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HIGH DOSE RATE BRACHYTHERAPY IN PRIMARY AND RECURRENT TONGUE CANCER  

Lee, Ui-Lyong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University)
Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University)
Choung, Pill-Hoon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University)
Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University)
Park, Joo-Yong (Oral Cancer Clinic, Research Institute and Hospital, National Cancer Center)
Choi, Sung-Weon (Oral Cancer Clinic, Research Institute and Hospital, National Cancer Center)
Cho, Kwan-Ho (Center for Proton Therapy, Research Institute and Hospital, National Cancer Center)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.28, no.5, 2006 , pp. 470-476 More about this Journal
Abstract
Low-dose rate brachytherapy(LDR) has been effective modality for treatment of oral cancer. But the disadvantage of LDR is radioexposure of medical staff. To overcome this problem, high dose rate(HDR) brachytherapy has been developed. Our study evaluates the outcomes of patients with tongue cancer as treated by HDR brachytherapy. Between 2002 and 2005, eight patients with carcinoma of the tongue were treated with HDR brachytherapy. Five patients had AJCC stage I or II disease and the remaining three patients had AJCC stage III or IV. The male-to-female ratio was 2:6 and the mean age was 60.1 years (range: 21-80 years).The median follow-up time was 23.8 months (range: 7-55 months). There was no local failure until now. Three patients showed some complications. Two patients showed soft tissue necrosis. There was no bone sequela in all cases. Our experience in treating tongue cancer with HDR brachytherapy is encouraging, because it gave a satisfactory local control. Prospective studies are necessary to delineate the optimum indication for this treatment modality and long-term outcome.
Keywords
High dose rate brachytherapy; Tongue cancer;
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