Prognostic factors in mobile tongue and floor of mouth carcinoma

This study identifies significant prognostic factors in squamous cell carcinomas of the anterior tongue and floor of mouth. It is clear that the TMN staging system does not account for other important variables that affect tumor prognosis. Tumor thickness and the presence of perineural invasion and...

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Veröffentlicht in:Cancer 1989-09, Vol.64 (6), p.1195-1202
Hauptverfasser: Brown, Bert, Barnes, Leon, Mazariegos, Juan, Taylor, Floyd, Johnson, Jonas, Wagner, Robin L.
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container_end_page 1202
container_issue 6
container_start_page 1195
container_title Cancer
container_volume 64
creator Brown, Bert
Barnes, Leon
Mazariegos, Juan
Taylor, Floyd
Johnson, Jonas
Wagner, Robin L.
description This study identifies significant prognostic factors in squamous cell carcinomas of the anterior tongue and floor of mouth. It is clear that the TMN staging system does not account for other important variables that affect tumor prognosis. Tumor thickness and the presence of perineural invasion and intralymphatic tumor emboli should be examined in all resected tumors. Tumor thickness, tumor size, and perineural invasion all have an impact on survival and must be considered in treatment plans. Tumors measuring between 2 mm and 3 mm may or may not have metastases and further evaluation of this group needs to be done. Most importantly, the data in this study supports a multiinstitutional prospective evaluation of pathology specimens. Precise guidelines must be established for handling of the specimen, which must then be evaluated for the variables mentioned above. In this way, more definitive conclusions can be reached in the management of tumors of the antierior tongue and floor of mouth.
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It is clear that the TMN staging system does not account for other important variables that affect tumor prognosis. Tumor thickness and the presence of perineural invasion and intralymphatic tumor emboli should be examined in all resected tumors. Tumor thickness, tumor size, and perineural invasion all have an impact on survival and must be considered in treatment plans. Tumors measuring between 2 mm and 3 mm may or may not have metastases and further evaluation of this group needs to be done. Most importantly, the data in this study supports a multiinstitutional prospective evaluation of pathology specimens. Precise guidelines must be established for handling of the specimen, which must then be evaluated for the variables mentioned above. 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subjects Aged
Biological and medical sciences
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - secondary
Female
Follow-Up Studies
Humans
Lymphatic Metastasis
Male
Medical sciences
Middle Aged
Mouth Floor
Mouth Neoplasms - mortality
Mouth Neoplasms - pathology
Neoplasm Invasiveness
Neoplasm Recurrence, Local
Neoplasm Staging
Neoplastic Cells, Circulating
Otorhinolaryngology. Stomatology
Prognosis
Retrospective Studies
Tongue Neoplasms - mortality
Tongue Neoplasms - pathology
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Prognostic factors in mobile tongue and floor of mouth carcinoma
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