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Conventional transoral surgery for stage I–II squamous cell carcinoma of the tonsillar region
Author(s) -
Laccourreye Ollivier,
Malinvaud David,
Alzahrani Hatem,
Ménard Madeleine,
Garcia Dominique,
Bonfils Pierre,
Holsinger F. Christopher
Publication year - 2013
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.23018
Subject(s) - medicine , neck dissection , stage (stratigraphy) , surgery , radiation therapy , basal cell , dissection (medical) , head and neck cancer , induction chemotherapy , chemotherapy , carcinoma , cancer , t stage , distant metastasis , metastasis , overall survival , paleontology , biology
Background The purpose of this study was to review the results of conventional transoral resection and neck dissection for stage I to II squamous carcinoma of the tonsillar region. Methods We conducted a retrospective review of 65 patients (stage I, 21 patients; stage II, 44 patients). Induction chemotherapy and postoperative radiation therapy (RT) were administered in 76.9% and 12.3%, respectively, of these cases. Results The postoperative course was uneventful in 96.9% of patients. Five‐year actuarial estimates for local recurrence, nodal recurrence, distant metastasis, and survival were 0% to 7.6%, 0% to 7.8%, 0% to 7.3%, and 70.8% to 71.5% for patients with T1 to T2 carcinoma, respectively. Contralateral and retropharyngeal recurrence occurred in only 1 patient. Conclusion Conventional transoral resection with ipsilateral neck dissection provides an alternative approach for patients with stage I to II squamous cell carcinoma (SCC) of the tonsillar region. A primary surgical approach spares the use of radiotherapy to eliminate late effects and to permit its use for subsequent management of metachronous head and neck second primary cancer. © 2012 Wiley Periodicals, Inc. Head Neck, 2013