%0 Journal Article
%T Long-term outcomes of modern multidisciplinary management of sinonasal cancers: The M. D. Anderson experience.
%A Bahig H
%A Ehab HY
%A Garden AS
%A Ng SP
%A Frank SJ
%A Nguyen T
%A Gunn GB
%A Rosenthal DI
%A Fuller CD
%A Ferrarotto R
%A Bell D
%A Su S
%A Phan J
%J Head Neck
%V 45
%N 7
%D 2023 07 10
%M 37165701
%F 3.821
%R 10.1002/hed.27381
%X To report long-term outcomes of modern radiotherapy for sinonasal cancers.<BR>A retrospective analysis of patients with sinonasal tumors treated with intensity-modulated radiotherapy or proton therapy. Multivariate analysis was used to determine predictive variables of progression free survival (PFS) and overall survival (OS).<BR>Three hundred and eleven patients were included, with median follow-up of 75 months. The most common histologies were squamous cell (42%), adenoid cystic (15%), and sinonasal undifferentiated carcinoma (15%). Induction chemotherapy was administered to 47% of patients; 68% had adjuvant radiotherapy. Ten-year local control, regional control, distant metastasis free survival, PFS, and overall survival rates were 73%, 88%, 47%, 32%, and 51%, respectively. Age, non-nasal cavity tumor site, T3-4 stage, neck dissection, and radiation dose were predictive of PFS, while age, non-nasal cavity tumor site, T3-4 stage, positive margins, neck dissection, and use of neoadjuvant chemotherapy were predictive of OS. There was a 13% rate of late grade ≥3 toxicities.<BR>This cohort of patients with sinonasal cancer treated with modern radiotherapy demonstrates favorable disease control rate and acceptable toxicity profile.