Extended anterior craniofacial resection for intracranial extension of malignant tumors Journal Article
| Authors: | Bilsky, M. H.; Kraus, D. H.; Strong, E. W.; Harrison, L. B.; Gutin, P. H.; Shah, J. P. |
| Article Title: | Extended anterior craniofacial resection for intracranial extension of malignant tumors |
| Abstract: | OBJECTIVE: To review our experience with anterior craniofacial resection for malignant neoplasms with intracranial extension. Survival was analyzed in terms of presence of intracranial extension, extent of intradural disease, tumor histology, and histological status of margins. PATIENTS: In a retrospective review made at a tertiary cancer facility, 26 of the 115 consecutive patients undergoing craniofacial resection for malignant lesions of the anterior skull base had intracranial extension, defined as dural and/or brain extension. Survival was evaluated with the Kaplan-Meier product limit method, and comparisons between individual subgroups were performed using the log-rank test. RESULTS: Patients with intradural extension have a statistically worse disease-specific survival than patients without intracranial extension (P = 0.05). Surgical margins and tumor histology impact on survival. The incidence of local complications was 42% and of systemic complications, 8%. CONCLUSION: Anterior craniofacial resection is indicated for patients with resectable disease. The complication rate is comparable with that of patients without intracranial extension. Gross total resection with histologically negative margins portends a better prognosis. Esthesioneuroblastoma has a better prognosis than other tumor types. |
| Keywords: | adolescent; adult; cancer survival; clinical article; school child; aged; middle aged; survival analysis; cancer surgery; retrospective studies; histopathology; brain neoplasms; postoperative complications; cancer invasion; meningeal neoplasms; craniotomy; skull base neoplasms; paranasal sinus neoplasms; craniofacial surgery; skull base tumor; esthesioneuroblastoma; nose neoplasms; humans; prognosis; human; male; female; priority journal; article |
| Journal Title: | American Journal of Surgery |
| Volume: | 174 |
| Issue: | 5 |
| ISSN: | 0002-9610 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1997-11-01 |
| Start Page: | 565 |
| End Page: | 568 |
| Language: | English |
| DOI: | 10.1016/s0002-9610(97)00172-4 |
| PUBMED: | 9374239 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Presented at the 43rd Annual Meeting of the Society of Head and Neck Surgeons that took place 1997 Apr 10-12 in Cancun, Mexico -- Export Date: 17 March 2017 -- Source: Scopus |
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