دورية أكاديمية
Nose and paranasal sinus tumours: United Kingdom National Multidisciplinary Guidelines.
العنوان: | Nose and paranasal sinus tumours: United Kingdom National Multidisciplinary Guidelines. |
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المؤلفون: | Lund VJ; Royal National Throat Nose and Ear Hospital,London,UK., Clarke PM; Department of ENT,Charing Cross and Royal Marsden Hospitals,London,UK., Swift AC; Aintree University Hospitals NHS Foundation Trust,Liverpool,UK., McGarry GW; Department of Otolaryngology - Head and Neck Surgery,Glasgow Royal Infirmary,Glasgow,UK., Kerawala C; The Royal Marsden Hospital,London,UK., Carnell D; Department of Oncology,University College Hospital,London,UK. |
المصدر: | The Journal of laryngology and otology [J Laryngol Otol] 2016 May; Vol. 130 (S2), pp. S111-S118. |
نوع المنشور: | Journal Article; Practice Guideline |
اللغة: | English |
بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: England NLM ID: 8706896 Publication Model: Print Cited Medium: Internet ISSN: 1748-5460 (Electronic) Linking ISSN: 00222151 NLM ISO Abbreviation: J Laryngol Otol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Cambridge : Cambridge University Press Original Publication: London : Headley Brothers, |
مواضيع طبية MeSH: | Nose Neoplasms/*therapy , Paranasal Sinus Neoplasms/*therapy, Combined Modality Therapy/standards ; Endoscopy/standards ; Humans ; Interdisciplinary Communication ; Neoplasm Staging/standards ; Nose Neoplasms/diagnosis ; Nose Neoplasms/pathology ; Nose Neoplasms/surgery ; Paranasal Sinus Neoplasms/diagnosis ; Paranasal Sinus Neoplasms/pathology ; Paranasal Sinus Neoplasms/surgery ; United Kingdom |
مستخلص: | This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. With only limited high-level evidence for management of nasal and paranasal sinus cancers owing to low incidence and diverse histology, this paper provides recommendations on the work up and management based on the existing evidence base. Recommendations • Sinonasal tumours are best treated de novo and unusual polyps should be imaged and biopsied prior to definitive surgery. (G) • Treatment of sinonasal malignancy should be carefully planned and discussed at a specialist skull base multidisciplinary team meeting with all relevant expertise. (G) • Complete surgical resection is the mainstay of treatment for inverted papilloma and juvenile angiofibroma. (R) • Essential equipment is necessary and must be available prior to commencing endonasal resection of skull base malignancy. (G) • Endoscopic skull base surgery may be facilitated by two surgeons working simultaneously, utilising both sides of the nose. (G) • To ensure the optimum oncological results, the primary tumour must be completely removed and margins checked by frozen section if necessary. (G) • The most common management approach is surgery followed by post-operative radiotherapy, ideally within six weeks. (R) • Radiation is given first if a response to radiation may lead to organ preservation. (G) • Radiotherapy should be delivered within an accredited department using megavoltage photons from a linear accelerator (typical energies 4-6 MV) as an unbroken course. (R). |
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تواريخ الأحداث: | Date Created: 20161115 Date Completed: 20170203 Latest Revision: 20240325 |
رمز التحديث: | 20240325 |
مُعرف محوري في PubMed: | PMC4873911 |
DOI: | 10.1017/S0022215116000530 |
PMID: | 27841122 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1748-5460 |
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DOI: | 10.1017/S0022215116000530 |