Malignant fibrous histiocytoma of the sinonasal tract

Cheng Ping Wang, Yih Leong Chang, Lai Lei Ting, Tsung Lin Yang, Jenq Yuh Ko, Pei Jen Lou

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background. Sinonasal malignant fibrous histiocytoma (MFH) is rare. Methods. Twenty-five patients were registered with a diagnosis of sinonasal MFH at our hospital in the past 30 years. Clinical data were retrospectively reviewed. Results. Eight tumors were primary MFH and 17 tumors were post-irradiated MFH, located within the radiation field for previous nasopharyngeal carcinoma. Twenty-one tumors originated from the maxillary sinus, 3 from the nasopharynx, and 1 from the nasal cavity. Twenty-three patients underwent surgery but only 12 tumors were removed completely. The 5-year overall and disease-free survival rates were 25.1% and 21.5%, respectively. Multivariate analyses showed that previous radiation was the only adverse prognostic factor for disease-free survival (p = .045). The 5-year disease-free survival rates of primary MFH and post-irradiated MFH were 72.9% and 0%. Conclusion. In this series, post-irradiated MFH was more common than primary MFH. The prognosis of post-irradiated MFH is poor, whereas primary MFH is fair.

Original languageEnglish
Pages (from-to)85-93
Number of pages9
JournalHead and Neck
Volume31
Issue number1
DOIs
Publication statusPublished - Jan 1 2009
Externally publishedYes

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Malignant Fibrous Histiocytoma
Disease-Free Survival
Neoplasms
Survival Rate
Radiation
Nasopharynx
Maxillary Sinus
Nasal Cavity
Multivariate Analysis

Keywords

  • Malignment fibrous histiocytoma
  • Nasopharyngeal carcinoma
  • Post-irradiated sarcoma
  • Radiotherapy
  • Sinonasal tract

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Wang, C. P., Chang, Y. L., Ting, L. L., Yang, T. L., Ko, J. Y., & Lou, P. J. (2009). Malignant fibrous histiocytoma of the sinonasal tract. Head and Neck, 31(1), 85-93. https://doi.org/10.1002/hed.20936

Malignant fibrous histiocytoma of the sinonasal tract. / Wang, Cheng Ping; Chang, Yih Leong; Ting, Lai Lei; Yang, Tsung Lin; Ko, Jenq Yuh; Lou, Pei Jen.

In: Head and Neck, Vol. 31, No. 1, 01.01.2009, p. 85-93.

Research output: Contribution to journalArticle

Wang, CP, Chang, YL, Ting, LL, Yang, TL, Ko, JY & Lou, PJ 2009, 'Malignant fibrous histiocytoma of the sinonasal tract', Head and Neck, vol. 31, no. 1, pp. 85-93. https://doi.org/10.1002/hed.20936
Wang, Cheng Ping ; Chang, Yih Leong ; Ting, Lai Lei ; Yang, Tsung Lin ; Ko, Jenq Yuh ; Lou, Pei Jen. / Malignant fibrous histiocytoma of the sinonasal tract. In: Head and Neck. 2009 ; Vol. 31, No. 1. pp. 85-93.
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N2 - Background. Sinonasal malignant fibrous histiocytoma (MFH) is rare. Methods. Twenty-five patients were registered with a diagnosis of sinonasal MFH at our hospital in the past 30 years. Clinical data were retrospectively reviewed. Results. Eight tumors were primary MFH and 17 tumors were post-irradiated MFH, located within the radiation field for previous nasopharyngeal carcinoma. Twenty-one tumors originated from the maxillary sinus, 3 from the nasopharynx, and 1 from the nasal cavity. Twenty-three patients underwent surgery but only 12 tumors were removed completely. The 5-year overall and disease-free survival rates were 25.1% and 21.5%, respectively. Multivariate analyses showed that previous radiation was the only adverse prognostic factor for disease-free survival (p = .045). The 5-year disease-free survival rates of primary MFH and post-irradiated MFH were 72.9% and 0%. Conclusion. In this series, post-irradiated MFH was more common than primary MFH. The prognosis of post-irradiated MFH is poor, whereas primary MFH is fair.

AB - Background. Sinonasal malignant fibrous histiocytoma (MFH) is rare. Methods. Twenty-five patients were registered with a diagnosis of sinonasal MFH at our hospital in the past 30 years. Clinical data were retrospectively reviewed. Results. Eight tumors were primary MFH and 17 tumors were post-irradiated MFH, located within the radiation field for previous nasopharyngeal carcinoma. Twenty-one tumors originated from the maxillary sinus, 3 from the nasopharynx, and 1 from the nasal cavity. Twenty-three patients underwent surgery but only 12 tumors were removed completely. The 5-year overall and disease-free survival rates were 25.1% and 21.5%, respectively. Multivariate analyses showed that previous radiation was the only adverse prognostic factor for disease-free survival (p = .045). The 5-year disease-free survival rates of primary MFH and post-irradiated MFH were 72.9% and 0%. Conclusion. In this series, post-irradiated MFH was more common than primary MFH. The prognosis of post-irradiated MFH is poor, whereas primary MFH is fair.

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