[Treatment of squamous-cell carcinoma of the upper gum and the hard palate].
OBJECTIVE
The aim of this retrospective study was to determine a rational of treatment of squamous-cell carcinoma of the upper gum and hard palate.


METHODS
We analyzed retrospectively a series of 34 patients treated over a period of 11 years.


RESULTS
There were 19 women (76%); mean age was 67.3 years; 76% had advanced tumors; 28% had neck nodes. The 5-year survival rate was 33.7%; patients without node involvement had better prognosis (p=0.034). The 5-year rate of recurrence-free survival was 61%; patients without node involvement had better prognosis (p = 0.032). At the end of the study, only 42% of patients were still alive.


CONCLUSIONS
This type of tumor is different from those of other locations in the oral cavity or oropharynx. At the present time, surgery associated or not with post-operative radiotherapy seems to be optimal curative treatment. The question of whether neck dissection should be performed remains debated for patients without clinically nodes.
Zwetyenga
N
N
Service de Chirurgie Maxillo-faciale et Stomatologie, CHU de Bordeaux. narcisse.zwetyenga@chu-bordeaux.fr
Miquel
L
L
Garuet
A
A
Ricard
A-S
AS
Majoufre-Lefebvre
C
C
Demeaux
H
H
Siberchicot
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D005260:Female; D005887:Gingival Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D009367:Neoplasm Staging; D010157:Palatal Neoplasms / Q000473:pathology / Q000601:surgery*; D021362:Palate, Hard / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D015996:Survival Rate