Abstract
Objective: To assess tongue atrophy and long-term functional outcome of mobile tongue cancer patients after interstitial radiotherapy. Methods: Of 493 patients whose squamous cell carcinoma of the mobile tongue had been treated with low dose rate brachytherapy, there were 57 patients evaluated between July 2002 and April 2004 whose tongue had not been modified by surgical procedures and who had no primary recurrence. The median time from treatment to evaluation was 96 months (range: 9-214 months). Almost all of the patients belonged to the early stage tongue cancer (T1/T2/T3/T4 = 30:24:3:0), and all had received interstitial radiotherapy with a single-plane implant. To evaluate the deformity of the tongue, we used a grading system that classified the atrophic changes of the tongue into four categories (G0-G3). Results: Thirty-nine patients (70%) showed mild tongue hemiatrophy (G1 or G2) in the irradiated side. However, no patients showed severe atrophy where the tongue cannot be made to protrude beyond the incisors (G3). The length of time after brachytherapy was >72 months and the age of the patients at brachytherapy had the same statistical significance (P = 0.0366). As for functional outcome, understandability of speech and a normal diet were preserved for almost all patients. Conclusion: The progression of atrophic change in the irradiated tongue occurred over a long term after brachytherapy. However, most patients could maintain their activities of daily life without severe restriction.
| Original language | English |
|---|---|
| Pages (from-to) | 681-687 |
| Number of pages | 7 |
| Journal | Japanese journal of clinical oncology |
| Volume | 36 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - Sep 1 2006 |
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All Science Journal Classification (ASJC) codes
- Oncology
- Radiology Nuclear Medicine and imaging
- Cancer Research
Cite this
Long-term functional outcome of brachytherapy for carcinoma of the mobile tongue : Focus on the atrophic change of irradiated tongue. / Urashima, Yusuke; Nakamura, Katsumasa; Shioyama, Yoshiyuki; Sasaki, Tomonari; Saiji, Ohga; Toba, Takashi; Kunitake, Naonobu; Chikui, Toru; Kawazu, Toshiyuki; Yamada, Tomomi; Terashima, Hiromi; Honda, Hiroshi.
In: Japanese journal of clinical oncology, Vol. 36, No. 11, 01.09.2006, p. 681-687.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Long-term functional outcome of brachytherapy for carcinoma of the mobile tongue
T2 - Focus on the atrophic change of irradiated tongue
AU - Urashima, Yusuke
AU - Nakamura, Katsumasa
AU - Shioyama, Yoshiyuki
AU - Sasaki, Tomonari
AU - Saiji, Ohga
AU - Toba, Takashi
AU - Kunitake, Naonobu
AU - Chikui, Toru
AU - Kawazu, Toshiyuki
AU - Yamada, Tomomi
AU - Terashima, Hiromi
AU - Honda, Hiroshi
PY - 2006/9/1
Y1 - 2006/9/1
N2 - Objective: To assess tongue atrophy and long-term functional outcome of mobile tongue cancer patients after interstitial radiotherapy. Methods: Of 493 patients whose squamous cell carcinoma of the mobile tongue had been treated with low dose rate brachytherapy, there were 57 patients evaluated between July 2002 and April 2004 whose tongue had not been modified by surgical procedures and who had no primary recurrence. The median time from treatment to evaluation was 96 months (range: 9-214 months). Almost all of the patients belonged to the early stage tongue cancer (T1/T2/T3/T4 = 30:24:3:0), and all had received interstitial radiotherapy with a single-plane implant. To evaluate the deformity of the tongue, we used a grading system that classified the atrophic changes of the tongue into four categories (G0-G3). Results: Thirty-nine patients (70%) showed mild tongue hemiatrophy (G1 or G2) in the irradiated side. However, no patients showed severe atrophy where the tongue cannot be made to protrude beyond the incisors (G3). The length of time after brachytherapy was >72 months and the age of the patients at brachytherapy had the same statistical significance (P = 0.0366). As for functional outcome, understandability of speech and a normal diet were preserved for almost all patients. Conclusion: The progression of atrophic change in the irradiated tongue occurred over a long term after brachytherapy. However, most patients could maintain their activities of daily life without severe restriction.
AB - Objective: To assess tongue atrophy and long-term functional outcome of mobile tongue cancer patients after interstitial radiotherapy. Methods: Of 493 patients whose squamous cell carcinoma of the mobile tongue had been treated with low dose rate brachytherapy, there were 57 patients evaluated between July 2002 and April 2004 whose tongue had not been modified by surgical procedures and who had no primary recurrence. The median time from treatment to evaluation was 96 months (range: 9-214 months). Almost all of the patients belonged to the early stage tongue cancer (T1/T2/T3/T4 = 30:24:3:0), and all had received interstitial radiotherapy with a single-plane implant. To evaluate the deformity of the tongue, we used a grading system that classified the atrophic changes of the tongue into four categories (G0-G3). Results: Thirty-nine patients (70%) showed mild tongue hemiatrophy (G1 or G2) in the irradiated side. However, no patients showed severe atrophy where the tongue cannot be made to protrude beyond the incisors (G3). The length of time after brachytherapy was >72 months and the age of the patients at brachytherapy had the same statistical significance (P = 0.0366). As for functional outcome, understandability of speech and a normal diet were preserved for almost all patients. Conclusion: The progression of atrophic change in the irradiated tongue occurred over a long term after brachytherapy. However, most patients could maintain their activities of daily life without severe restriction.
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U2 - 10.1093/jjco/hyl099
DO - 10.1093/jjco/hyl099
M3 - Article
VL - 36
SP - 681
EP - 687
JO - Japanese Journal of Clinical Oncology
JF - Japanese Journal of Clinical Oncology
SN - 0368-2811
IS - 11
ER -