Anterior Skull Base Tumors

Anterior Skull Base Tumors
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Описание книги

In recent years, interest in the management of anterior skull base tumors has been fostered by the introduction and subsequent rapid expansion of indications of transnasal endoscopic techniques. In parallel, extraordinary progress has been made in all the other disciplines which are involved in the complex process of managing anterior skull base tumors, leading to substantial improvements in diagnosis and treatment. The anterior skull base can be involved in a large variety of tumors of a varying nature and histology, which in the majority of cases originate from adjacent anatomic sites. In fact, primary lesions of the anterior skull base mainly include osteoma and other tumors originating from bone and cartilage. Tumors involving the anterior skull base have their origin prevalently in the sinonasal tract, but lesions developing on the intracranial site, such as meningiomas, may also extend caudally to encroach upon this area. All these lesions are rare, which means that the pertinent literature does not include prospective studies or treatment guidelines based on a high level of evidence. In view of the extreme histological variability of lesions involving the anterior skull base, much emphasis has been placed on addressing the different nuances of treatment in relation to histology, especially for malignant tumors. The chapters focusing on surgery provide divergent views on selection criteria for a specific surgical technique, which is the aim of this publication.

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Группа авторов. Anterior Skull Base Tumors

Advances in Oto-Rhino-Laryngology

Anterior Skull Base Tumors

Contents

Preface

Macroscopic and Endoscopic Anatomy of the Anterior Skull Base and Adjacent Structures

Abstract

Gross Anatomy

Midline ASB

Lateral ASB

Acknowledgements

Disclosure Statement

References

Pathology and Differential Diagnosis of Anterior Skull Base Tumours

Abstract

Epithelial-Derived Tumours

Malignant Tumours. Conventional Squamous Carcinoma

Differential Diagnosis

Nasopharyngeal Carcinoma

Sinonasal Undifferentiated Carcinoma

Differential Diagnosis

NUT Carcinoma

Neuroendocrine Carcinomas

Well and Moderately Differentiated (Typical and Atypical Carcinoid)

Poorly Differentiated (Small and Large Cell)

Differential Diagnosis

Teratocarcinosarcoma

Differential Diagnosis

Sinonasal Adenocarcinomas

Intestinal-Type Adenocarcinoma

Differential Diagnosis

Salivary Gland-Derived Carcinomas

Differential Diagnosis

Seromucinous Gland-Derived Carcinoma

Benign Tumours. Inverted Papilloma

Pleomorphic Adenoma

Soft Tissue Tumours: Malignant Tumours

Fibrosarcoma

Differential Diagnosis

Rhabdomyosarcoma

Differential Diagnosis

Synovial Sarcoma

Differential Diagnosis

Angiosarcoma

Chondrosarcoma

Differential Diagnosis

Osteosarcoma

Differential Diagnosis

Biphenotypic Sinonasal Sarcoma

Chordoma

Differential Diagnosis

Soft Tissue Tumours: Benign and Borderline Tumours. Fibromatosis

Epithelioid Haemangioendothelioma

Meningioma

Angiofibroma

Neuroectodermal Neoplasms

Olfactory Neuroblastoma

Differential Diagnosis

Ewing Sarcoma/PNET

Differential Diagnosis

Paraganglioma

Mucosal Melanoma

Differential Diagnosis

Hematolymphoid Tumours. Lymphomas

Differential Diagnosis

Secondary Tumours (Metastasis)

Disclosure Statement

References

The Role of Morphologic and Functional Imaging in Pretreatment Assessment

Abstract

Imaging Techniques. Assessing the Local Tumor Extent

Assessing the Regional and Distant Neoplastic Extent

A Checklist Approach to Reporting Lesions Involving the ASB

Epicenter of Tumor Located in the Nasal Cavity or Ethmoid

Malignant Tumors Arising in the Maxillary Sinus

Olfactory Neuroblastoma

Meningiomas

TNM Classification

Conclusions

Disclosure Statement

References

Transnasal Endoscopic Surgery: Surgical Techniques and Complications

Abstract

Indications and Contraindications

Surgical Technique. Instrumentation

Operative Setup

Surgical Approach

Identification of Tumor Origin

Exposure of the Surgical Field

Centripetal Removal

Skull Base Removal

Intracranial Step

Skull Base Reconstruction

Complications

Conclusions

Disclosure Statement

References

Anterior Skull Base Surgery in the 21st Century: The Role of Open Approaches

Abstract

Preoperative Management

Surgical Approaches for the Resection of Sinonasal and ASB Malignancies

Evolution of Sinonasal/ASB Surgical Approaches

Postoperative Complications and Oncological Outcomes of Open Surgery

QoL of Patients Undergoing Open ASB Surgery

Conclusions

Disclosure Statement

References

Update of Radiation Techniques Using Photons for Anterior Skull Base Tumors

Abstract

General Role of Photon RT

Historical Outcomes and Toxicity for Photon RT

Intensity-Modulated RT

Volumetric-Modulated Arc Therapy

Stereotactic Radiosurgery

Conclusions

Disclosure Statement

References

The Evolving Role of Systemic Therapy in the Primary Treatment of Sinonasal Cancer

