TABLE 1.
Case No. | Gender | Age at Diagnosis (yrs) | Presenting Symptom | Grade (Hyams) | Stage (Kadish) | Treatment | Clinical Outcome |
---|---|---|---|---|---|---|---|
1 |
F |
68 |
Hyposmia, refractory sinonasal symptoms |
II |
C → D; nodal metastases identified 30 mos post–initial resection |
Surgery & adjuvant CCRT (6900 cGy in 33 fractions) |
Bilateral metastatic cervical adenopathy receiving octreotide LAR (26 mos of therapy; 68 mos post–initial surgery) |
2 |
F |
53 |
Unilateral periorbital swelling |
IV |
D |
Surgery & adjuvant CCRT (6600 cGy in 30 fractions) |
Recurrent metastatic CNS disease w/in 6 mos of completing CCRT |
3 |
F |
64 |
Dysphonia |
I–II |
C |
Surgery & adjuvant RT (6120 cGy in 34 fractions)*
|
Deceased (11 mos post–initial surgery); no evidence of disease (27 mos post–initial surgery) |
4 |
F |
59 |
Unilateral nasal congestion/obstruction |
II |
B |
Surgery |
No evidence of disease (10 mos post–initial surgery) |
5 | M | 65 | Anosmia | II | Nodal metastases identified 33 mos post–initial resection | C → D; surgery & bilateral neck RT (6000 cGy in 30 fractions) | Recurrent metastatic disease (dural, osseous, parapharyngeal space) receiving [177Lu]-DOTATATE (3 of 4 doses received) & octreotide LAR treatment (83 mos post–initial surgery) |
Terminated chemotherapy due to side effects.