Early oral tongue cancer initially managed with surgery alone: Treatment of recurrence.

Publication/Presentation Date

12-1-2016

Abstract

OBJECTIVE: To report T1-2N0 tongue cancer recurrences initially treated with surgery alone.

METHODS: Between 1990 and 2010, 27 patients at tertiary hospital referral center institution were treated with curative intent for locoregional recurrence after initial glossectomy with or without neck dissection for T1-2N0 tongue cancer. None had received adjuvant postoperative radiation as a component of the original treatment.

RESULTS: Median time to locoregional recurrence was 12 months (range 5-39 months) and 78% of failures occurred in the first 2 years. Most treatment failures were local (63%). Salvage strategy was risk-adapted by individual patient. The 5-year disease specific survival (DSS) was 61%. Patients with local recurrences alone fared significantly better than those with regional recurrences (5-yr DSS: 86%

CONCLUSIONS: Recurrence of early stage oral tongue cancer can be successfully salvaged in a majority of cases. Patients developing regional recurrence have significantly worse prognosis than those with local failures.

Volume

2

Issue

4

First Page

193

Last Page

197

ISSN

2095-8811

Disciplines

Medicine and Health Sciences | Oncology

PubMedID

29204565

Department(s)

Department of Radiation Oncology

Document Type

Article

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