Lazos OM, Ávila TA, Hernández GM

Language: Spanish
References: 17
Page: 176-182
PDF size: 234.51 Kb.

ABSTRACT

Sarcomas originated in the head and neck account for less than 1% of the malignant neoplasms of this region. In this study, 29 cases seen in the HGM in a 5 years period were analyzed. They were more common in women in a 2:1 ratio. The mean age of presentation was 35 years. The time of evolution from the beginning of symptoms until diagnosis was made was 30.5% months. The most common symptoms were palpable mass, pain and dysphagia. In 38% the clinical diagnosis was sarcoma, 20% tumor, 7% lymphoma, carcinoma and nasal polyp respectively. They were all treated surgically, 27% were additionally given radiotherapy and 10% chemotherapy. The pathological study demonstrated neurogenic sarcoma in 27.5% osteosarcoma in 13.7% leiomyosarcoma in 10.3% rabdomyosarcoma in 10.3% and in the remaining 6.8% Kaposi’s sarcoma, angiosarcoma, and chondrosarcoma respectively. There was one case of rabdoid tumor, one fibrosarcoma, one soft tissue alveolar sarcoma, one dermatofibrosarcoma protuberans and one monophasic synovial sarcoma. In this series the sarcomas originated in the head and neck were more common in young women; histologically the most common type was neurogenic sarcoma.

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