Related Experiment Videos
Carcinoma of the buccal mucosa
D K Chhetri1, J D Rawnsley, T C Calcaterra
1Division of Head and Neck Surgery, UCLA School of Medicine, Los Angeles, CA 90095, USA.
Objective:
The goal was to analyze the outcome of surgical therapy for buccal carcinoma.
Study Design:
A retrospective chart review was done.
Setting:
The study took place in a major tertiary-care hospital.
Results:
Twenty-seven patients received first-time surgical therapy for buccal carcinoma. Treatment was surgery alone in 15 and surgery followed by radiation therapy in 6 patients. Six additional patients received surgical salvage for radiation therapy failure. Composite resection of the tumor was performed in 16 patients (59%). Five-year observed actuarial survival rates were 100%, 45%, 67%, and 78%, and locoregional recurrence rates were 0%, 27%, 44%, and 0% for stages I to IV, respectively. The 5-year actuarial survival rates were 80% after surgery and 82% after surgery and postoperative radiation therapy. Patients who underwent surgical salvage after radiation therapy failure had a 1-year survival rate of 0%.
Conclusion:
Aggressive surgical treatment of buccal carcinoma may result in better survival rates.
Significance:
The article analyzes buccal carcinoma in regards to the patterns of presentation, treatments rendered, and patterns of failure.