Systematic review of treatment and prognosis of sinonasal hemangiopericytoma1. Issue 8 (25th June 2012)

• Record Type: Journal Article
• Authors: Duval, Melanie; Hwang, Euna; Kilty, Shaun J.; Eisele, David W.
• Is Part Of: Head & neck. Volume 35:Issue 8(2013:Aug.)
• Page Start: 1205
• Page End: 1210
• Publication Date: 2012-06-25
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23074
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="abs1-1" sec-type="section"> <title>Background</title> <p>This study was undertaken to determine the recurrence rate for open and endoscopic surgery and the clinical prognosis of this sinonasal tumor.</p> </sec> <sec id="abs1-2" sec-type="section"> <title>Methods</title> <p>A systematic review of individual cases of sinonasal hemangiopericytoma was performed. A total of 97 articles were included in the study and reviewed to extract the relevant information about each case.</p> </sec> <sec id="abs1-3" sec-type="section"> <title>Results</title> <p>In all, 194 cases of sinonasal hemangiopericytoma were identified. There were 53 recurrences (27.3%), 6 tumor‐related deaths (3.1%), and 4 cases of metastases (2.1%). There was no significant difference between rate of recurrence for endoscopic or open resection (<italic>p</italic> = .06). Incomplete excision was the most important predictor of recurrence (odds ratio = 11.50, 95% confidence interval 3.76–36.82, <italic>p</italic> < .001). Radiotherapy may be advantageous in cases of incomplete surgical resection (<italic>p</italic> = .03).</p> </sec> <sec id="abs1-4" sec-type="section"> <title>Conclusions</title> <p>Complete excision is essential to minimize tumor recurrence and radiotherapy may decrease the rate of recurrence in the case of incomplete resection. Current evidence does not suggest that open resection is superior to endoscopic resection. © 2012 Wiley Periodicals, Inc. Head Neck, 2013</p> </sec> </abstract>