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Carcinoma of the Middle Ear: A Review of the National Cancer Database.

Publication ,  Journal Article
Brant, JA; Eliades, SJ; Chen, J; Newman, JG; Ruckenstein, MJ
Published in: Otol Neurotol
September 2017

INTRODUCTION: Malignancy of the middle ear is a rare condition with limited data available for clinical guidance. STUDY DESIGN: Retrospective evaluation of a large national database. SETTING: Deidentified national cancer database. PATIENTS: Subjects with diagnosis of malignancy of the middle ear in the National Cancer Database between 2004 and 2012. MAIN OUTCOME MEASURES: Demographic information and tumor characteristics were evaluated. The primary endpoint of interest is overall survival. RESULTS: The most common histology was squamous cell carcinoma (SCC) (50%). Multivariable Cox proportional hazard analysis found the following variables had a significant negative impact on overall survival: age (HR 1.04 95% CI [1.02-1.05]), squamous cell carcinoma, not otherwise specified (NOS) (HR 2.08 95% CI [1.30-3.32]), squamous cell carcinoma, keratinizing, NOS (HR 4.20 95% CI [2.14-8.24]), embroynal rhabdomyosarcoma, NOS (HR 4.96 95% CI [1.17-21.11]), and unknown extension (HR 2.87 95% CI [1.22-6.74]). For patients of SCC who underwent surgery, 30 had positive margins and 29 underwent adjuvant radiation. For these, no survival advantage was found with the addition of chemotherapy, regardless of node status. CONCLUSION: Malignancy of the middle ear is a rare condition with prognosis that depends on histology. The most common histology, SCC, is associated with the poorest overall survival. Evaluation of large national datasets can add significantly to the understanding of such uncommon tumors.

Duke Scholars

Published In

Otol Neurotol

DOI

EISSN

1537-4505

Publication Date

September 2017

Volume

38

Issue

8

Start / End Page

1153 / 1157

Location

United States

Related Subject Headings

  • United States
  • Retrospective Studies
  • Radiotherapy, Adjuvant
  • Radiotherapy
  • Proportional Hazards Models
  • Prognosis
  • Otorhinolaryngology
  • Multivariate Analysis
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Brant, J. A., Eliades, S. J., Chen, J., Newman, J. G., & Ruckenstein, M. J. (2017). Carcinoma of the Middle Ear: A Review of the National Cancer Database. Otol Neurotol, 38(8), 1153–1157. https://doi.org/10.1097/MAO.0000000000001491
Brant, Jason A., Steven J. Eliades, Jinbo Chen, Jason G. Newman, and Michael J. Ruckenstein. “Carcinoma of the Middle Ear: A Review of the National Cancer Database.Otol Neurotol 38, no. 8 (September 2017): 1153–57. https://doi.org/10.1097/MAO.0000000000001491.
Brant JA, Eliades SJ, Chen J, Newman JG, Ruckenstein MJ. Carcinoma of the Middle Ear: A Review of the National Cancer Database. Otol Neurotol. 2017 Sep;38(8):1153–7.
Brant, Jason A., et al. “Carcinoma of the Middle Ear: A Review of the National Cancer Database.Otol Neurotol, vol. 38, no. 8, Sept. 2017, pp. 1153–57. Pubmed, doi:10.1097/MAO.0000000000001491.
Brant JA, Eliades SJ, Chen J, Newman JG, Ruckenstein MJ. Carcinoma of the Middle Ear: A Review of the National Cancer Database. Otol Neurotol. 2017 Sep;38(8):1153–1157.

Published In

Otol Neurotol

DOI

EISSN

1537-4505

Publication Date

September 2017

Volume

38

Issue

8

Start / End Page

1153 / 1157

Location

United States

Related Subject Headings

  • United States
  • Retrospective Studies
  • Radiotherapy, Adjuvant
  • Radiotherapy
  • Proportional Hazards Models
  • Prognosis
  • Otorhinolaryngology
  • Multivariate Analysis
  • Middle Aged
  • Male