Kubo R, Matsumura M, Kijima N
HNO. 1977 Jun;25(6):198-203.
In the past 18 years 34 patients (21 males and 13 females) with carcinoma of the tongue were treated in the author's clinic. Patients with T1N0 lesions were treated satisfactorily only with irradiation. Patients with advanced disease, such as T2-T4 with metastases, were classified into 2 groups. One group was treated surgically (hemiglosectomy and radical neck dissection) and postoperative irradiation (about 6000 rads). The other group was treated with preoperative irradiation (about 4000 rads) and the same operation as the first groups. The results are significantly different. In the first group, 15 patients out of 17 died from local or cervical recurrences, whilst in the latter group 12 patients of 14 are in good health. As two patients died from unknown disease the 5 year survival of this group is 100%.
在过去18年里，作者所在诊所共治疗了34例舌癌患者（21例男性，13例女性）。T1N0期病变的患者仅接受放射治疗，效果令人满意。患有晚期疾病的患者，如伴有转移的T2 - T4期患者，被分为两组。一组接受手术治疗（半舌切除术和根治性颈清扫术）及术后放疗（约6000拉德）。另一组接受术前放疗（约4000拉德），并进行与第一组相同的手术。结果有显著差异。第一组17例患者中有15例死于局部或颈部复发，而在后一组14例患者中有12例健康状况良好。由于有两名患者死于不明疾病，该组的5年生存率为100%。
