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Carcinoma of the Tonsillar FossaAn Update
Jeffrey D. Spiro, MD;
Ronald H. Spiro, MD
Arch Otolaryngol Head Neck Surg. 1989;115(10):1186-1189.
Abstract
• A retrospective analysis of 162 patients with carcinoma of the tonsillar fossa treated between 1969 and 1983 was undertaken. Of these patients, 117 were previously untreated; 11 had stage I, carcinoma, 24 had stage II, 40 had stage III, and 42 had stage IV. Combination therapy was utilized in 29% of patients with stage II disease, 40% of patients with stage III disease, and 67% of patients with stage IV disease. The three-year determinate "cure" rates were 89%, 83%, 58%, and 49% for stages I through IV, respectively. Only 22% of the previously treated patients were salvaged. Complications occurred in 36% of the previously treated patients and 18% of the previously untreated patients. Since our previous report, survival has improved, whereas operative mortality has decreased. We are unable to demonstrate a significant survival advantage when surgery and radiotherapy were usedincombination.
(Arch Otolaryngol Head Neck Surg. 1989;115:1186-1189)
Author Affiliations
From the Head and Neck Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York. Dr J. Spiro is now with the University of Connecticut Health Center, Farmington.
Footnotes
Accepted for publication Dec 2, 1988.
Presented at the Second International Conference on Head and Neck Cancer, Boston, Aug 1, 1988.
Reprint requests to 1275 York Ave, New York, NY 10021 (Dr R. Spiro).
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