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Inicio Acta Otorrinolaringológica Española Head and Neck Sarcomas. Our Experience
Journal Information
Vol. 62. Issue 6.
Pages 436-442 (November - December 2011)
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Vol. 62. Issue 6.
Pages 436-442 (November - December 2011)
Original article
Head and Neck Sarcomas. Our Experience
Sarcomas de cabeza y cuello. Nuestra experiencia
Visits
1807
Zenaida Piñeiro Aguína,
Corresponding author
Zenaida1979@gmail.com

Corresponding author.
, Xavier León Vintróa, Jacinto García Lorenzoa, Francisco J. Sanchob, Antonio López Pousac, Miquel Quer Agustía
a Servicio de Otorrinolaringología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
b Servicio de Anatomía Patológica, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
c Servicio de Oncología Médica, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
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Figures (1)
Tables (4)
Table 1. Distribution of the 25 Patients With Head and Neck Sarcomas According to Different Variables.
Table 2. Therapeutic Sequences Used in the 25 Patients With Head and Neck Sarcomas.
Table 3. Clinical Characteristics of Patients With Head and Neck Sarcomas in the Different Series Published.
Table 4. Types of Treatment Employed and Results Obtained in Patients With Head and Neck Sarcomas in the Different Series Published.
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Abstract
Introduction

Head and neck sarcomas are a heterogeneous group of malignant tumours that vary greatly in clinical presentation, with different histopathological and biological characteristics.

Material and methods

This was a retrospective study of patients with sarcoma located in the head and neck treated in our centre over a period of 25 years.

Results

During the study period, a total of 25 patients were diagnosed with sarcomas in the head and neck, accounting for 0.5% of all malignancies at this level. The most common treatments included surgical resection of the tumour, often supplemented with radiotherapy and/or adjuvant chemotherapy. The final local control, including the salvage, was 52%, with an adjusted survival of 51% at 5 years and 32% at 12 years.

Conclusions

Surgical treatment of patients with head and neck sarcomas achieves acceptable results of local control and survival.

Keywords:
Sarcoma
Head and neck tumour
Malignant grade
Survival
Resumen
Introducción

Los sarcomas de cabeza y cuello son un grupo heterogéneo de tumores malignos con una alta variabilidad en la presentación clínica, en su clasificación histopatológica y sus características biológicas.

Material y métodos

Estudio retrospectivo de los pacientes con un sarcoma localizado en cabeza y cuello tratado en nuestro centro a lo largo de un período de 25 años.

Resultados

Durante el período de estudio fueron diagnosticados un total de 25 pacientes con sarcomas localizados en cabeza y cuello, que representaron un 0,5% del total de tumores malignos a dicho nivel. El tratamiento más habitual incluyó la resección quirúrgica del tumor, habitualmente complementado con un tratamiento de radioterapia y/o quimioterapia adyuvante. El control local final, incluyendo los tratamientos de rescate, fue del 52%, con una supervivencia ajustada a los 5 años del 51% y a los 12 años del 32%.

Conclusiones

El tratamiento quirúrgico de los pacientes con sarcomas de cabeza y cuello consigue unos resultados aceptables de control local y supervivencia.

Palabras clave:
Sarcoma
Tumor de cabeza y cuello
Grado de malignidad
Supervivencia

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