- Email: [email protected]
Cancer of the tongue
.4bstmcts
and
Rc~Geu*s
167
Cancer of the Tongue : By 17. A. Havens, M.D., Section on Laryngology, and Plastic Surgery, 1941.
PI.oc*. S’tcr#’M’c&I:/s,
Oral Mtr!/o Clinic 16: No. 5, Jail. 29,
Malignant tumors involviug the tongue and floor of the mouth are more difficult to treat successfully than growths in other locations of the mouth because such tumors usually are highly malignant and because the extreme vascularity of the tongue, and its rich lymphatic supply, greatly increase the likelihood of early metastasis. The squamous-cell carcinoma is the most frequently encountered malignant tumor. The patients are males in 90 per cent of cases, and they are usually between 45 and 60 years of age. Treatment is planned to control the primary lesion and to prevent metastasis. Well-localized tumors situated on the anterior portion of the tongue may be excised sharply, or may be removed with the cutting cautery, particularly if they are not highly malignant. Lesions situated farther posteriorly as well as those on the vent,ral aspect, and involving t,he floor of the mouth, are more satisfactorily treated by electrocoagulation and implantation of radium. Lesions too extensive for surgical removal should be treated with implanted radium. The use of gold radon points is highly recommended. Surgical remora1 of the regional lymph nodes is recommended in all cases in which the local lesion permits surgical remolral and irradiation recommended when surgery is not advisable. T. J. Cook.
Cancer of the Lips and Cheeks:
By F. A. Gigi, M.D., Section of Laryngology, Oral and Plastic Surgery, Proc. Staf Meetings, Mayo Clinic 16: No. 5, Jan. 29, 1941.
Malignancy develops on the lower lip four times as often as it develops on the tongue and more than five times as frequently as it develops in the rcmainder of the oral mucous membrane. The malignant tumors of the lips are usually squamous-cell epitheliomas and usually arise on the vermilion border of the lower lip, and only 1 per cent of the patients are females. These lesions, although frequently seen in pnticnts past middle age, have been known to occur in the young, and although usually single, they may be multiple. These cancers are as a rule of low-grade or moderate activity and may be removed by excising an ellipt,ical portion extending along the vermilion border, and if histopat,hologic study shows the lesion to be actively malignant, the regional lymphatic structures are removed. T. J. Cod.
Cancer of the Jaws: Plastic Surgery,
By J. B. Erich, M.D., Section of Laryngology, Oral and staff &feetings, ,~fccyo G&tic 16: No. 5, Jan. 29, 1941.
Proc.
A high percentage of cures may be effected if the treatment of malignant tumors of the jaws is carried out by properly executed present-day surgical procedures. Malignant tumors of the jaws are classified as squamous-cell epitheliomas, various forms of sarcomas, adenocarcinomas of the mixed tumor type, and adamantinomas, the most frequently encountered being the squamouscell epitheliomas, of low grade, that have a papillary or granular appearance
and
Rc~Geu*s
167
Cancer of the Tongue : By 17. A. Havens, M.D., Section on Laryngology, and Plastic Surgery, 1941.
PI.oc*. S’tcr#’M’c&I:/s,
Oral Mtr!/o Clinic 16: No. 5, Jail. 29,
Malignant tumors involviug the tongue and floor of the mouth are more difficult to treat successfully than growths in other locations of the mouth because such tumors usually are highly malignant and because the extreme vascularity of the tongue, and its rich lymphatic supply, greatly increase the likelihood of early metastasis. The squamous-cell carcinoma is the most frequently encountered malignant tumor. The patients are males in 90 per cent of cases, and they are usually between 45 and 60 years of age. Treatment is planned to control the primary lesion and to prevent metastasis. Well-localized tumors situated on the anterior portion of the tongue may be excised sharply, or may be removed with the cutting cautery, particularly if they are not highly malignant. Lesions situated farther posteriorly as well as those on the vent,ral aspect, and involving t,he floor of the mouth, are more satisfactorily treated by electrocoagulation and implantation of radium. Lesions too extensive for surgical removal should be treated with implanted radium. The use of gold radon points is highly recommended. Surgical remora1 of the regional lymph nodes is recommended in all cases in which the local lesion permits surgical remolral and irradiation recommended when surgery is not advisable. T. J. Cook.
Cancer of the Lips and Cheeks:
By F. A. Gigi, M.D., Section of Laryngology, Oral and Plastic Surgery, Proc. Staf Meetings, Mayo Clinic 16: No. 5, Jan. 29, 1941.
Malignancy develops on the lower lip four times as often as it develops on the tongue and more than five times as frequently as it develops in the rcmainder of the oral mucous membrane. The malignant tumors of the lips are usually squamous-cell epitheliomas and usually arise on the vermilion border of the lower lip, and only 1 per cent of the patients are females. These lesions, although frequently seen in pnticnts past middle age, have been known to occur in the young, and although usually single, they may be multiple. These cancers are as a rule of low-grade or moderate activity and may be removed by excising an ellipt,ical portion extending along the vermilion border, and if histopat,hologic study shows the lesion to be actively malignant, the regional lymphatic structures are removed. T. J. Cod.
Cancer of the Jaws: Plastic Surgery,
By J. B. Erich, M.D., Section of Laryngology, Oral and staff &feetings, ,~fccyo G&tic 16: No. 5, Jan. 29, 1941.
Proc.
A high percentage of cures may be effected if the treatment of malignant tumors of the jaws is carried out by properly executed present-day surgical procedures. Malignant tumors of the jaws are classified as squamous-cell epitheliomas, various forms of sarcomas, adenocarcinomas of the mixed tumor type, and adamantinomas, the most frequently encountered being the squamouscell epitheliomas, of low grade, that have a papillary or granular appearance