jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Surginal management for the squamous cell carcinoma of the oral cavity previously treated by radiation
Yasuhisa HASEGAWAHidehiro MATSUURA
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Keywords: salvage surgery
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1993 Volume 39 Issue 5Supplement3 Pages 899-905

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Abstract
Presented in this paper are the results of treatment of 42 secondarily treated patients with squamous cell carcinoma of the oral cavity. Five year-survival rate was 44% in 9 patients previously operated on and 53% in 28 patients previously treated by radiation. Of these 28 patients, the 5-year survival rate was 44% in 18 patients with nodal recurrences. Their survival rate was lower than T1T2pN+patients who had surgery as the primary treatment. Patients previously treated by radiation had a higher frequency of nodal metastases to mid-lower jugular site and a higher percentage of distant metastases than T1T2pN+ patients primarily operated on. This seems to be the reason for the low survival rate in patients previously treated by radiation.
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