FIBROSARCOMA OF THE HEAD AND NECK

Fourteen adult patients with, fibrosarcoma of the head and neck were t reated by the Division of Surgical Oncology at the University of Illin ois and Cook County Hospitals. All patients had a mass in the head and neck area, and four patients (29%) had tumors in a burn scar or in a field of irradiation. The 2-, 5-,and 10-year disease-free rates were 5 7%, 57%, and 50%, respectively with overall survivals of 79%, 71%, and 57%, respectively. The median survival was significantly higher for p atients with low-grade tumors than for patients with high-grade lesion s (p < 0.05) Wide surgical excision was the mainstay of therapy, with re-excision considered for some patients with locally recurrent diseas e. Aggressive treatment can afford fibrosarcoma patients good long-ter m therapeutic results.