Results of primary surgery in the treatment of oropharyngeal cancer
Piquet, J.J.; Darras, J.A.; Roux, X.; Garcette, L.; Boucquilon, P.; Madelain, M.
Annales d'Oto-Laryngologie et de Chirurgie Cervico Faciale Bulletin de la Societe d'Oto-Laryngologie des Hopitaux de Paris 103(8): 555-558
1986
ISSN/ISBN: 0003-438X PMID: 3827077 Document Number: 270621
A homogeneous series of 106 cases of malignant tumor of tonsillar region was treated by first intention surgery. Treatment proposed for these patients with ulcerated or infiltration tumors often extending to pillars or to tongue was transmandibular buccopharyngectomy with curettage of glands and postoperative radiotherapy. Unadjusted survival rate at 3 years was 62% (T2 and T3) and at 5 years 35%. Clinical glandular enlargement, detected in 50% of cases, resulted in poorer prognosis, which decreased from 48% at 5 years to 25% in patients with histologic metastasis in lymph nodes.