Carcinoma of the Tongue: Pathological Considerations in Management of the Neck | Zendy

Julia A. Woolgar | Zendy

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Carcinoma of the Tongue: Pathological Considerations in Management of the Neck

Author(s) -

Julia A. Woolgar

Publication year - 1996

Publication title -

journal of the royal society of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.38

H-Index - 81

eISSN - 1758-1095

pISSN - 0141-0768

DOI - 10.1177/014107689608901105

Subject(s) - medicine , tongue , pathological , metastasis , lymphatic system , radiation therapy , carcinoma , stage (stratigraphy) , tongue neoplasm , cancer , lymph node metastasis , pathology , radiology , oncology , paleontology , biology

In a series of 76 patients with carcinoma of the tongue the occurrence of metastasis was related to the size and histological features of the primary tumour. 64% of patients with metastasis and 10% of patients with clinically negative neck showed spread beyond the node capsule. Fast tracks (long lymphatic pathways uninterrupted by nodes) seemed to be involved in the spread of metastatic cancer in at least 20% of patients with metastasis. With surgery and adjuvant radiotherapy based on the pathological stage, metastases confined to lymph nodes did not appear to affect short-term outcome.

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