Behandlung und Behandlungsergebnisse bei Mundbodenkarzinomen

Autor: H. Steinhart, O. Kleinsasser
Rok vydání: 1992
Předmět:
Zdroj: Laryngo-Rhino-Otologie. 71:556-560
ISSN: 1438-8685
0935-8943
DOI: 10.1055/s-2007-997354
Popis: The records of 68 patients with cancer of the floor of the mouth were reviewed. 56 patients underwent surgical management, 51 of them got additionally postoperative radiation. The tumour-specific five years' survival for patients with operation was 46%, 57% of treatment failures developed from local recurrence of the tumour. In 52% of all cases there was a spread to the lymphatic system in the histological evaluation. There was high incidence of false negative clinical examinations of the neck. Conservative neck dissection was the procedure of choice for clinically positive lymph nodes and for the elective management of the neck. Only advanced tumours showed involvement of the mandibular bone. Therefore a conservative management of mandibular resection was preferred. Radical tumour extirpation and histological controlling with serial sectioned specimens are methods of avoiding local tumour recurrence.
Databáze: OpenAIRE