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Nathan W. Pearlman, MD

Arch Surg. 1979;114(1):39-42.

Abstract
• One hundred cases of recurrent oral, pharyngeal, or laryngeal squamous cancer were reviewed to determine the contribution of retreatment of such lesions to overall survival. Thirty percent (8/27) of locally recurrent T_1-2 primary lesions and 4% (1/28) of recurrent T_3-4 lesions were cured by retreatment. Forty-five percent (5/11) of patients with conversion of N₀ necks were salvaged, while no cures of neck recurrence after an earlier elective (four) or therapeutic (22) neck dissection were seen. Three of eight patients with isolated lung recurrence were salvaged. Patients benefiting most from retreatment were those with local recurrence of small primary lesions, conversion of a previously N₀ neck, or isolated lung disease. Those with other types of recurrence were helped much less.

(Arch Surg 114:39-42, 1979)

Author Affiliations
From the Departments of Surgery, University of Colorado Medical Center and the Veterans Administration Hospital, Denver.

Footnotes
Accepted for publication Aug 17, 1978.

Reprint requests to Department of Surgical Oncology, Veterans Administration Hospital, 1055 Clermont St, Denver, CO 80220 (Dr Pearlman).

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