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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Sphenoid sinus malignancies: a population-based comprehensive analysis.

Ritam Ghosh1, Pariket M Dubal1, Oliver Y Chin1

  • 1Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ.

International Forum of Allergy & Rhinology
|February 20, 2016
PubMed
Summary
This summary is machine-generated.

Sphenoid sinus malignancies are rare but aggressive, predominantly affecting white males. Squamous cell neoplasms are most common, with mature B-cell lymphomas showing the best survival rates.

Keywords:
SEERcancerepidemiologypopulation-basedsinonasalsinonasal malignancysphenoid sinussphenoid sinus malignancysphenoid sinus malignant tumorsurvival

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Area of Science:

  • Oncology
  • Epidemiology
  • Pathology

Background:

  • Sinonasal malignancies are rare, comprising <1% of all cancers.
  • Sphenoid sinus malignancies are exceptionally uncommon (1-2% of sinonasal cancers) and associated with poor outcomes.
  • Limited data exists on the histopathology, incidence, treatment, and survival of sphenoid sinus malignancies.

Purpose of the Study:

  • To analyze the histopathological features, incidence trends, treatment, and survival of sphenoid sinus malignancies.
  • To utilize a national population-based resource for comprehensive data analysis.
  • To provide insights into the characteristics and outcomes of these rare tumors.

Main Methods:

  • Utilized the Surveillance, Epidemiology, and End Results (SEER) database to identify malignant sphenoid sinus tumors.
  • Analyzed demographic, incidence, and clinicopathologic trends.
  • Calculated survival rates using Kaplan-Meier analysis.

Main Results:

  • Identified 472 cases with a mean age at diagnosis of 60 years; 54.9% were male and 82.4% were white.
  • Most common histopathologies included squamous cell neoplasms (29.4%), adenocarcinomas (14.4%), and non-Hodgkin's mature B-cell lymphomas (13.1%).
  • Overall 5-year disease-specific survival (DSS) was 48.1%, with mature B-cell lymphomas having the best 5-year DSS (64.0%) and unspecified epithelial neoplasms the worst (25.6%).

Conclusions:

  • Sphenoid sinus malignancies predominantly affect white males and are often squamous cell neoplasms.
  • These rare tumors frequently present with significant locoregional extension.
  • Survival varies by histopathology, with mature B-cell lymphomas demonstrating superior outcomes compared to unspecified epithelial neoplasms.