TY - JOUR
T1 - Nasopharyngeal angiofibromas
T2 - Staging and management
AU - Chandler, James R.
AU - Moskowitz, Lee
AU - Goulding, Richard
AU - Quencer, Robert M.
PY - 1984/7
Y1 - 1984/7
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.
UR - http://www.scopus.com/inward/record.url?scp=0021176233&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0021176233&partnerID=8YFLogxK
U2 - 10.1177/000348948409300408
DO - 10.1177/000348948409300408
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
ER -