Prognostic factors in carcinoma of the external auditory canal

Prognostic factors in carcinoma of the external auditory canal

Author Testa, Jose Ricardo Gurgel Autor UNIFESP Google Scholar
Fukuda, Yotaka Autor UNIFESP Google Scholar
Kowalski, Luiz Paulo Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
FDN ANTONIO PRUDENTE
Abstract Background: Carcinomas of the external auditory canal are rare neoplasms (<1% of all head and neck malignant neoplasms).Objective: To evaluate the prognostic factors in 79 patients treated in a single institution.Patients and Methods: The disease was staged as follows: 34 patients with stage T1 to T2 tumors; 43 patients with stage T3 to T4 tumors; 2 patients with stage TX tumors; 68 patients with stage NO tumors; and 11 patients with stage N1 tumors. The initial treatment was surgery in 59 patients and radiotherapy in 9 patients. Eleven patients were not considered candidates for treatment.Results: Tb date, 29 patients have experienced local recurrences and 2, neck metastases. The 5-year survival rates were 65% for patients who underwent surgery, 29% for patients who underwent radiotherapy, and 63% for patients who underwent a combination of surgery and radiotherapy. Univariate survival analysis showed statistical difference according to tumor type (P=.003), bone involvement (P=.002), and tumor stage (P<.001).Conclusion: Every effort must be undertaken to make an early diagnosis and perform radical surgical resection of squamous cell carcinomas in the external auditory canal. This study validates the staging system used for squamous cell carcinoma of the ear treated with surgery.
Language English
Date 1997-07-01
Published in Archives Of Otolaryngology-head & Neck Surgery. Chicago: Amer Medical Assoc, v. 123, n. 7, p. 720-724, 1997.
ISSN 0886-4470 (Sherpa/Romeo, impact factor)
Publisher Amer Medical Assoc
Extent 720-724
Origin http://dx.doi.org/10.1001/archotol.1997.01900070064010
Access rights Closed access
Type Article
Web of Science ID WOS:A1997XL47900010
URI http://repositorio.unifesp.br/11600/42663

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