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Tonsil carcinoma--treatment results
The Laryngoscope
|November 1, 1979
Summary
This study reviewed treatment for epidermoid carcinoma of the tonsil, a common upper aerodigestive tract cancer. A combined approach of preoperative radiation and surgery achieved a 58% two-year survival rate.
Area of Science:
- Oncology
- Otorhinolaryngology
- Head and Neck Surgery
Background:
- Epidermoid carcinoma of the tonsil is a frequent malignancy within the upper aerodigestive tract.
- Its incidence is comparable to laryngeal carcinoma at the University of Cincinnati Medical Center.
Purpose of the Study:
- To review the author's experience treating tonsil epidermoid carcinoma.
- To evaluate the efficacy of a combined preoperative radiation and surgical resection protocol.
Main Methods:
- Treatment involved a combination of 5000 rads of preoperative radiation therapy.
- This was followed by composite resection of the cancerous lesions.
Main Results:
- The overall two-year crude survival rate for all treated patients was 58%.
- For T3 stage lesions, a two-year survival rate of 60% was observed.
- This survival rate for T3 lesions favorably compares with published data from other treatment series.
Conclusions:
- The combined modality treatment of preoperative radiation and composite resection is a viable strategy for tonsil epidermoid carcinoma.
- This approach demonstrates promising survival outcomes, particularly for advanced (T3) lesions.