Sinonasal Leiomyosarcoma: Review of Literature and Case Report

Objectives/Hypothesis: To determine prognosis of primary sinonasal leiomyosarcomas after treatment. Study Design: Literature review and case report. Methods: Review of English literature from MEDLINE and independent sources with the addition of our case. Results: Including our case, 63 cases have be...

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Veröffentlicht in:The Laryngoscope 2005-12, Vol.115 (12), p.2242-2248
Hauptverfasser: Ulrich, Christian T., Feiz-Erfan, Iman, Spetzler, Robert F., Isaacs, Jeffrey D., Hott, Jonathan S., Nakaji, Peter, Coons, Stephen W., Joganic, Edward J., Kresl, John J., Milligan, John M., Lettieri, Salvatore C.
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container_end_page 2248
container_issue 12
container_start_page 2242
container_title The Laryngoscope
container_volume 115
creator Ulrich, Christian T.
Feiz-Erfan, Iman
Spetzler, Robert F.
Isaacs, Jeffrey D.
Hott, Jonathan S.
Nakaji, Peter
Coons, Stephen W.
Joganic, Edward J.
Kresl, John J.
Milligan, John M.
Lettieri, Salvatore C.
description Objectives/Hypothesis: To determine prognosis of primary sinonasal leiomyosarcomas after treatment. Study Design: Literature review and case report. Methods: Review of English literature from MEDLINE and independent sources with the addition of our case. Results: Including our case, 63 cases have been reported. Primary treatment includes resection with or without radiation. Chemotherapy has not been reported to be effective. In our case, however, chemotherapy, consisting of etoposide and high‐dose ifosfamide, caused the tumor to shrink significantly. On the basis of a review of all reported cases, the overall survival rate at a mean follow‐up of 38.24 month is 66%. The minimal overall survival rates at 5 and 10 years are 20% and 6%, respectively. Conclusion: The prognosis for primary sinonasal leiomyosarcomas is poor. However, a 10–year survival has been reported in a few patients. Chemotherapy may be a useful adjunct when managing extensive lesions unamenable to curative resection.
doi_str_mv 10.1097/01.mlg.0000183767.97518.09
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Adult
Biological and medical sciences
Humans
Leiomyosarcoma - pathology
Magnetic Resonance Imaging
Male
Medical sciences
Neoplasm Invasiveness
Nose Neoplasms - pathology
Otorhinolaryngology. Stomatology
Paranasal Sinuses - pathology
Severity of Illness Index
title Sinonasal Leiomyosarcoma: Review of Literature and Case Report
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