Article

Surgical management of T1 oropharyngeal carcinoma.

Department of Otorhinolaryngology, Head and Neck Surgery, University of Crete Medical School, Heraklion, Crete, Greece.
Head & Neck (impact factor: 2.4). 11/2011; 34(9):1277-82. DOI:10.1002/hed.21916 pp.1277-82
Source: PubMed

ABSTRACT The purpose of this study was to assess the efficacy of primary transoral surgery in the management of T1 oropharyngeal carcinoma.
A retrospective evaluation was conducted on the files of all patients treated with primary surgery for pT1 oropharyngeal carcinoma at a tertiary referral center between 1976 and 2005.
A total of 223 cases were assessed. Disease-specific survival was 88% and local control 93%. Transoral surgery with the use of CO(2) laser or electrocautery was adopted in every case. Positive surgical margins and regional disease were found to significantly worsen prognosis. A low rate of complications and satisfactory retention of pharyngeal function were noted.
Primary transoral surgical treatment is very effective against T1 oropharyngeal carcinoma. A low rate of complications should be expected. However, in every case complete excision of the tumor must be accomplished and the neck included in the primary treatment plan.

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Keywords

case complete excision
 
Disease-specific survival
 
local control 93%
 
low rate
 
patients
 
Positive surgical margins
 
primary surgery
 
primary transoral surgery
 
Primary transoral surgical treatment
 
primary treatment plan
 
pT1 oropharyngeal carcinoma
 
satisfactory retention
 
T1 oropharyngeal carcinoma
 
tertiary referral center
 
Transoral surgery