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Oral Tongue Cancer

Control Rates with Radiation Alone (Leible & Phillips Text)
Stage Local Control
T1 70-87%
T2 64-87%
T3 38-71%

In general,  early cancers of the oral tongue are best treated with local surgery. For more advanced cancers, surgery followed by radiation probably has the best control rates with the least side effects. (see NCCN guidelines for early and moderate cancers and for more advanced and the radiation dose.)  If radiation alone is used it is often necessary to combine the external beam irradiation with a needle implant (interstitial radiation.)

Good Web Sites with Basic Information about oral tongue cancer:   ACS, CancerNet, E-Medicine, Medline Plus, NCI, NIH

Typical radiation port film for an early lesion with negative nodes, another port field, nodes, neck nodes at risk

Images of tongue cancer: #1, #2, #3, #4, #5,. #6, #7, #8, and PET

Some representative studies are noted here:

5 year relative survival  for patients with cancer of the oral cavity according to SEER data:
56% (all), 82% (local), 46% (regional), 21% (distant)

5 year survival for squamous cancer of the oral cavity from the  AJCC by stage is as noted below

Stage Relative Survival/5y Observed Survival/5y
I 68.1% 59.8%
II 52.9% 46.3%
III 41.3% 36.3%
IV 26.5% 23.3%