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Ewing Sarcoma of the Head and Neck.
Mark A Ellis1, Daniel R Gerry2, David M Neskey1
11 Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
The Annals of Otology, Rhinology, and Laryngology
|January 7, 2017
Summary
Ewing sarcoma of the head and neck (ES-HN) shows improved survival due to smaller tumor size and lower metastatic rates, not distinct clinical behavior. This analysis compared ES-HN to other locations using SEER data.
Area of Science:
- Oncology
- Surgical Oncology
- Epidemiology
Background:
- Ewing sarcoma is a rare bone and soft tissue cancer.
- Ewing sarcoma of the head and neck (ES-HN) is particularly uncommon, with limited prior characterization.
- Previous studies on ES-HN were small retrospective series.
Purpose of the Study:
- To analyze demographic, clinicopathologic, treatment, and survival characteristics of ES-HN.
- To compare ES-HN with Ewing sarcoma at other anatomical locations (ES-other).
- To determine if head and neck location is an independent prognostic factor.
Main Methods:
- Utilized the Surveillance, Epidemiology, and End Results (SEER) database.
- Compared 183 patients with ES-HN to 3177 patients with ES-other.
- Analyzed survival using Kaplan-Meier and Cox regression models.
Main Results:
- ES-HN tumors were smaller and had lower metastatic rates than ES-other (P < .001).
- ES-HN demonstrated significantly better 10-year disease-specific survival (DSS) and overall survival (OS) (P = .001, P = .015).
- Head and neck location was not an independent prognosticator in multivariate analysis (P = .88).
Conclusions:
- ES-HN does not appear to be a distinct clinical entity from ES-other.
- Improved prognosis in ES-HN is likely attributed to favorable tumor characteristics (size, metastasis).
- Further research may elucidate specific management strategies for ES-HN.
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