Early oral tongue cancer initially managed with surgery alone: Treatment of recurrence.
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.
Published In/Presented At
Liu, J. C., Sopka, D. S., Mehra, R., Lango, M. N., Fundakowski, C., Ridge, J. A., & Galloway, T. J. (2016). Early oral tongue cancer initially managed with surgery alone: Treatment of recurrence. World journal of otorhinolaryngology - head and neck surgery, 2(4), 193–197. https://doi.org/10.1016/j.wjorl.2016.03.001
Medicine and Health Sciences | Oncology
Department of Radiation Oncology