Abstract
We propose a system for staging nasopharyngeal angiofibromas based on clinical evaluation and computerized tomography. Twenty-three patients with this pathologic diagnosis have been managed at the University of Miami/Jackson Memorial Medical Center in the past two decades. In 13 patients, the clinical diagnosis was confirmed by transnasal biopsy as a minor outpatient procedure. This avoided unnecessary diagnostic studies, shortened the hospital stay, and expedited treatment. Computerized tomography has replaced conventional x-ray studies and routine tomography, although angiography is still necessary for proper evaluation of larger tumors. Stage groupings recommended on the basis of this experience are stage I - tumor confined to nasopharynx; stage II - tumor extending into nasal cacity and/or sphenoid sinus; Stage III - tumor extending into one or more of the following: antrum, ethmoid sinus, pterygomaxillary and infratemporal fossae, orbit, and/or cheek; and stage IV - tumor extending into cranial cavity. Surgical excision is recommended for stages I, II, and III. Stage IV tumors require surgical resection and/or radiation therapy with the possible addition of hormonal therapy.
| Original language | English |
|---|---|
| Pages (from-to) | 322-329 |
| Number of pages | 8 |
| Journal | Annals of Otology, Rhinology and Laryngology |
| Volume | 93 |
| Issue number | 4 I |
| State | Published - Jan 1 1984 |
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ASJC Scopus subject areas
- Otorhinolaryngology
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Nasopharyngeal angiofibromas : Staging and management. / Chandler, J. R.; Goulding, R.; Moskowitz, L.; Quencer, Robert.
In: Annals of Otology, Rhinology and Laryngology, Vol. 93, No. 4 I, 01.01.1984, p. 322-329.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Nasopharyngeal angiofibromas
T2 - Staging and management
AU - Chandler, J. R.
AU - Goulding, R.
AU - Moskowitz, L.
AU - Quencer, Robert
PY - 1984/1/1
Y1 - 1984/1/1
N2 - We propose a system for staging nasopharyngeal angiofibromas based on clinical evaluation and computerized tomography. Twenty-three patients with this pathologic diagnosis have been managed at the University of Miami/Jackson Memorial Medical Center in the past two decades. In 13 patients, the clinical diagnosis was confirmed by transnasal biopsy as a minor outpatient procedure. This avoided unnecessary diagnostic studies, shortened the hospital stay, and expedited treatment. Computerized tomography has replaced conventional x-ray studies and routine tomography, although angiography is still necessary for proper evaluation of larger tumors. Stage groupings recommended on the basis of this experience are stage I - tumor confined to nasopharynx; stage II - tumor extending into nasal cacity and/or sphenoid sinus; Stage III - tumor extending into one or more of the following: antrum, ethmoid sinus, pterygomaxillary and infratemporal fossae, orbit, and/or cheek; and stage IV - tumor extending into cranial cavity. Surgical excision is recommended for stages I, II, and III. Stage IV tumors require surgical resection and/or radiation therapy with the possible addition of hormonal therapy.
AB - We propose a system for staging nasopharyngeal angiofibromas based on clinical evaluation and computerized tomography. Twenty-three patients with this pathologic diagnosis have been managed at the University of Miami/Jackson Memorial Medical Center in the past two decades. In 13 patients, the clinical diagnosis was confirmed by transnasal biopsy as a minor outpatient procedure. This avoided unnecessary diagnostic studies, shortened the hospital stay, and expedited treatment. Computerized tomography has replaced conventional x-ray studies and routine tomography, although angiography is still necessary for proper evaluation of larger tumors. Stage groupings recommended on the basis of this experience are stage I - tumor confined to nasopharynx; stage II - tumor extending into nasal cacity and/or sphenoid sinus; Stage III - tumor extending into one or more of the following: antrum, ethmoid sinus, pterygomaxillary and infratemporal fossae, orbit, and/or cheek; and stage IV - tumor extending into cranial cavity. Surgical excision is recommended for stages I, II, and III. Stage IV tumors require surgical resection and/or radiation therapy with the possible addition of hormonal therapy.
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M3 - Article
C2 - 6087710
AN - SCOPUS:0021176233
VL - 93
SP - 322
EP - 329
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
SN - 0003-4894
IS - 4 I
ER -