A Clinical Study of stage I, II tongue carcinoma

DOI 14 References
  • Kikuchi Hisashi
    Department of Otolaryngology-Head and Neck Surgery, Jichi Medical University School of Medicine
  • Nishino Hiroshi
    Department of Otolaryngology-Head and Neck Surgery, Jichi Medical University School of Medicine
  • Imayoshi Shoichiro
    Department of Otolaryngology-Head and Neck Surgery, Jichi Medical University School of Medicine
  • Sasamura Yoshimi
    Department of Otolaryngology-Head and Neck Surgery, Jichi Medical University School of Medicine
  • Ichimura Keiichi
    Department of Otolaryngology-Head and Neck Surgery, Jichi Medical University School of Medicine

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Other Title
  • 当科における舌癌I・II期症例の臨床的検討

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Abstract

Treatment modalities of tongue cancer can vary according to the stage. We report herein on a clinical study of 39 patients with stage I &II tongue carcinoma initially treated at Jichi Medical University Hospital between April 2001 and March 2011. The patientsranged in age from 31 to 85 with an average of 57yr. Twenty four were men and 15 women. Stage I patients underwent partial glossectomy in all cases. In stage II patients 11 underwent partial glossectomy and 7 had partial tongue resection with supraomohyoid neck dissection because of a deeply infiltrative lesion of more than 5mm with the help of an MRI scan. Three patients underwent subtotal glossectomy, bilateral supraomohyoid neck dissection, and reconstruction of tongue due to the contralateral extension of deep invasion. We used the CO2 laser in 25 cases, electrocoagulationin 13 cases, and coblator®in 1 case for partial glossectomy. The 5 year survival rate of stage I was 85.6%, and that of stage II was 72.7% calculated with theKaplan-Meier method. Recurrences were seen in 12 cases, 4 in stage I and 8 in stage II. Neck lymph node metastases were seen in 8 cases among the 12 recurrent ones, and we could perform salvage neck dissection in only 3 cases. Eleven of the 12 recurrent cases were found within one year. Stage I, II tongue cancer was likely to recur as neck lymph node metastasis within one year. With this issue in mind we should follow-up such patients carefully.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 26 (2), 155-160, 2013

    Japan Society of Stomato-pharyngology

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