[Mobile tongue cancer. Prognostic value of lymph node invasiveness. Apropos of 744 cases].
Between 1974 and 1983, 744 carcinomas of the mobile tongue were treated at Centre Oscar Lambret. 54% of the tumours were T1 T2 and 66% N0 (84% for T1 T2 - 46% for T3 T4) (UICC, 1979). The 3 and 5 year survival rates were 47% and 35% for N0 patients versus 17% and 11% for patients with palpable cervical node. In 598 patients without a previous history of neoplasm, this cancer was isolated at first examination. The pronostic study was carried out only on this group. Palpable lymph node reduced the 5 year survival to one third by affecting the local and neck control and risk of distant metastases. 311 patients underwent at least an unilaterale neck dissection. The 5 years survival rate for N- group (68%) was double that of the N+ R- group (32%) which in turn was double that of the N+ R- group (14%). The presence of 3 or more positive nodes or one infra-omohyoid node divided the survival by 3 (22 and 20% respectively versus 68% for N- patients).
Buisset
E
E
Service d'ORL et de Carcinologie Cervico Maxillo-Faciale, Lille.
Lefébvre
J L
JL
Coche-Dequeant
B
B
Delobelle-Deroide
A
A
Vankemmel
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009333:Neck; D009361:Neoplasm Invasiveness; D011379:Prognosis; D012189:Retrospective Studies; D014062:Tongue Neoplasms / Q000401:mortality* / Q000473:pathology
Les cancers linguaux et pelvi-linguaux. Valeur pronostique de l'envahissement ganglionnaire. A propos de 744 cas.