Carcinoma do bordo da língua em fase inicial. Apresentação de dois casos clínicos | Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial

Información del artículo

Resumo

O carcinoma do bordo da língua é um dos carcinomas mais frequentes da cavidade oral, manifestando-se em 37 % dos casos. 90 % destes correspondem a carcinoma de células escamosas (CCE). A sobrevida é estimada em 5 anos, sendo inversamente proporcional à sua detecção. Daí a importância de detectar as lesões em fase inicial. O Objectivo deste trabalho é discutir qual o tipo de tratamento mais eficaz para os estadios iniciais do carcinoma da língua que permita uma sobrevida prolongada com o mínimo de sequelas.

Palavras-chave:

Carcinoma da língua

Cirurgia

Radioterapia

Metástases linfonodais ocultas

Esvaziamento Cervical Electivo (ECE)

Tomografia Axial Computorizada (TAC)

Abstract

The carcinoma of the border of the tongue is one of the most common carcinomas of the oral cavity, makes up 37 % of all oral tumors. 90 % of these correspond to squamous cell carcinoma (SCC). The survival rate is estimated at 5 years and is inversely proportional to its detection. Hence the importance of detecting early-stage lesions. The objective of this paper is to discuss what type of treatment is more effective for the early stages of carcinoma of the tongue to allow a prolonged survival with minimal sequelae.

Keywords:

Early carcinoma of the tongue

Surgery

Radiotherapy

Elective Neck Treatment

Occult Limph Node Metastasis

Computed tomography

El Texto completo está disponible en PDF

Bibliografia

[1.]

M. Gorsky, J.B. Epstein, C. Oakley, N.D. Le, J. Hay, P. Stevenson-Moore.

Carcinoma of the tongue: A case series analysis of clinical presentation, risk factors, staging, and outcome.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 98 (2004), pp. 546-552

http://dx.doi.org/10.1016/S1079210404000605 | Medline

[2.]

M.A. Lynch, V.J. Brightman, M.S. Greenberg.

Burket's Oral Medicine, Diagnosis and Treatment.

9th ed., J. B. Lippincott Company, (1994),

[3.]

N.L. Rhodus.

Oral cancer: leukoplakia and squamous cell carcinoma.

Dent Clin North Am, 49 (2005), pp. 143-165

http://dx.doi.org/10.1016/j.cden.2004.07.003 | Medline

[4.]

G. Aksu, A. Karadeniz, M. Saynak, M. Fayda, Z. Kadehci, H. Kocaelli.

Treatment results and prognostic factors in oral tongue cancer: analysis of 80 patients.

Int J Oral Maxillofac Surg, 35 (2006), pp. 506-513

http://dx.doi.org/10.1016/j.ijom.2006.01.006 | Medline

[5.]

R. Haddad, D. Annino, R.B. Tishler.

Multidisiplinary Approach to Cancer Treatment: Focus on Head and Neck Cancer.

Dent Clin North Am, 52 (2008), pp. 1-17

http://dx.doi.org/10.1016/j.cden.2007.10.005 | Medline

[6.]

A.P. l Yuen, C.M. Ho, T.L. Chow, L.C. Tang, W.Y. Cheung, R.W. Ng, W.I. Wei, C.K. Kong, K.S. Book, W.C. Yuen, A.K. Lam, N.W. Yuen, N.J. Trendell-Smith, Y.W. Chan, B.Y. Wong, G.K. Li, A.C. Ho, W.K. Ho, S.Y. Wong, T.J. Yao.

Prospective randomized study of selective neck Dissection versus observation for N0 neck of Early tongue carcinoma.

Heah Neck, 31 (2009), pp. 765-772

[7.]

J. Jung, N.H. Cho, J. Kim, E.C. Choi, S.Y. Lee, H.K. Byeon, Y.M. Park, W.S. Yang, S.H. Kim.

Significant invasion depth of early oral tongue cancer originated from the lateral border to predict regional metastases and prognosis.

Int J Oral Maxillofac Surg, 38 (2009), pp. 653-660

http://dx.doi.org/10.1016/j.ijom.2009.01.004 | Medline

[8.]

A.N. Soo-youn, E.J. Jung, M. Lee, T.K. Kwon, M.W. Sung.

Factors Related to Regional Recurrence in Early Stage Squamous Cell Carcinoma of the Oral Tongue.

Clinic and Exp Otorh Laryngol, 1 (2008), pp. 166-170

[9.]

N. Al-Rajhi, Y. Khafaga, J. El-Husseiny, M. Saleem, W. Mourad, A. Al-Otieschan, A. Al-Amro.

Early stage carcinoma of oral tongue: prognostic factors for local control and survival.

Oral Oncol, 36 (2000), pp. 508-514

Medline

[10.]

W.L. Hicks Jr, J.H. North Jr, T.R. Loree, S. Maamoun, A. Mullins, J.B. Orner, V.Y. Bakamjian, D.P. Shedd.

Surgery as a Single Modality Therapy for Squamous Cell Carcinoma of the Oral Tongue.

Am J Otolaryngol, 19 (1998), pp. 24-28

Medline

[11.]

S. Shintani, Y. Yoshihama, Y. Ueyama, N. Terakado, S. Kamei, Y. Fijimoto, Y. Hasegawa, H. Matsuura, T. Matsumura.

The usefulness of intraoral ultrasonography in the evaluation of oral cancer.

Int J Oral Maxillofac Surg, 30 (2001), pp. 139-143

http://dx.doi.org/10.1054/ijom.2000.0035 | Medline

[12.]

L.P. Kowalski, A. Sanabria.

Elective neck dissection in oral carcinoma: a critical review of the evidence.

ACTA Otorhinolaryngol Ital, 27 (2007), pp. 113-117

Medline

[13.]

H. Schöder, D.L. Carlson, D.H. Kraus, H.E. Stambuk, M. Gönen, Y.E. Erdi, H.W. Yeung, A.G. Huvos, J.P. Shah, S.M. Larson, R.J. Wong.

18F-FDG PET/CT for detecting nodal metastases in patients with oral cancer staged N0 by clinical examination and CT/MRI.

J Nucl Med, 47 (2006), pp. 755-762

Medline

[14.]

H. Keski-Säntti, R. Kontio, J. Törnwall, I. Leivo, S. Mätzke, S. Suominen, E. Leppänen, T. Atula.

Sentinel lymph node biopsy or elective neck dissection for patients with oral squamous cell carcinoma?.

Eur Arch Otorhinolaryngol, 265 (2008), pp. 13-17

[15.]

Stoeckli SJ, Alkureishi LWT, Ross GL. Sentinel node biopsy for early oral and oropharyngeal squamous cell carcinoma. Eur Arch Oakley C, Le ND, Hay J, Stevenson-Moore P, et al. Carcinoma of the tongue: A case series analysis of clinical presentation, risk factors, staging, and outcome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98:546–52.

Indexada en:

Síguenos:

Indexada en:

Síguenos:

Suscríbase a la newsletter