Abstract

Locoregionally Advanced Disease

Neoadjuvant Chemotherapy

Concurrent Chemoradiotherapy

Intra-Arterial Chemotherapy

Review of the Literature and Ongoing Studies

Specific Histologies. Intestinal-Type Adenocarcinoma

Sinonasal Undifferentiated Carcinoma

Sinonasal Neuroendocrine Carcinoma

Olfactory Neuroblastoma

Targeted Therapy in SNC

Conclusions

Disclosure Statement

References

Particle Therapy: Protons and Heavy Ions

Abstract

Salivary Gland Malignancies

Mucosal Melanoma

Olfactory Neuroblastoma

SCC, AC, and Other Rare Malignancies of the Paranasal Sinus and Anterior Skull Base (SNUC, SNEC)

Re-Irradiation

Conclusion

Disclosure Statement

References

Benign Tumors of the Anterior Cranial Base

Abstract

Presentation

Evaluation

Principles of Treatment

Specific Tumors. Meningioma

Schwannoma

Fibro-Osseous Tumors

Angiofibroma

Inverted Papilloma

Olfactory Hamartoma

Conclusions

Disclosure Statement

References

Endoscopic Endonasal Approaches for Anterior Skull Base Meningiomas

Abstract

Preoperative Imaging

Endoscopic Transnasal Approach

OG Meningiomas

PS Meningiomas

TS Meningiomas

Limits of EEA

Complementary Therapies

Conclusions

Disclosure Statement

References

Squamous Cell Carcinoma and Its Variants

Abstract

Paranasal Sinuses/Nasal Cavity. Incidence and Epidemiology

Etiology

Presentation

Routes of Spread

Pathology

Primary Cutaneous and Orbital SCC

Clinical Examination

Investigations. Cross-Sectional Imaging

Tissue Diagnosis

TNM Staging

Treatment

Surgery

Resectability

Management of the Dura/Brain

Management of the Orbit

Management of the Neck

Role of Radiotherapy and Chemotherapy

Outcomes Data and Prognostic Factors

Conclusions

Disclosure Statement

References

A Comprehensive Update on Intestinal- and Non-Intestinal-Type Adenocarcinomas

Abstract

Epidemiology

Clinical Presentation

Diagnostic Workup

Histology

Immunohistochemical and Molecular Studies

Treatment

Surgery

Technical Aspects of EER/CER

Limitations of EER

Neck Dissection in ITAC/Non-ITAC

RT: Indications

RT: Technical Aspects

Follow-Up

Recurrence during Follow-Up

Chemotherapy and Targeted Therapies

Molecular Pathways – Possible Targeted Therapies

Treatment Results and Prognostic Factors Modifying These Outcomes

Conclusion

Disclosure Statement

References

Olfactory Neuroblastoma

Abstract

Epidemiology

Origin

Clinical Findings and Behavior

Imaging

Pathology

Classifications

Treatment

Surgery

Radiotherapy

Chemotherapy

Prognosis

Posttreatment Surveillance

Conclusions

Disclosure Statement

References

Neuroendocrine Carcinoma and Sinonasal Undifferentiated Carcinoma

Abstract

Neuroendocrine Carcinoma

Sinonasal Undifferentiated Carcinoma

Disclosure Statement

References

Sinonasal Malignant Melanoma

Abstract

Clinical Features

Diagnosis. Imaging

Staging

Histology and Biomarkers

Natural History

Treatment. Surgery

Radiotherapy

Chemotherapy and Immunomodulation

Outcome of Treatment Modalities

Prognostic Factors

Key Points/Conclusion

Disclosure Statement

References

Adenoid Cystic Carcinoma

Abstract

Epidemiology

Pathology

Clinical History

Diagnosis

Treatment. Surgery

Radiation Therapy

Chemotherapy

Outcome and Prognosis

Conclusion

Disclosure Statement

References

Other Rare Sinonasal Malignant Tumours Involving the Anterior Skull Base

Abstract

Sinonasal Teratocarcinosarcoma

Sinonasal Glomangiopericytoma

Sinonasal Rhabdomyosarcoma

Sinonasal Epithelial Myoepithelial Carcinoma

Nuclear Protein in Testis Midline Carcinoma

Other Sarcomas

Conclusion

Disclosure Statement

References

Posttreatment Imaging Surveillance

Abstract

Pillar 1: Imaging Technique

Pillar 2: Expected Changes after Treatment. Surgery

RT Changes

Pillar 3: Complications. Surgery

Radiation Therapy

Pillar 4: Patterns of Tumor Recurrence

Disclosure Statement

References

Treatment Options for Recurrent Anterior Skull Base Tumors

Abstract

Surgery

Re-Irradiation

Intensity-Modulated RT

Stereotactic RT

Salivary Gland Carcinomas

Meningioma

Particle Therapy

Systemic Therapy

Sinonasal Undifferentiated Carcinoma

Sinonasal Neuroendocrine Carcinomas

Olfactory Neuroblastoma

Intestinal-Type Adenocarcinoma

Adenoid Cystic Carcinoma

Sinonasal Mucosal Melanoma

Conclusion

Disclosure Statement

References

Future Perspectives in the Management of Tumors of the Anterior Skull Base

Abstract

Disclosure Statement

References

Author Index

Subject Index

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Anterior Skull Base Tumors

Series Editor

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71Vlenterie M, Jones RL, van der Graaf WT: Synovial sarcoma diagnosis and management in the era of targeted therapies. Curr Opin Oncol 2015;27:316–322.

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