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September 1963

Carcinoma of Tongue, Bucal Mucosa, and Mandible: Results From Surgical Treatment

Author Affiliations

From the Surgical Service, Veterans Administration Medical Teaching Group Hospital, and the Department of Surgery of the University of Tennessee College of Medicine.

Arch Surg. 1963;87(3):516-520. doi:10.1001/archsurg.1963.01310150152034

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

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