Table 3. Details of positive margin location and clinical outcome after radical skull base surgery.
Pathological margin status | Histopathology | Primary location | Induction chemotherapy | Approach to the skull base | Location of positive margin | Postoperative treatment | Local recurrence | Outcome |
---|---|---|---|---|---|---|---|---|
Micro margin positive | RMS | Nasal cavity | Positive | Frontal craniotomy | Lateral nasal wall | CRT | Negative | DOD |
Micro margin positive | ES | Paranasal sinus | Positive | Frontal craniotomy | Oribital apex | CRT | Negative | NED |
Micro margin positive | OS | Oral cavity | Negative | temporal craniotomy | Mandibular bone | CRT/surgery | Negative | NED |
Micro margin positive | UUS | Orbit | Negative | frontotemporal craniotomy | Dura (near sinus) | RT | Negative | NED |
Micro margin positive | RMS | Paranasal sinus | Positive | Orbital exenteration, maxillectomy | Lateral nasal wall | CRT | Negative | NED |
Micro margin positive | RMS | Parapharyngeal space | Positive | Zygomatic approach | Masseter | CRT | Negative | NED |
Wide margin positive | RMS | Parapharyngeal space | Positive | Frontal craniotomy | Skull bone/Orbital apex | chemotherapy | Orbita | DOD |
Wide margin positive | UUS | Temporal fossa | Positive | temporal craniotomy | Orbital periosteum/Dura | CRT | Oribta | AWD |
Wide margin positive | RMS | Nasopharynx | Positive | Mandibular swing approach | Clivus/Nasopharynx | CRT | Nasopharynx | DOD |
Wide margin positive | UUS | Temporal fossa | Negative | Coronal incision approach | Piece by piece resection | CRT | Negative | NED |
Abbreviations: DOD, die of disease; ES, Ewing's sarcoma; NED, no evidence of disease; OS, osteosarcoma; RMC, rhabdomyosarcoma; UUS, undifferentiated/unclassified sarcoma.