title: [Treatment for the early stages (T1-T2NO) of squamous cell carcinoma of the mobile tongue].
abstract: OBJECTIVE
  The aim of this study is to define the best local treatment in patients with squamous cell carcinoma of mobile tongue in the early stages (I-II) and to establish the best election for neck management.
  
  
  METHODS
  We evaluated 90 patients classified as stage I and II between 1984 and 1999. Sixty-eight patients out of the ninety (75%) were treated with radio-therapy and twenty-two (25%) with surgery. Neck dissection was used in 39% (35/90) of patients.
  
  
  RESULTS
  The rates of ultimate local control for T1NO lesions were similar for both treatment groups (94% vs. 95%). For T2N0 lesions the ultimate local control did improved in those patients treated with surgery (100%) compared to those that had radiotherapy (77%). Regional control was better in the group that underwent neck dissection compared to the group that had just ganglionar control (89% vs. 79%).
  
  
  CONCLUSIONS
  We recommend local surgical treatment for T1-T2NO and in our experience prophylactic treatment of lymph nodes leads to a better regional control.
authors.affiliation: Servicio ORL, Hospital de la Santa Creu i Sant Pau, Universitat Autónoma, Barcelona.
authors.forename: J R
authors.initials: JR
authors.lastname: Gras
authors.forename: C
authors.initials: C
authors.lastname: Orús
authors.forename: X
authors.initials: X
authors.lastname: León
authors.forename: M P
authors.initials: MP
authors.lastname: Venegas
authors.forename: L
authors.initials: L
authors.lastname: Gañán
authors.forename: M
authors.initials: M
authors.lastname: Quer
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011446:Prospective Studies; D015996:Survival Rate; D014062:Tongue Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery