A CLINICAL ASSESSMENT OF LASER SURGERY FOR RECURRENT TONGUE CANCER FOLLOWING RADIOTHERAPY

DOI 15 References
  • ISHII Junnosuke
    Department of Oral and Maxillofacial Surgery, Shakaihoken Kobe Central Hospital Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • FUJITA Kunio
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • KOMATSUBARA Hideki
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • UMEDA Masahiro
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • KOMORI Takahide
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine

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Other Title
  • 放射線治療後の再発舌癌に対するレーザー手術の臨床評価

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Description

Laser surgery can control intraoperative hemorrhaging and enable lesions to be accurately removed since, unlike an electrotome, it does not effect electrocontractility. It can also reduce postoperative pain and dysfunction. This study investigated the efficacy of laser surgery in recurrent tongue cancer following radiotherapy.<br>Of the total of 105 patients with squamous cell carcinoma of the tongue (T1, T2N0) who underwent radiotherapy at the Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, at some point between 1980 and 1998, 24 (22.9%) experienced local recurrence. Sixteen of these patients underwent surgical removal of the tumor. Of these 16 patients, 8 (4 early- and 4 late-stage recurrence) had partial glossectomy by laser surgery.<br>Following laser surgery, 2 (1 early- and 1 late-stage recurrence) of the 8 patients died from neck metastasis and another 2 (early-stage recurrence) died from other diseases. The primary and neck tumors are both under control in 3 (late-stage recurrence) of the remaining 4 patients.<br>Laser surgery for late-stage recurrent tongue cancer following radiotherapy appears to be a suitable treatment, although comprehensive glossectomy with/without radical neck dissection is necessary for early-stage recurrent cases after radiotherapy.

Journal

  • Toukeibu Gan

    Toukeibu Gan 30 (3), 515-518, 2004

    Japan Society for Head and Neck Cancer

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