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Outcome in squamous cell carcinoma of the nasal vestibule: A single center experience
Author(s) -
Vital Domenic,
Morand Grégoire,
Huber Gerhard F.,
Studer Gabriela,
Holzmann David
Publication year - 2015
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.23549
Subject(s) - medicine , nasal vestibule , vestibule , basal cell , surgery , radiation therapy , head and neck , single center , carcinoma , nose , radiology , vestibular system
Background The purpose of this study was to analyze the outcome of squamous cell carcinomas (SCCs) of the nasal vestibule and to identify factors predicting recurrence. Methods All patients treated between 1995 and 2012 were included in this study. Outcome was analyzed with respect to modality of therapy, age, sex, tobacco consumption, staging, surgical margins, and histological differentiation pattern. Results Thirty patients were included. Fourteen patients (47%) were found with T4, 1 patient (3%) with T3, 7 patients (23%) with T2, and 8 patients (27%) with T1 disease. Twenty‐one patients (70%) were treated surgically. Six patients (29%) needed postoperative radiation because of insufficient surgical margins. Radiation was the first‐line treatment in 9 patients (30%). Surgically treated patients with surgical margins <3 mm had significantly more locoregional recurrence compared to those with sufficient resections. Conclusion Advanced T4 carcinomas show a high recurrence rate. Insufficient surgical margins are the main predictor for a locoregional recurrence and should be avoided. © 2014 Wiley Periodicals, Inc. Head Neck 37 : 46–51, 2015