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Death caused by Head and Neck Osteosarcoma:A Retrospective Study from a Single Institute

Chen Xiaofang Chen Yiming Bian Xiaohe Ji Tong

肿瘤预防与治疗2018,Vol.31Issue(6):386-394,9.
肿瘤预防与治疗2018,Vol.31Issue(6):386-394,9.DOI:10.3969/j.issn.1674-0904.2018.06.002

Death caused by Head and Neck Osteosarcoma:A Retrospective Study from a Single Institute

Death caused by Head and Neck Osteosarcoma: A Retrospective Study from a Single Institute

Chen Xiaofang 1Chen Yiming 1Bian Xiaohe 1Ji Tong1

作者信息

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摘要

Abstract

Objective:To investigate factors that benefit patients with head and neck osteosarcoma (HNOS) before death.Methods:Patients admitted in our department from 2007 to 2015 who died during follow-up after surgery for HNOS were selected.Information concerning demographics,disease,treatment and follow-up were collected and analyzed.Results:A total of 77 patients died at a median age of 42 years old,of whom 33 were male and 44 female.Thirty-nine tumors were identified in the maxilla and skull base region while 38 in the mandible.Positive surgical margins were observed in 7 cases.Twenty patients received adjuvant chemotherapy,and 36 received postoperative radiotherapy.Local recurrence,as an initial cause of death,occurred in 25 cases,whilst metastasis occurred in the rest.Conclusion:Patients with HNOS benefit from negative surgical margins and adjuvant chemotherapy before death.Patients above 30 years old have longer disease-free survival,and patients with tumors of low pathological grade have longer overall survival.Tumor size and postoperative radiotherapy are negative prognostic factors.Frequent follow-up should be conducted for at least 48 postoperative months.

关键词

Head and neck osteosarcoma/Cancer specific death/Local recurrence/Metastases

Key words

Head and neck osteosarcoma/Cancer specific death/Local recurrence/Metastases

引用本文复制引用

Chen Xiaofang,Chen Yiming,Bian Xiaohe,Ji Tong..Death caused by Head and Neck Osteosarcoma:A Retrospective Study from a Single Institute[J].肿瘤预防与治疗,2018,31(6):386-394,9.

肿瘤预防与治疗

OACSTPCD

1674-0904

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