Title: Recurrence Pattern of Early Stage- Node Negative Oral Tongue Carcinoma Post Operative - A Retrospective Study
Authors: Dr R. Giridharan, Dr Balasubramaniam. R
Aim: To evaluate the recurrence pattern in early stage cancers of oral tongue, after surgery and the contributing factors for such recurrence.
Methods & Materials: This is a retrospective analysis of patients with carcinoma tongue recurrence presented during the study period Jan 2016- December 2017. Total number of patients included in this study was 267. These patients treatment records were analyzed and 58 patients who presented with early stage (T1T2N0) initially were identified. Among them the pattern of recurrence and the risk factors were studied
Result: Recurrence occurred in the age group of 35-55 years, male: female ratio is 3-4: 1, and interval of recurrence ranges from - 6 months to 7 years. All quit the habit of smoking, alcohol immediately.68% restarted consuming alcohol after 1-2 YEARS, 35% restarted smoking again after a gap of 2-3 years, and 12% restarted taking pan and tobacco after 4-5 years. Stage at recurrence was T3N1-3MO stage. All of them had undergone single modality of approach 96% of them had WLE + SOND, and their pathological report were T1T2N0.
Conclusion: Continuation of the risk factors and lack of counseling and follow up are the prime reasons for recurrence in early stage of CA tongue. The role of adjuvant therapy in early stage warrants randomized study in the future.
Keywords: Carcinoma Tongue, Recurrence, Risk factors