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Carcinoma of the tonsillar region
Author(s) -
Mizono Gary S.,
Boles Roger,
Diaz Richard F.,
Fu Karen K.
Publication year - 1986
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198603000-00002
Subject(s) - radiation therapy , medicine , stage (stratigraphy) , t stage , carcinoma , fossa , surgery , overall survival , paleontology , biology
A retrospective analysis of 171 patients with carcinoma of the tonsillar region is presented. The majority of patients (79%) presented with stage III and IV disease. Three year determinate survival was 81% ‐ T 1 , 74% ‐ T 2 , 59% ‐ T 3 , and 20% ‐ T 4 . The presence of nodal disease decreased survival by one half. Radiotherapy alone was highly successful in controlling early T 1 and T 2 lesions of the tonsillar fossa . Surgery alone or combined radiotherapy and surgery was more successful than radiotherapy in controlling early T 1 and T 2 lesions of the tonsillar pillar. More advanced T 3 and T 4 lesions also did poorly with radiotherapy alone. An analysis of these results and a review of the literature is presented.