Abstract
This data show that a high dose of interstitial therapy is necessary to secure optimum local control of oral tongue cancer. However, a large brachytherapy component of treatment compromises adequate neck irradiation. For this reason along with the frequency of severe complications encountered in this series with primary radiotherapy, we have adopted a policy of initial surgery for most oral tongue cancers with postoperative radiotherapy if indicated by pathological features predictive of a high rate of local-regional failure.
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