Spanish consensus for the management of sinonasal tumors.
Sinonasal tumors are rare neoplasms with distinctive clinical, aetiological and pathological features. The diagnosis and treatment of these tumours is challenging because of their low incidence, histological diversity and production of non-specific symptoms in the early stages. They have a variable prognosis depending on their histology, origin and staging. Their location, close to neurocritical structures, which are of special relevance to surgery and postoperative treatment, makes their treatment difficult and complex, leading to high morbidity and mortality. Surgery followed by radiotherapy is the mainstay of treatment. To provide the best possible care, patients with sinonasal cancer should be treated in clinical referral centres specializing in skull-base pathologies. Such centres should include a multidisciplinary team led by otolaryngologist surgeons. This article outlines a consensus protocol for the management of these tumours devised by the Spanish Society of Otolaryngology in collaboration with the Spanish Society of Medical Oncology and the Spanish Society for Radiation Oncology.
Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, España; Instituto Universitario de Oncología del Principado de Asturias, Universidad de Oviedo, Oviedo, España. Electronic address: flopez_1981@yahoo.es.
Fernando
F
López
Servicio de Oncología Médica, Hospital Clínic de Barcelona, Universidad de Barcelona, Barcelona, España.
Juan José
JJ
Grau
Servicio de Oncología Radioterápica, Hospital Universitario Virgen de la Victoria, Málaga, España.
José Antonio
JA
Medina
Unidad de Rinología y Base de Cráneo, Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Universidad de Barcelona, Barcelona, España.
Isam
I
Alobid
D003663:Decision Trees; D006801:Humans; D010255:Paranasal Sinus Neoplasms / Q000175:diagnosis* / Q000628:therapy*
Cirugía; Consenso; Consensus; Management; Manejo; Sinonasal tumours; Surgery; Tratamiento; Treatment; Tumores nasosinusales