This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (12)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Oncology  • Head & Neck Cancer  • Neoplasms of Head & Neck  • Radiology of Head & Neck  • Surgical Oncology  • Radiography  • Alert me on articles by topic  Social Bookmarking   What's this?

A Radiographic-Pathologic Correlation

M. Boyd Gillespie, MD; Howard W. Francis, MD; Nelson Chee, MD; David W. Eisele, MD

Arch Otolaryngol Head Neck Surg. 2001;127:803-807.

Objective  To assess the utility of a previously proposed staging system for patients with primary squamous cell carcinoma of the temporal bone.

Methods  Retrospective chart review of 15 patients treated for squamous cell carcinoma of the temporal bone over a 13-year period at an academic tertiary referral center. A review of the medical and surgical records, radiographic studies, and surgical pathology reports allowed for an evaluation of the University of Pittsburgh staging system. Outcome analysis was performed on 13 patients with more than 24 months of follow-up.

Results  Radiographic and surgical pathology staging according to the University of Pittsburgh staging system correlated in 11 (73%) of 15 cases. The radiographic staging system was more accurate for larger (T3/T4) tumors than for smaller (T1/T2) tumors (83% vs 67%). When compared with patients with no evidence of disease, nonsurvivors were more likely to present with otalgia (67% vs 43%), facial nerve paralysis (33% vs 0%), and T3/T4 tumors (100% vs 14%).

Conclusions  Pathologic staging by the University of Pittsburgh staging system closely correlates with patient outcome and is more sensitive than preoperative radiographic staging. Prognosis in squamous cell carcinoma of the temporal bone is largely determined by the extent of local disease at the time of presentation.

From the Departments of Otolaryngology–Head and Neck Surgery, The Medical University of South Carolina, Charleston (Dr Gillespie), and The Johns Hopkins University School of Medicine, Baltimore, Md (Drs Francis, Chee, and Eisele).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Archives of Otolaryngology–Head & Neck Surgery Reader's Choice: Continuing Medical Education
Arch Otolaryngol Head Neck Surg. 2001;127(7):889-890.
FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Staging System Revision
Hirsch
Arch Otolaryngol Head Neck Surg 2002;128:93-94.
FULL TEXT