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Cancer of the tongue: A study based on 653 patients
Abstracts of Current
Literature
ORAL PATHOLOGY Cancer of the Tongue: A study Baaed Burg. 44: 433-446, March, 1957.
on
653 Patients.
s. Cade and 3% S. Lee.
&it.
J.
Cade and associates have made observations on 653 patients. Whereas in 1925 there were ten men to one woman among the patients with cancer of the tongue, this ratio has gradually fallen to 2:l. They differentiate between “small ” and ‘ ‘large, ” rather than early and late, lesions since reliable statements about the length of the history were rare. The lymph nodes had become involved in 57 per cent of the patients when first seen, and in about one-half of the remaining 43 per cent the lymph nodes became involved later. Histologically, all but eight of the tumors were squamous-cell carcinoma. In interstitial radium therapy, the implantation was carried out under general a?esThe position of the standard radium thesis, with an endotracheal tube and a throat pack. this is necessary for the calculation of the dose. needles is checked by roentgenograms; With a dose rate of from 40 to 50 r per hour, a total dose of 7,000 to 8,000 r can be given in seven days. The authors carried out 573 tongue implants in 507 PatientaConventional roentgen therapy with 200 or 400 kv. has proved disappointing, and these The authors used teleradium units rays should be used only in dosages of 2 million volts. whenever external irradiation seemed indicated, and recently they used radioactive cobalt. They believe that radical surgery is rarely necessary, primary radium resistance or postirradiation recurrences being about the only indications for radical operations. The treatment of choice for cervical lymph nodes remains radical or block dissection Taking into account the great palliative of the neck under certain well-defined conditions. value, the authors believe that radium therapy remains the method of choice in the great majority of patients. T. J. C. Tuberculosis of the Facial Bones. (La tubercolosi CanePa. Arch chir. ortop. 21: 375, November,
delle 1956.
0848 della
faccia.)
The incidence of the disease decreases with the age of the patient. The presence of lesions tubercular lesions of the bones or lungs arc present. and gums favors the establishment of the infection. The localization was in the mandible and the upper maxilla in eight. Fracture spite of the extension of the lesion. difficult
GiusePPe Often other of the teeth
in seventeen patients, the malar bones in nine, of the mandible is a very rare occurrence in
The diagnosis, which is easy to make when other tubercular lesions are present, is when the localization in the facial bones is the primary lesion or the most evident.
The treatment was needed.
was conservative
and surgery
was resorted
to only when a sequestrectomy T. J. C.
336
Literature
ORAL PATHOLOGY Cancer of the Tongue: A study Baaed Burg. 44: 433-446, March, 1957.
on
653 Patients.
s. Cade and 3% S. Lee.
&it.
J.
Cade and associates have made observations on 653 patients. Whereas in 1925 there were ten men to one woman among the patients with cancer of the tongue, this ratio has gradually fallen to 2:l. They differentiate between “small ” and ‘ ‘large, ” rather than early and late, lesions since reliable statements about the length of the history were rare. The lymph nodes had become involved in 57 per cent of the patients when first seen, and in about one-half of the remaining 43 per cent the lymph nodes became involved later. Histologically, all but eight of the tumors were squamous-cell carcinoma. In interstitial radium therapy, the implantation was carried out under general a?esThe position of the standard radium thesis, with an endotracheal tube and a throat pack. this is necessary for the calculation of the dose. needles is checked by roentgenograms; With a dose rate of from 40 to 50 r per hour, a total dose of 7,000 to 8,000 r can be given in seven days. The authors carried out 573 tongue implants in 507 PatientaConventional roentgen therapy with 200 or 400 kv. has proved disappointing, and these The authors used teleradium units rays should be used only in dosages of 2 million volts. whenever external irradiation seemed indicated, and recently they used radioactive cobalt. They believe that radical surgery is rarely necessary, primary radium resistance or postirradiation recurrences being about the only indications for radical operations. The treatment of choice for cervical lymph nodes remains radical or block dissection Taking into account the great palliative of the neck under certain well-defined conditions. value, the authors believe that radium therapy remains the method of choice in the great majority of patients. T. J. C. Tuberculosis of the Facial Bones. (La tubercolosi CanePa. Arch chir. ortop. 21: 375, November,
delle 1956.
0848 della
faccia.)
The incidence of the disease decreases with the age of the patient. The presence of lesions tubercular lesions of the bones or lungs arc present. and gums favors the establishment of the infection. The localization was in the mandible and the upper maxilla in eight. Fracture spite of the extension of the lesion. difficult
GiusePPe Often other of the teeth
in seventeen patients, the malar bones in nine, of the mandible is a very rare occurrence in
The diagnosis, which is easy to make when other tubercular lesions are present, is when the localization in the facial bones is the primary lesion or the most evident.
The treatment was needed.
was conservative
and surgery
was resorted
to only when a sequestrectomy T. J. C.
336