Daly N J, Combes P F, Douchez J, Malissard L
Ann Otolaryngol Chir Cervicofac. 1978 Jul-Aug;95(7-8):469-80.
Authors present a critical review of 61 cases of squamous carcinoma of paranasal sinuses. Most of these cases were diagnosed at an advanced stage, allowing only external radiotherapy to be proposed. The mean delivred dose was 6,000 to 6,500 rads, mainly to telecobaltherapy. Survival rates are poor (SVI = 50%, SV3 = 14%, SV5 = 8%) in the same range than values previously published by others. However, it seems possible to point out some practical trends in order to improve the management of the disease:--in all cases, irradiated volumes must be large;--prophylactic irradiation of cervical nodes in also a key point, especially when tumor reaches the oral cavity, the skin or the pterygomaxillary fossa.
作者对61例鼻窦鳞状细胞癌病例进行了批判性回顾。这些病例大多在晚期被诊断出来，仅建议进行外照射放疗。平均给予剂量为6000至6500拉德，主要采用远距离钴治疗。生存率很低（1年生存率 = 50%，3年生存率 = 14%，5年生存率 = 8%），与其他人之前发表的值处于同一范围。然而，似乎可以指出一些实用的趋势以改善该疾病的治疗：——在所有病例中，照射体积必须大；——颈部淋巴结的预防性照射也是关键，尤其是当肿瘤累及口腔、皮肤或翼腭窝时。
