Page 1 of 1: Ca tongue

Guest · Credits: 78845 My Scrapbook My Reading List 262569 Books

what is the best managment in a pt. with ca base of tongue and nonpalpable nodes?
1.unilateral radical neck dissection
2.unilat. selective submandibular dissection
3.unilat. irradiation of neck nodes
4.bilat.irradiation of neck nodes
please give explanation/ref

manipalguy · Credits: 16025 My Scrapbook

hi !!!
when the nodes are not palpabe at all... a follow up should be done after doing the relevent surgical cure for the primary carcinoma...
. sometimes if teletherapy(in which cobalt 60 units is used) is given to patientssubmandibular nodes are also included in the field. reference is from .. das textbook of surgery...
bye

Guest · Credits: 78845 My Scrapbook My Reading List 262569 Books

but what telepathy-unilateral or bilateral?

manipalguy · Credits: 16025 My Scrapbook

bilateral fields are included

Guest · Credits: 78845 My Scrapbook My Reading List 262569 Books

thanks

indianprince · Credits: 943 My Scrapbook

Dear members,
1. Carcinoma of base of tongue spreads bilaterally
2. N-zero (nonpalpable) neck nodes r usually N+(micro-permeated) and manifest later in 60 % cases
3. If the primary is being treated by surgery then elective neck dissectoin bilaterally is performed upto level 3 in posterior oral cavity cancers
4. A simple followup is not adviseable coz N+ nodes coz later dissection is very difficult and cure rates are lower
5. Later radiotherapy is usually given if tumor burden is more

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