Read at the meeting of the American College of Surgeons, San Francisco, Calif., October 2–6, 1972.
Surgical treatment of squamous cell carcinoma of the tonsil†
Article first published online: 5 JAN 2009
Copyright © 1974 The Triological Society
Volume 84, Issue 1, pages 90–97, January 1974
How to Cite
Whicker, J. H., Desanto, L. W. and Devine, K. D. (1974), Surgical treatment of squamous cell carcinoma of the tonsil. The Laryngoscope, 84: 90–97. doi: 10.1288/00005537-197401000-00008
- Issue published online: 5 JAN 2009
- Article first published online: 5 JAN 2009
- Manuscript Received: 21 JUN 1973
- Manuscript Accepted: 21 JUN 1973
From 1960 through 1968, we examined 117 patients with carcinoma of the tonsil. Of these 117 patients a choice of the primary treatment modality existed for 96 patients, and 68 percent had surgery as their initial treatment. The absolute five-year survival for all patients undergoing surgical procedures designed to cure was 48 percent. Tonsillar cancers are neither anaplastic nor markedly radiosensitive. The incidence of local recurrence in seven published series in which the primary tonsillar cancer was treated with radiation averaged 49 percent. We believe that the local recurrence rate of 19 percent in our surgical series reflects our dependence on frozen tissue examination and suggests that surgery offers a good chance of eradicating operable tonsillar carcinoma.