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Carcinoma of the tonsillar region. Results of external irradiation
Author(s) -
Tong Daphne,
Laramore George E.,
Griffin Thomas W.,
Russell Anthony H.,
Tesh Donald W.,
Taylor Willis J.,
Martenson James A.
Publication year - 1982
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19820515)49:10<2009::aid-cncr2820491011>3.0.co;2-w
Subject(s) - medicine , stage (stratigraphy) , radiation therapy , basal cell , carcinoma , surgery , tonsil , pathology , paleontology , biology
A retrospective analysis is made of 104 patients treated with photon megavoltage radiotherapy for squamous cell carcinoma of the tonsillar region during the period 1965–1975. Moderately differentiated squamous cell carcinoma was the most common histological grade. Fifty‐three per cent of the cases presented with cervical lymphadenopathy with three cases of bilateral involvement. The three year local control rate was 100% for Stage I, 74% Stage II, 49% Stage III, and 33% Stage IV. Two Stage III cases and one Stage IV case developed subsequent contralateral neck disease. No patient with either T 1 N 0 or T 2 N 0 tumor failed in the ipsilateral or contralateral neck despite the fact that 42% of the T 1 N 0 cases and 37% of the T 2 N 0 cases were treated with unilateral portals. The prognostic significance of the T and N stages, treatment techniques, as well as dose response relationships are analyzed and the literature is reviewed.

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