Yuan Xuan, Xie Zhihai, Zhang Hua, Fan Ruohao, Xie Shaobing, Jiang Weihong
Department of Otolaryngology Head and Neck Surgery,Xiangya Hospital of Central South University,Hunan Province Key Laboratory of Otolaryngology Critical Diseases,Changsha,410008,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Aug;35(8):740-745. doi: 10.13201/j.issn.2096-7993.2021.08.014.
To investigate the clinical features of neuroendocrine carcinoma of nose and skull base and the efficacy and prognosis of endoscopic resection. The clinical data of 7 patients with neuroendocrine carcinoma of nose and skull base treated by endoscopic surgery were retrospectively analyzed. According to the international TNM staging, there were 1 case of stage Ⅰ, 1 case of stage Ⅱ, 1 case of stage Ⅲ, 1 case of stage ⅣA and 3 cases of stage ⅣB. All patients were treated by endoscopic surgery, including 1 case of postoperative radiotherapy, 1 case of chemotherapy and 3 cases of radiotherapy and chemotherapy. During the follow-up of 9-58 months, 2 cases died after recurrence, 1 case had ipsilateral cervical lymph node metastasis(tumor-free survival after neck dissection), and 4 cases had tumor-free survival at the last follow-up. At present, there is no standard treatment for neuroendocrine carcinoma of the nose and skull base. The comprehensive treatment based on complete resection of the tumor by endoscopic surgery is an effective and feasible treatment.
探讨鼻颅底神经内分泌癌的临床特点及内镜下切除术的疗效与预后。回顾性分析7例经内镜手术治疗的鼻颅底神经内分泌癌患者的临床资料。根据国际TNM分期,Ⅰ期1例,Ⅱ期1例,Ⅲ期1例,ⅣA期1例,ⅣB期3例。所有患者均接受内镜手术治疗,其中1例术后行放疗,1例化疗,3例放化疗。随访9 - 58个月,2例复发后死亡,1例出现同侧颈部淋巴结转移(行颈部清扫术后无瘤生存),4例末次随访时无瘤生存。目前,鼻颅底神经内分泌癌尚无标准治疗方案。以内镜手术完整切除肿瘤为基础的综合治疗是一种有效可行的治疗方法。