Paranasal Flashcards

1
Q

What percentage of paranasal cancers are maxillary sinus?

A

80%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What continents are paranasal cancers more prevalent? (2 answers)

A

Asia and Africa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are 4 risk factors for paranasal cancers?

A

occupational exposure, Epstein-Barr Virus, Smoking and Sinusitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 5 locations of paranasal cancer?

A

Maxillary Sinus, Nasal Cavity, Ethmoid Sinus, Frontal Sinus, Sphenoid sinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What has replaced surgery for diagnosis and staging and Parasinus?

A

Imaging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Paranasal Sinuses are asymptomatic in the early stages. True or False?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are some symptoms of paranasal cancers? (4 answers)

A

Epistaxis (Nose bleed), Congestion, Pain, Drainage, Loss of Function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 9 types of paranasal sinus cancer?

A

Papillomas, Squamous cell, Adenocarcinoma/Mucoepidermoid Carcinoma, Lymphomas, Esthesioneuroblastoma, Verrucous Carcinoma, Small Cell Neuroendocrine, Teratomas, Sarcomas, Metastatic Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Papillomas are typically malignant. True or False?

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the most common type of paranasal sinus cancer?

A

Squamous Cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Metastatic Disease is Common. True or False?

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If Metastatic Disease is present, what structures are at risk for mets?

A

Lung, Liver and Bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the two methods of spread for Paranasal disease spread?

A

Metastatic Disease and Nodal Spread

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What system is used for disease classification?

A

TNM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What 3 treatment methods are used for paranasal cancer?

A

Surgery, Chemotherapy and Radiation Therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Surgery is typically chosen for _________ paranasal sinus cancers?

A

Site-specific

17
Q

Chemotherapy is the historical treatment for paranasal sinus cancer. True or False?

A

True

18
Q

Which method of treatment is gaining clinical support?

A

Chemotherapy

19
Q

Under what circumstances is radiation therapy given for paranasal sinus cancers?

A

Preoperative

20
Q

What is the significance of paranasal sinus treatment details?

A

Site-specific

21
Q

What two radiation therapy methods are used for paranasal cancers?

A

Wedged Pair and Single field electron

22
Q

What dose is typically given for paranasal cancer

A

6000 cGy

23
Q

What structures are considered critical in the treatment for paranasal RT?

A

Eyes, Optic nerve/chiasma, Lacrimal Gland, Pituitary, Brainstem

24
Q

Which critical structure dictates the type of RT utilized?

A

Brainstem necessitates IMRT

25
Q

What is the survival rate fo maxillary sinus cancer?

A

early 60%

unresectable 20%>

26
Q

What is the survival rate of ethmoid sinus cancer?

A

Low grade 90%

High grade 20%>