Betlejewski Stanisław, Bilewicz Robert, Stankiewicz Czesław, Skorek Andrzej, Gierek Tatiana, Wardas Piotr, Gołqbek Wiesław, Szymański Marcin, Gryczyński Maciej, Szmeja Zygmunt, Szyfter Witold, Osuch-Wójcikiewicz Ewa, Korolkowa Oksana, Jurkiewicz Dariusz, Kenig Dagmara, Pośpiech Lucyna, Preś Krzysztof, Namysłowski Grzegorz
Katedra Zdrowia Publicznego Collegium Medicum w Bydgoszczy UMK w Toruniu.
Otolaryngol Pol. 2006;60(5):729-36.
On the base of retrospective analysis of 927 cases of malignant neoplasms of the nose and paranasal sinuses, diagnosed and treated in 10 clinical centers in Poland from 1992-2001, the assessment of basic epidemiological data, including the localization of tumor, and stage of local and clinical advancement of the disease at the time of diagnosis has been conducted. In analyzed period of 10 years the trends to change the mentioned above parameters has been examined. The index of morbidity in this period was constant and compareable with figures published earlier. In the analyzed material there is a predominance of males and the sex ratio was 1.45. The majority of cases were between 50-69 years (55%). The most common histopathological diagnosis was carcinoma (58%). The majority of cases of malignant tumors of the nose and paranasal sinuses was diagnosed in the advanced stage T3-T4 (72.3%) with the highest percentage in the middle region. 90% of all cases were treated surgically, but in about 30% it was the only treatment (also in cases of stage T2-T4). In 56% of all patients the surgical procedure was completed by radiotherapy. This data suggest that indications for additional irradiation should be extended.
在对1992年至2001年期间波兰10个临床中心诊断和治疗的927例鼻及鼻窦恶性肿瘤病例进行回顾性分析的基础上，对基本流行病学数据进行了评估，包括肿瘤的定位以及诊断时疾病的局部和临床进展阶段。在这10年的分析期内，研究了上述参数的变化趋势。这一时期的发病率指数保持稳定，与早期公布的数据相当。在所分析的资料中，男性占优势，性别比为1.45。大多数病例年龄在50至69岁之间（55%）。最常见的组织病理学诊断是癌（58%）。鼻及鼻窦恶性肿瘤的大多数病例在晚期T3 - T4期被诊断出来（72.3%），其中在中部区域的比例最高。所有病例的90%接受了手术治疗，但约30%的病例手术是唯一的治疗方式（T2 - T4期病例也是如此）。在所有患者中，56%的手术治疗后还进行了放疗。这些数据表明，额外放疗的指征应予以扩大。
