1987 Volume 1987 Issue Supplement09 Pages 54-58
We re-evaluated 6 patients with ethmoidal cancer in the head and neck region between who had been treated in our clinic 1977 and 1985. Histologically,4 cases were squamous cell carcinoma and the others were anaplastic cancer. At the clinical stage, infiltration to the bone of the basal scalp and orbit was observed in 5 cases. The patients were treated by radiation followed by surgery. Some patients who were suspected of having residual cancer received post-operative radiation. Two patients showed complete remission, but the others died of cancer invasion. The cause of death was considered to be due to insufficient dissection of the basal scalp. We concluded that surgery is required in the treatment of ethmoidal cancer. Thus, it is necessary to approach the lesion from not only the nasal side but also from the scalp when the lesion infiltrates the scalp.
