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[Head and neck sarcoma]

Y Zohar1, M Wulikh, H Aminov

  • 1ENT and Head and Neck Surgery Dept., Hasharon Hospital, Golda Medical Center, Petah Tikva.

Harefuah
|June 2, 1996
PubMed
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Wide surgical resection is the most effective treatment for head and neck sarcomas, improving patient survival. This approach is crucial for managing these rare malignant tumors and preventing recurrence.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Malignant tumors of soft tissues, particularly in the head and neck, are uncommon.
  • Few published reports detail the management and outcomes of these rare cancers.

Purpose of the Study:

  • To review the treatment and outcomes of patients with primary soft tissue and bone sarcomas of the head and neck.
  • To evaluate the effectiveness of surgical resection as a primary treatment modality.

Main Methods:

  • Retrospective review of 15 patients with head and neck sarcoma treated between 1980 and 1995.
  • Exclusion of rhabdomyosarcoma due to its distinct clinical behavior and chemosensitivity.
  • Analysis of treatment modalities including wide-field resection, postoperative radiation, and chemotherapy.

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Main Results:

  • The most common sites involved were the neck and paranasal sinuses/orbits.
  • Wide-field resection with negative margins was the primary treatment for all patients.
  • The overall 5-year survival rate was 60%, with poorer outcomes for osteosarcoma, angiosarcoma, and fibrosarcoma.

Conclusions:

  • Wide surgical resection is the most effective therapeutic approach for head and neck sarcomas.
  • Adequate surgical excision is a critical prognostic factor influencing survival and local recurrence rates.
  • Radical neck dissection was employed for metastatic disease and to achieve complete tumor removal.