Poster
# 45
Poster |
|
6th Internet World Congress for Biomedical Sciences |
Jesús Sastre Pérez(1), Luis Naval(2), Francisco Jose Rodriguez Campo(3), Mario Muñoz(4), Fernando Ortiz de Artiñano(5), Alicia Padron(6), Pilar Rubio(7), Jose Luis Gil-Diez(8), Francisco Diaz Gonzalez(9)
(1)(2)(3)(4)(5)(6)(7)(8)(9)H. de "La Princesa" - MADRID. Spain
 |
Contact address: |
Jesús Sastre Pérez H. de "La Princesa" MADRID MADRID 28007 Spain jdeastrep@infomed-dental.com |
|
 |
|
|
[Oncology] |
[Oral & Maxilofacial Surgery] |
Introduction:
Squamous cell carcinoma of mobile tongue and base of tongue is the most frecuent location of intraoral carcinoma. The aim of this study is the retrospective analysis of 15 years treating this carcinoma with surgery and postoperative radiotherapy. The control of the disease and the influence of several others factors in the prognostic of these patients have also been considered.
Materials and method:
A cohort study of 123 patients with mobile tongue and 32 patients with base of tongue squamous cell carcinoma treated between 1979 and 1997 was carried out. 63% of patients have 5 years of follow-up or longuer. Statistical analysis for relapse and survival was calculated by Kaplan-Meier curves and log-rank test.
Results: 7% patients were younger than 40 years, 23% had second malignances in mobile tongue group, only 3% in base of tongue group. Neck dissection was performed in 74% patients in mobile tongue group, 100% in base of tongue. Regional control was beter for N(o) patient treated with neck dissection. Postopertive radiotherapy was administrated in patients with positive margins, extracapsular spread, and stage IV tumors.
Conclusions:
Homolateral neck control is important prognostic factor in mobile tongue patients. The intraoperative evaluation of surgical margins improves beter control of the disease. Management of N(o) is difficult, elective neck dissection improves cervical disease control specially in stage II.
|
|
|
|
|
|
[Oncology] |
[Oral & Maxilofacial Surgery] |
