Browse by author
Lookup NU author(s): Dr Charles Kelly, Neil McLean
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
Background. Head and neck sarcomas are extremely rare. This article reviews the management and outcomes in a multidisciplinary clinic. Methods. The records of 41 male and 19 female patients (mean age, 50 years) were reviewed. Forty percent underwent surgical resection only, 35% underwent surgery and adjuvant therapy, and 25% underwent radiotherapy and/or chemotherapy without surgery. Seventy-one percent had complete histologic clearance. Results. The mean follow-up was 3 years and 10 months, with an overall 5-year survival rate of 60%. Completeness of surgical excision was highly significant in determining 5-year local control (p <.025), and the addition of adjuvant radiotherapy had a major effect on local control, but only if complete surgical clearance had been achieved (p <.025). As expected, patients with more aggressive tumors had a significantly poorer overall prognosis, and achieving local control led to an enhanced 5-year survival (p <.025). Conclusion. These tumors are best managed in multidisciplinary clinics, and the mainstay of treatment is wide local excision and planned postoperative adjuvant radiotherapy. (c) 2005 Wiley Periodicals, Inc.
Author(s): Colville RJ, Chariton F, Kelly CG, Nicoll JJ, McLean NR
Publication type: Conference Proceedings (inc. Abstract)
Publication status: Published
Conference Name: Head & Neck: Summer Meeting of the British Association of Plastic Surgeons
Year of Conference: 2005
Pages: 814-824
ISSN: 1043-3074
Publisher: John Wiley & Sons, Inc.
URL: http://dx.doi.org/10.1002/hed.20232
DOI: 10.1002/hed.20232
Library holdings: Search Newcastle University Library for this item
ISBN: 10970347