- A. Skevas
- G. Exarchakos
- K. Bliouras,
- M. Vafiadis
- S. Kanelos
4th Italien-Greek- Yugoslav Congress of Otorhinolaryngology, Head and Neck Surgery. Ιούνιος 1989. Πόρτο Καρρά, Χαλκιδική.
Ανακοινώθηκε και δημοσιεύτηκε στα Πρακτικά του Συνεδρίου.
During the last 6 years we studied 15 patients with nasopharyngeal tumors.
The most important features of our serie was:
1. The youngest patient was 38 years old, the oldest 72 years old.
2. There was no female in our serie, which is remarkable.
3. All patients had neck metastasis on admission, 12 unilateral and 3 bilateral.
4. The location of the primary lesion was 3 times the midline, 6 times the right lateral wall, 2 times the left lateral wall and 4 times the tumor was to extensive to devine a site.
5. Symptoms and clinical signs on admission. The commonest symptom was deafness and tinnitus followed by a neck mass.
The histological examination revealed 4 times keratinizing squamous cell carcinoma, 7 times non-keratinizing squamous cell carcinoma and 4 times lymphoepithelioma .
Since there is a general agreement in the Bibliography that the lymphoepithelioma is a type of non-keratinizing squamous cell carcinoma, we did not separate the last two groups in order to compare the results of treatment.
Radiological investigation was performed on all patients but distant metastases were not found in anyone of them. Computer tomograms were used in all cases in order to estimate the extended bilateral neck masses undergone a combination of chemotherapy and irradiation. Surgical treatment was used neither for the primary lesions nor for the neck nodes.
During the six years of study we had only one death because of intracranial extension of the tumor and 30 reoccurrences two years after the irradiation. The rest of the patients has remained asymptomatic for 1 to 4 years so that it is too early to make any statistical evaluation.