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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | DeMartelaere, Sheri L. Roberts, Dianna Burgess, Michael A. Morrison, William H. Pisters, Peter W. T. Sturgis, Erich M. Ho, Viet Esmaeli, Bita |
| Description | Country affiliation: United States Author Affiliation: DeMartelaere SL ( Section of Ophthalmology, Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.) |
| Abstract | BACKGROUND: Recent isolated case reports have suggested a potential role for neoadjuvant chemotherapy in patients with angiosarcoma. The goal of this report was to investigate the overall treatment outcomes and the neoadjuvant chemotherapy-specific outcomes in patients with cutaneous angiosarcoma of the face with periorbital involvement. METHODS: Our tumor database was searched for patients with angiosarcoma and periorbital involvement seen at our institution between 1981 and 2005. RESULTS: Twenty-one patients were identified,15 of whom had neoadjuvant chemotherapy and 6 of whom had a traditional approach of surgery followed by adjuvant therapy. Fourteen of 15 patients who had neoadjuvant chemotherapy had complete clinical response. Neoadjuvant chemotherapy made definitive surgery unnecessary for 9 patients. The median disease-free interval for the neoadjuvant chemotherapy group was 11.8 months (mean, 38.1 months; range, 2.4-239.6 months). Nine of the 15 patients had recurrences. The time from end of treatment to recurrence ranged from 2.6 to 24.5 months (median, 12.7 months). Five of the 6 patients who had primary surgical resection followed by adjuvant radiotherapy and/or chemotherapy had a complete clinical response, and the median disease-free interval was 31.8 months (mean, 35.9 months; range, 2.7-85 months). Two later developed recurrences, one at 2.7 months and the other at 31.8 months after the end of treatment. CONCLUSION: On the basis of this series, the authors conclude that neoadjuvant chemotherapy for periorbital angiosarcoma is a potentially attractive option and in some patients may obviate the need for major surgery, thereby preserving the eye and/or ocular adnexal structures. Given the propensity for recurrence and poor survival, the authors strongly recommend that these patients receive multidisciplinary evaluation and treatment at a major cancer center. |
| File Format | HTM / HTML |
| ISSN | 10433074 |
| Issue Number | 5 |
| Volume Number | 30 |
| e-ISSN | 10970347 |
| Journal | Head & Neck |
| Language | English |
| Publisher | Wiley |
| Publisher Date | 2008-05-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Therapy Mortality Humans Middle Aged Neoplasm Recurrence, Local Hemangiosarcoma Male Aged, 80 And Over Journal Article Disease-free Survival Eyelid Neoplasms Discipline General Surgery Skin Neoplasms Survival Analysis Neoadjuvant Therapy Adult Female Aged Retrospective Studies Chemotherapy, Adjuvant Facial Neoplasms Radiotherapy, Adjuvant |
| Content Type | Text |
| Resource Type | Article |
| Subject | Otorhinolaryngology |
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