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Carcinoma of the maxillary antrum treated by pre-operative radiotherapy or radical radiotherapy alone

Published online by Cambridge University Press:  29 June 2007

A. J. Neal*
Affiliation:
Department of Radiotherapy, The Royal London Hospital, Whitechapel, London.
F. Habib
Affiliation:
Department of Radiotherapy, The Royal London Hospital, Whitechapel, London.
H. F. Hope-Stone
Affiliation:
Department of Radiotherapy, The Royal London Hospital, Whitechapel, London.
*
Dr A. J. Neal, Department of Radiotherapy, The Royal London Hospital, Whitechapel, London E1 1BB.

Abstract

The results of pre-operative radical radiotherapy and subsequent maxillary resection are reported in 54 consecutive patients with carcinoma of the maxillary antrum treated at The Royal London Hospital from 1965 to 1989. The actuarial two and five year survivals were 50.3 per cent and 38.5 per cent respectively. Patients with adenocarcinomas fared better when compared with squamous and undifferentiated carcinomas (log rank p = <0.01). Undifferentiated carcinoma and involved regional lymph nodes were both very poor prognostic factors. In those patients who were either unfit for or refused maxillary resection, radical radiotherapy alone was still an effective treatment, with only a slight disadvantage in terms of local control and survival.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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