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Chinese Journal of Clinical Oncology

, Volume 2, Issue 1, pp 469–472 | Cite as

Clinical characteristics and treatment of malignant granuloma

  • Chongjin Feng
  • Junbing Guo
  • Yong Chen
Original Articles
  • 16 Downloads

Abstract

Objective

To analyse the clinical characteristics of malignant granuloma (MG) and evaluate its treatment.

Methods

From March 1985 to May 1998, 101 cases of malignant granuloma were treated with radiation (RT) alone or radiotherapy followed by chemotherapy or chemotherapy followed by radiotherapy. For chemotherapy, a CCNU, COMP (CTX, VCR, MTX, PDN) or CHOP (CTX, ADM, VCR, PDN) regimen was given. Radiation was directed through the anterior field of the nose mainly for nasal and paranasal sinus malignant granuloma, and through the faciocervical field for malignant granuloma of Walderyer’s ring or for patients with cervical lymphadenectasis. Total dose was 45–65 Gy over 5–6 weeks.

Results

The overall 3—year, 5—year and 10—year survival rates were 78.2%, 56.1% and 39.7% respectively. The 5—year survival rate was: RT group 60.3%, RT + CHOP or CHOP + RT group 64.7% (P >0.05), RT + CCNU group 40%, and RT + COMP group 33.3%. The 5—year survival rates of patients with one involved focus and more than 2 involved foci were 75.6% (34/45) and 39.3% (22/56) (P<0.001 ). The 5—year survival rates of patients with or without body symptoms were 39.6% (18/48) and 67.9%(36/53) (P< 0.05). The 5—year survival rate of the 50–60 Gy group and the <50Gy group were 60.1% (40/66) and 20% (1/5) (P <0.05). The local and regional recurrence rate was 20.8% (21/101).

Conclusion

Radiotherapy alone should be the treatment of choice for patients with one site involvement and without body symptoms. Radiation fields should be large enough to include the potentially involved sites. The recommended dose is 50 –60 Gy over 5–6 weeks. It is suggested that patients with more than 2 foci involvement and those with body symptoms should receive the combination therapy.

Keywords

malignant granuloma radiotherapy chemotherapy 

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Copyright information

© Chinese Anti-Cancer Association and Springer 2003

Authors and Affiliations

  • Chongjin Feng
    • 1
  • Junbing Guo
    • 1
  • Yong Chen
    • 2
  1. 1.Department of Stomatology, First Affiliated HospitalSun Yat-sen University of Medical SciencesGuangzhouChina
  2. 2.Department of Radiation Therapy, Tumor HospitalSun Yat-sen University of Medical SciencesGuangzhouChina

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