Treatment of stage I and II oral tongue cancer

Daniel D. Lydiatt, K. Thomas Robbins, Robert M. Byers, Patricia F. Wolf

Research output: Contribution to journalArticle

154 Citations (Scopus)

Abstract

We reviewed 156 previously untreated patients with squamous cell carcinoma of the oral tongue staged T1 and T2 to determine the incidence of nodal metastasis, and if elective neck dissection affected local/regional control or survival. Patients were divided into two nonrandomized groups: group 1, intraoral glossectomy only (102 patients); and group 2, intraoral glossectomy plus neck dissection (54 patients). Analysis revealed no significant differences for tumor location, histologic differentiation, status of margins, or clinical appearance; however, perineural invasion significantly adversely affected survival and local/regional control. In group 1 patients, 16.5% subsequently developed cervical metastasis, and 20.4% of patients in group 2 had occult nodal disease. The survival and local/regional control for group 1 patients subsequently developing nodes was 33% and 50%, respectively. The survival and local/regional control for group 2 patients with occult metastasis was 55% and 91%, respectively. We believe elective neck dissection is indicated for early staged oral tongue cancer.

Original languageEnglish (US)
Pages (from-to)308-312
Number of pages5
JournalHead & neck
Volume15
Issue number4
DOIs
StatePublished - Jan 1 1993

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Tongue Neoplasms
Mouth Neoplasms
Neck Dissection
Glossectomy
Survival
Therapeutics
Neoplasm Metastasis
Control Groups
Tongue
Squamous Cell Carcinoma

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Lydiatt, D. D., Robbins, K. T., Byers, R. M., & Wolf, P. F. (1993). Treatment of stage I and II oral tongue cancer. Head & neck, 15(4), 308-312. https://doi.org/10.1002/hed.2880150407

Treatment of stage I and II oral tongue cancer. / Lydiatt, Daniel D.; Robbins, K. Thomas; Byers, Robert M.; Wolf, Patricia F.

In: Head & neck, Vol. 15, No. 4, 01.01.1993, p. 308-312.

Research output: Contribution to journalArticle

Lydiatt, DD, Robbins, KT, Byers, RM & Wolf, PF 1993, 'Treatment of stage I and II oral tongue cancer', Head & neck, vol. 15, no. 4, pp. 308-312. https://doi.org/10.1002/hed.2880150407
Lydiatt DD, Robbins KT, Byers RM, Wolf PF. Treatment of stage I and II oral tongue cancer. Head & neck. 1993 Jan 1;15(4):308-312. https://doi.org/10.1002/hed.2880150407
Lydiatt, Daniel D. ; Robbins, K. Thomas ; Byers, Robert M. ; Wolf, Patricia F. / Treatment of stage I and II oral tongue cancer. In: Head & neck. 1993 ; Vol. 15, No. 4. pp. 308-312.
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