Selection of type of therapy for oral cancer is difficult to establish accurately and involves the use of x-ray therapy, combination of x-ray and surgery, surgery alone, and, if surgery, how extensive the procedure should be and whether the excision should be continuous with a lymphatic extirpation, interrupted lymphatic extirpation, or delayed lymphatic resection and advantage of the socalled commando procedure. Obviously, any attempt at solving these problems must include a survey of long-term results. One must realize that there is no consistency in the surgical attack by different surgeons.
A review of the literature reveals a fiveyear cure rate of 22% and 46% following radiation therapy alone.1-3 Combinations of x-ray to source followed by radical neck dissection for carcinoma of the tongue yielded 25% in 19404 and later 34.3% in 19515 at Memorial Hospital in New York. All reports indicate better results in buccal mucosa carcinoma
BOWERS RF, HENLEY WH. Carcinoma of Tongue, Bucal Mucosa, and Mandible: Results From Surgical Treatment. Arch Surg. 1963;87(3):516–520. doi:10.1001/archsurg.1963.01310150152034
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