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Early tongue carcinoma: Analysis of failure
Author(s) -
Preis Michal,
Hadar Tuvia,
Soudry Ethan,
Shpitzer Thomas,
Strenov Yulia,
Hod Roy,
Nageris Ben I.,
Feinmesser Raphael
Publication year - 2012
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21754
Subject(s) - medicine , neck dissection , tongue , surgery , carcinoma , stage (stratigraphy) , head and neck , pathology , paleontology , biology
Background Failure rate of surgery for early tongue carcinoma remains high. We sought to identify patterns of failure and recurrence risk factors. Methods Data review was carried out on 50 patients treated for early tongue carcinoma (T1/2N0M0); surgery was unsuccessful in 11 of these patients. All patients underwent transoral resection of the tongue tumor and prophylactic neck dissection (supraomohyoid). Results Tumor recurred within 3 to 18 months. Nine died of disease. Four had failure in neck level 4, 6 in level 1, and 1 simultaneously in level 1 and locally. Most tumors were moderately differentiated. Average depth was 6.64 mm. Conclusions We report 11 patients with early tongue carcinoma who failed local excision with neck dissection. Failures occurred in level 4 (4 patients) and level 1 (7 patients). This group may benefit from extended neck surgery. Sex, age, stage, and depth of tumor were not significantly different in the group with treatment failure. Tumors in the group with treatment failure were more poorly differentiated. © 2011 Wiley Periodicals, Inc. Head Neck, 2012