resection margins are the most significant predictors of outcome. © 2007 Wiley Periodicals, Inc. Head Neck, 2007</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.20656</identifier><identifier>PMID: 17764086</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; basal cell carcinoma ; Biological and medical sciences ; Brain Neoplasms - mortality ; Brain Neoplasms - secondary ; Brain Neoplasms - surgery ; Carcinoma, Basal Cell - mortality ; Carcinoma, Basal Cell - pathology ; Carcinoma, Basal Cell - surgery ; Carcinoma, Squamous Cell - mortality ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Chemotherapy, Adjuvant ; Child ; Child, Preschool ; Dermatology ; Disease-Free Survival ; Female ; Follow-Up Studies ; head and neck ; Humans ; international collaboration ; International Cooperation ; Male ; Medical sciences ; Middle Aged ; Neoplasm Invasiveness ; Otorhinolaryngology. Stomatology ; Postoperative Complications ; Radiotherapy, Adjuvant ; skin cancer ; Skin Neoplasms - mortality ; Skin Neoplasms - pathology ; Skin Neoplasms - surgery ; skull base neoplasm ; skull base/craniofacial surgery ; Skull Neoplasms - mortality ; Skull Neoplasms - secondary ; Skull Neoplasms - surgery ; squamous cell carcinoma ; Surgical Flaps ; treatment outcome ; Tumors of the skin and soft tissue. 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M.</creatorcontrib><creatorcontrib>Fliss, Dan</creatorcontrib><creatorcontrib>Gullane, Patrick</creatorcontrib><creatorcontrib>Janecka, Ivo</creatorcontrib><creatorcontrib>Kamata, Shin‐Etsu</creatorcontrib><creatorcontrib>Kowalski, Luiz P.</creatorcontrib><creatorcontrib>Kraus, Dennis H.</creatorcontrib><creatorcontrib>Levine, Paul A.</creatorcontrib><creatorcontrib>Pradhan, Sultan</creatorcontrib><creatorcontrib>Schramm, Victor</creatorcontrib><creatorcontrib>Snyderman, Carl</creatorcontrib><creatorcontrib>Wei, William I.</creatorcontrib><creatorcontrib>Shah, Jatin P.</creatorcontrib><creatorcontrib>Wax, Mark L.</creatorcontrib><title>Craniofacial surgery for nonmelanoma skin malignancy: Report of an international collaborative study</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background. This study examined the efficacy of craniofacial surgery (CFS) in treating locally advanced nonmelanoma skin cancer (NMSC). Methods. One hundred twenty patients who underwent CFS for NMSC were identified from 17 participating institutions. Patient, tumor, and treatment information was analyzed for prognostic impact on survival. Results. Surgical margins were negative in 74%, close in 3%, and involved in 23% of patients. Complications occurred in 35% of patients, half of which were local wound problems. Operative mortality was 4%. Median follow‐up interval after CFS was 27 months. The 5‐year overall survival (OS), disease‐specific survival (DSS), and recurrence‐free survival (RFS) rates were 64%, 75%, and 60%, respectively. Squamous cell histology, brain invasion, and positive resection margins independently predicted worse OS, DSS, and RFS. Conclusion. CFS is an effective treatment for patients with NMSC invading the skull base. Histology, extent of disease, and resection margins are the most significant predictors of outcome. © 2007 Wiley Periodicals, Inc. Head Neck, 2007</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>basal cell carcinoma</subject><subject>Biological and medical sciences</subject><subject>Brain Neoplasms - mortality</subject><subject>Brain Neoplasms - secondary</subject><subject>Brain Neoplasms - surgery</subject><subject>Carcinoma, Basal Cell - mortality</subject><subject>Carcinoma, Basal Cell - pathology</subject><subject>Carcinoma, Basal Cell - surgery</subject><subject>Carcinoma, Squamous Cell - mortality</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Chemotherapy, Adjuvant</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dermatology</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>head and neck</subject><subject>Humans</subject><subject>international collaboration</subject><subject>International Cooperation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Postoperative Complications</subject><subject>Radiotherapy, Adjuvant</subject><subject>skin cancer</subject><subject>Skin Neoplasms - mortality</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>skull base neoplasm</subject><subject>skull base/craniofacial surgery</subject><subject>Skull Neoplasms - mortality</subject><subject>Skull Neoplasms - secondary</subject><subject>Skull Neoplasms - surgery</subject><subject>squamous cell carcinoma</subject><subject>Surgical Flaps</subject><subject>treatment outcome</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1P3DAQhq0KVGDbQ_8A8oVKHAJ2HNtJb2ihBQkJCdFzNHYm1JDYWzspyr_HdFf01NN86NE7o4eQL5ydccbK81_YnZVMSfWBHHLW6IKJSu-99ZUoBNPVATlK6YkxJlRVfiQHXGtVsVodkm4dwbvQg3Uw0DTHR4wL7UOkPvgRB_BhBJqenacjDO7Rg7fLN3qPmxAnGnoKnjo_YfQwueBzhg3DACbEPP9Bmqa5Wz6R_R6GhJ93dUV-fr96WF8Xt3c_btYXt4UVda0KzXspdcM7biwwjWCYlYgGlOx4BUIaywWoRhrNOQdlLEJTSgNc1nWNTKzI123uJobfM6apHV2ymP_xGObUqlqWmgmZwdMtaGNIKWLfbqIbIS4tZ-2b0jYrbf8qzezxLnQ2Y96-kzuHGTjZAZAsDH0Wal36xzW1UlLozJ1vuRc34PL_i-311eX29CsIOo7i</recordid><startdate>200712</startdate><enddate>200712</enddate><creator>Maghami, Ellie G.