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Salvage Treatment of Local Recurrence in Esthesioneuroblastoma: A Meta-analysis.

Authors
Type
Published Article
Journal
Skull base : official journal of North American Skull Base Society ... [et al.]
Publication Date
Volume
21
Issue
1
Pages
1–6
Identifiers
DOI: 10.1055/s-0030-1254406
PMID: 22451793
Source
Medline
Keywords
License
Unknown

Abstract

Esthesioneuroblastoma has a local recurrence rate of ∼30%, but no standard regimen for salvage of local recurrence has been established. We report data from 678 patients from series published since 1990, with a risk reduction analysis of salvage with surgery, radiation, or combined surgery and radiation therapy. We found a 28.5% rate of local recurrence after treatment, and a 42.6% rate of successful salvage with surgery, radiation, or combined treatment. The odds ratio for successful salvage, defined as disease-free survival for at least 1 year, was not significantly different for combined surgery and radiation versus surgery alone or radiation alone or for surgery alone versus radiation alone. The salvage odds ratio for combined surgery and radiation therapy versus radiation therapy alone, 3.5, approached, but did not reach statistical significance. This study reveals a reasonable rate of successful salvage of local esthesioneuroblastoma recurrence using surgery, radiation, or combined surgery and radiation.

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