Treatment of Nasal Cavity Cancer in Carcinoma of the Nasal Vestibule
Carcinoma of the nasal vestibule is a distinct and less commonly encountered subsite presentation of nasal cavity cancer, with treatment selection driven by lesion extent and functional considerations.
Clinical Scenario
This protocol applies to carcinoma of the nasal vestibule. Nasal vestibule tumors represent a less common subset within the spectrum of nasal cavity malignancies, calling for individualized assessment of lesion size and the likely impact of treatment on form and function.
Treatment Overview
Management centres on a choice between surgery and radiation therapy, with the preferred modality determined by lesion size, anticipated cosmetic and reconstructive implications, and whether treatment of the neck warrants consideration — the complete selection criteria and sequencing are detailed in the full protocol.
References
Tumors of the ethmoid sinuses, nasal vestibule, and nasal cavity are less common, and tumors of the sphenoid and frontal sinuses are rare.
Surgery or radiation therapy may be performed. If lesions are extremely small, surgery is preferred, provided that no deformity is expected and a need for reconstruction is not anticipated. Radiation therapy is preferred for other small lesions. Treatment of the ipsilateral neck should be considered.
Generally, radiation is preferred to minimize deformity. External-beam (photons or electrons) and/or interstitial implantation can be used. Surgery is reserved for salvage.