</creator><creator>Talbot, Simon G.</creator><creator>Patel, Snehal G.</creator><creator>Singh, Bhuvanesh</creator><creator>Polluri, Ashok</creator><creator>Bridger, Patrick G.</creator><creator>Cantu, Giulio</creator><creator>Cheesman, Anthony D.</creator><creator>Sa, Geraldo De</creator><creator>Donald, Paul</creator><creator>dos Santos, Luiz R. 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M. ; Fliss, Dan ; Gullane, Patrick ; Janecka, Ivo ; Kamata, Shin‐Etsu ; Kowalski, Luiz P. ; Kraus, Dennis H. ; Levine, Paul A. ; Pradhan, Sultan ; Schramm, Victor ; Snyderman, Carl ; Wei, William I. ; Shah, Jatin P. ; Wax, Mark L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3886-71f55791d1bca07eab0c5eeba65d14a35bc13a695b7111a6bcea925ba15888e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>basal cell carcinoma</topic><topic>Biological and medical sciences</topic><topic>Brain Neoplasms - mortality</topic><topic>Brain Neoplasms - secondary</topic><topic>Brain Neoplasms - surgery</topic><topic>Carcinoma, Basal Cell - mortality</topic><topic>Carcinoma, Basal Cell - pathology</topic><topic>Carcinoma, Basal Cell - surgery</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Chemotherapy, Adjuvant</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dermatology</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>head and neck</topic><topic>Humans</topic><topic>international collaboration</topic><topic>International Cooperation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Postoperative Complications</topic><topic>Radiotherapy, Adjuvant</topic><topic>skin cancer</topic><topic>Skin Neoplasms - mortality</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - surgery</topic><topic>skull base neoplasm</topic><topic>skull base/craniofacial surgery</topic><topic>Skull Neoplasms - mortality</topic><topic>Skull Neoplasms - secondary</topic><topic>Skull Neoplasms - surgery</topic><topic>squamous cell carcinoma</topic><topic>Surgical Flaps</topic><topic>treatment outcome</topic><topic>Tumors of the skin and soft tissue. 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M.</au><au>Fliss, Dan</au><au>Gullane, Patrick</au><au>Janecka, Ivo</au><au>Kamata, Shin‐Etsu</au><au>Kowalski, Luiz P.</au><au>Kraus, Dennis H.</au><au>Levine, Paul A.</au><au>Pradhan, Sultan</au><au>Schramm, Victor</au><au>Snyderman, Carl</au><au>Wei, William I.</au><au>Shah, Jatin P.</au><au>Wax, Mark L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Craniofacial surgery for nonmelanoma skin malignancy: Report of an international collaborative study</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>2007-12</date><risdate>2007</risdate><volume>29</volume><issue>12</issue><spage>1136</spage><epage>1143</epage><pages>1136-1143</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background. This study examined the efficacy of craniofacial surgery (CFS) in treating locally advanced nonmelanoma skin cancer (NMSC). Methods. 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Head Neck, 2007</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>17764086</pmid><doi>10.1002/hed.20656</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
basal cell carcinoma
Biological and medical sciences
Brain Neoplasms - mortality
Brain Neoplasms - secondary
Brain Neoplasms - surgery
Carcinoma, Basal Cell - mortality
Carcinoma, Basal Cell - pathology
Carcinoma, Basal Cell - surgery
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Chemotherapy, Adjuvant
Child
Child, Preschool
Dermatology
Disease-Free Survival
Female
Follow-Up Studies
head and neck
Humans
international collaboration
International Cooperation
Male
Medical sciences
Middle Aged
Neoplasm Invasiveness
Otorhinolaryngology. Stomatology
Postoperative Complications
Radiotherapy, Adjuvant
skin cancer
Skin Neoplasms - mortality
Skin Neoplasms - pathology
Skin Neoplasms - surgery
skull base neoplasm
skull base/craniofacial surgery
Skull Neoplasms - mortality
Skull Neoplasms - secondary
Skull Neoplasms - surgery
squamous cell carcinoma
Surgical Flaps
treatment outcome
Tumors of the skin and soft tissue. Premalignant lesions
title Craniofacial surgery for nonmelanoma skin malignancy: Report of an international collaborative study
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