Stage grouping in tumors of the ethmoid sinuses and the nasal cavity using the sixth edition of the UICC classification of malignant tumors

Head Neck. 2013 Feb;35(2):257-64. doi: 10.1002/hed.22951. Epub 2012 Feb 6.

Abstract

Background: The purpose of this study was to evaluate the prognostic impact of the sixth edition of the Union Internationale Contre le Cancer (UICC) classification and different TNM-based stage groupings for malignant tumors of the ethmoid sinuses and the nasal cavity.

Methods: We conducted a retrospective analysis of 98 patients with malignant tumors of the ethmoid sinuses and the nasal cavity between 1967 and 2003. The UICC classification of the sixth edition and the T and N Integer Score (TANIS) and Hart were tested for their prognostic significance.

Results: In univariate analysis, all stage groupings revealed discriminatory power for overall survival (OS; p < .05), however, in multivariate analysis only the UICC-stage grouping (p = .033) and the TANIS-8 scheme (p = .044) predicted OS. The TANIS did not have a better prognostic quality than the sixth edition of the UICC classification.

Conclusion: The UICC-stage grouping of the sixth edition is a good prognostic index for malignant tumors of the ethmoid sinuses and the nasal cavity.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Analysis of Variance
  • Chemoradiotherapy / methods
  • Cohort Studies
  • Disease-Free Survival
  • Ethmoid Sinus / pathology*
  • Female
  • Head and Neck Neoplasms / classification
  • Head and Neck Neoplasms / mortality
  • Head and Neck Neoplasms / pathology
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Nasal Cavity / pathology*
  • Neoplasm Staging / classification
  • Paranasal Sinus Neoplasms / classification*
  • Paranasal Sinus Neoplasms / mortality*
  • Paranasal Sinus Neoplasms / pathology
  • Paranasal Sinus Neoplasms / therapy
  • Prognosis
  • Retrospective Studies
  • Risk Assessment
  • Survival Analysis
  • Treatment Outcome