Irradiation of localized squamous cell carcinoma of the nasal vestibule

Head Neck. 2016 Apr:38 Suppl 1:E1870-5. doi: 10.1002/hed.24337. Epub 2015 Dec 26.

Abstract

Background: The purpose of this study was to evaluate the long-term results of primary radiotherapy treatment for squamous cell carcinoma (SCC) of the nasal vestibule.

Methods: Eighty-one patients were treated with external beam radiotherapy (EBRT) and/or interstitial radiotherapy (IRT) for a primary, localized, Wang classified SCC of the nasal vestibule.

Results: Median follow-up was 38 months. T1 tumors were treated with IRT: we observed 1 local failure (at 13 months) among 48 patients (5-year local control rate of 97%). Most T2 tumors (20 of 26) were treated with EBRT. There were 8 local recurrences among 26 patients (5-year local control rate of 68%). For the T3 tumors (n = 7; all treated with EBRT), we observed local recurrence in 2 patients (5-year local control rate of 53%). The late-term side effects were relatively mild.

Conclusion: Local primary radiotherapy (either IRT for T1 or EBRT for T2/3) is an adequate treatment for SCC of the nasal vestibule with little late sequelae. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1870-E1875, 2016.

Keywords: external beam radiotherapy; interstitial radiotherapy; nasal vestibule; squamous cell carcinoma.

MeSH terms

  • Aged
  • Brachytherapy
  • Carcinoma, Squamous Cell / radiotherapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nasal Cavity / pathology*
  • Neoplasm Recurrence, Local
  • Neoplasm Staging