How do you approach the treatment of patients with unresectable paransasal sinus cancers in close proximity to the critical structures of the base of skull?
How do you balance the goal of effective definitive treatment while minimizing the risk of injury to critical structures?
Answer from: Radiation Oncologist at Community Practice
These (SCC of the BOS/sinonasal) are rare, complex and generally have poor outcomes (low 2 digit survival %). Optic nerve/chiasm, pituitary and cochlear organs are at risk and must be carefully considered. Careful review of imaging with the radiologists (MRI and CT) is recommended. Avoid...