What is the preferred initial method of treatment for squamous carcinoma of the tongue?

The medical records of 152 previously untreated patients with squamous carcinoma of the tongue were reviewed. Radiation, surgery and the combination of both were analyzed with respect to the stage of disease treated, local and regional failure and ultimate salvage. The plan of treatment for a prospective patient is formulated based on the data. Surgery appears to be the best initial treatment for cancers staged T2, T3 and T4. T1 lesions can be treated with either radiation or surgery, and selection should be determined by the pertinent patient factors.