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Conventional transoral surgery for stage I–II squamous cell carcinoma of the tonsillar region

Authors

  • Ollivier Laccourreye MD,

    Corresponding author
    1. Université Paris Descartes Sorbonne Paris Cité, HEGP, Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, AP-HP, 20-40 rue Leblanc, 75015, Paris
    • Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Hôpital Européen Georges Pompidou, 20 rue leblanc, 75015, Paris, France
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  • David Malinvaud MD,

    1. Université Paris Descartes Sorbonne Paris Cité, HEGP, Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, AP-HP, 20-40 rue Leblanc, 75015, Paris
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  • Hatem Alzahrani MD,

    1. Riyadh Military Hospital, Riyadh City, Saudi Arabia
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  • Madeleine Ménard MD,

    1. Université Paris Descartes Sorbonne Paris Cité, HEGP, Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, AP-HP, 20-40 rue Leblanc, 75015, Paris
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  • Dominique Garcia MD,

    1. Clinique d'Arcachon, 109 Boulevard de la Plage 33120 Arcachon, France
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  • Pierre Bonfils MD,

    1. Université Paris Descartes Sorbonne Paris Cité, HEGP, Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, AP-HP, 20-40 rue Leblanc, 75015, Paris
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  • F. Christopher Holsinger MD

    1. The University of Texas MD Anderson Cancer Center, 151 Holcombe Blvd, Houston, TX
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Abstract

Background

The purpose of this study was to review the results of conventional transoral resection and neck dissection for stage I to II squamous carcinoma of the tonsillar region.

Methods

We conducted a retrospective review of 65 patients (stage I, 21 patients; stage II, 44 patients). Induction chemotherapy and postoperative radiation therapy (RT) were administered in 76.9% and 12.3%, respectively, of these cases.

Results

The postoperative course was uneventful in 96.9% of patients. Five-year actuarial estimates for local recurrence, nodal recurrence, distant metastasis, and survival were 0% to 7.6%, 0% to 7.8%, 0% to 7.3%, and 70.8% to 71.5% for patients with T1 to T2 carcinoma, respectively. Contralateral and retropharyngeal recurrence occurred in only 1 patient.

Conclusion

Conventional transoral resection with ipsilateral neck dissection provides an alternative approach for patients with stage I to II squamous cell carcinoma (SCC) of the tonsillar region. A primary surgical approach spares the use of radiotherapy to eliminate late effects and to permit its use for subsequent management of metachronous head and neck second primary cancer. © 2012 Wiley Periodicals, Inc. Head Neck, 2013

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