상악동암의 5년 생존율과 예후인자

Background and Objectives: This study was designed to evaluate the influence of several different prognostic factors in determining survival in patients treated for carcinoma of maxillary sinus. We performed this study to investigate the prognostic factors and 5-year survival rate of maxillary carcinoma. Materials and Methods: A retrospective study of 108 patients with carcinoma of maxilllary sinus treated between January 1981 and December 1991 was undertaken. Hospital charts were reviewed collecting demographic, clinical, radiographic, and pathologic finding, which were correlated with treatment and subsequent follow-up. This results included 64 men and 44 women with an average of 54.6 year-old. The most commonly encountered histologic type was squamous cell carcinoma. Results: The most significant predictors of poor prognosis were advanced T stage and involvement of orbit and neck node metastasis. Involvement of pterygopalatine fossa invasion was not associated with poor prognosis. Conclusion: In spite of advance in diagnostic technique and surgical therapy, maxillary sinus cancer is poor prognostic disease. Diagnosis at an earlier stage is associated with improved outcome. (J Clinical Otolaryngol 1999;10:238–243)