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Abstract
Of 75 patients with advanced cervical lymph node metastases from primary squamous cell carcinoma of the oral cavity, 75% had T3–4 lesions. Control of the primary lesion arrested spread in 20 of 35 cases (57%) followed for twenty-four months or more. The inability to control primary disease (chiefly in lesions of the oral tongue and soft-palate uvula) was responsible for 30 of 45 failures. Many patients were saved by radiotherapy alone or in combination with limited surgery. Irradiation to the whole neck is necessary, even when nodes are present only in the upper portion.
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