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Second salvage surgery for re-recurrent oral cavity and oropharynx carcinoma

✍ Scribed by Ivan Marcelo Gonçalves Agra; João Gonçalves Filho; Everton Pontes Martins; Luiz Paulo Kowalski

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
129 KB
Volume
32
Category
Article
ISSN
1043-3074

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✦ Synopsis

Abstract

Background.

Salvage surgery is considered the best treatment approach for patients with recurrent oral carcinoma. Unfortunately, 50% to 60% of the patients who undergo salvage surgery will develop further locoregional recurrence, and they are not usually considered for further treatment. Our aim in this study was to report our experience with a second salvage surgery for selected patients with re‐recurrent oral cavity and oropharyngeal squamous cell carcinoma (SCC).

Methods.

Forty‐one patients underwent a second salvage surgical procedure, with curative intention for re‐recurrent oral cancer. The surgical treatment used was wide local resection in 34 cases, neck dissection in 9 cases, and isolated neck dissection in 7 cases.

Results.

Cancer‐specific survival (CSS) rate in 3 years was at 20%. Patients with re‐recurrence in <6 months presented 3‐year CSS null, whereas patients with re‐recurrence after 6 months presented 3‐year CSS of 32.3% (p = .007).

Conclusion.

Second salvage surgery can be considered a potentially curative therapeutic approach for a selected group of patients with re‐recurrent oral SCC. The disease‐free interval was the main clinical factor associated with the prognosis. © 2010 Wiley Periodicals, Inc. Head Neck, 2010

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