Gehanno P, Enaux M, Barry B, Depondt J, Guedon C
Service d'O.R.L. et de chirurgie cervico-faciale, Hôpital Bichat-Claude Bernard, Paris.
Ann Otolaryngol Chir Cervicofac. 1994;111(5):265-9.
Forty women, average age of 54, have been treated in first intention or after the failure of a previous treatment, for a squamous cell carcinoma of the tongue. Eighteen (45%) had no risk factors and 9 were under forty years of age. The oral tongue was the most frequent localisation in the group of patient without risk factors. Nineteen local failures were observed. Actuarial three-years survival was 36%. We believe that the poor prognosis of female tongue squamous carcinoma requires aggressive treatment with combined surgery and brachytherapy on the primary lesion and prophylactic neck dissection even in patients without palpable cervical nodes.
40名平均年龄为54岁的女性因舌鳞状细胞癌接受了一期治疗或前期治疗失败后的治疗。18名（45%）没有危险因素，其中9名年龄在40岁以下。在无危险因素的患者组中，口腔舌部是最常见的发病部位。观察到19例局部复发。三年精算生存率为36%。我们认为，女性舌鳞状细胞癌预后较差，即使在没有可触及颈部淋巴结的患者中，也需要对原发灶进行手术和近距离放疗联合的积极治疗以及预防性颈清扫术。
