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A descriptive study highlighting the differences in the treatment protocol for oral tongue cancer in Sweden and Finland.

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Title: A descriptive study highlighting the differences in the treatment protocol for oral tongue cancer in Sweden and Finland.
Authors: Mäkitie, Antti, Kamali, Alexander, Mroueh, Rayan, Lindford, Andrew, Koivunen, Petri, Autio, Timo, Lassus, Patrik, Halle, Martin, Bäck, Leif, Palmgren, Björn, Hammarstedt-Nordenvall, Lalle
Source: Acta Oto-Laryngologica (Supplement). 2020, Vol. 140 Issue 2, p188-194. 7p.
Subjects: Therapeutics, Tongue tumors, Attitude (Psychology), Population geography, Retrospective studies, Plastic surgery, Comparative studies, Tumor classification, Descriptive statistics, Radiotherapy
Geographic Terms: Finland, Sweden
Abstract: Background and aims: Stage II cancer of the tongue is mostly managed surgically both locally and regionally. However, indications for postoperative radiotherapy and reconstructive options vary between centers. This paper aims to describe differences in treatment in a geographically homogenous cohort. Methods: A retrospective comparison was made between two cohorts of clinical T2N0 tongue cancer from Finland and Sweden. The Finnish cohort included 75 patients and the Swedish 54. All patients had curative intent of treatment and no previous head and neck cancer. Data analyzed consisted of pathological stage, size and thickness of tumor, frequency of reconstruction, radiotherapy delivered, and survival. Results: The Finnish cohort included a higher proportion of patients managed with reconstructive surgery (67%) than the Swedish cohort (0%), p < .00001. More patients were treated with postoperative radiotherapy (84%) in the Swedish cohort than in the Finnish (54%), p < .0002. The Finnish cohort had a higher level of survival and included more frequent downstaging (cTNM to pTNM). Conclusions and significance: Our data indicate a major difference in the management of T2N0 oral tongue cancer. The optimal cut-off size and growth pattern of the tumor warranting reconstruction should be further evaluated in a prospective manner considering both survival and quality of life. [ABSTRACT FROM AUTHOR]
Copyright of Acta Oto-Laryngologica (Supplement) is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
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  Data: A descriptive study highlighting the differences in the treatment protocol for oral tongue cancer in Sweden and Finland.
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  Label: Abstract
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  Data: Background and aims: Stage II cancer of the tongue is mostly managed surgically both locally and regionally. However, indications for postoperative radiotherapy and reconstructive options vary between centers. This paper aims to describe differences in treatment in a geographically homogenous cohort. Methods: A retrospective comparison was made between two cohorts of clinical T2N0 tongue cancer from Finland and Sweden. The Finnish cohort included 75 patients and the Swedish 54. All patients had curative intent of treatment and no previous head and neck cancer. Data analyzed consisted of pathological stage, size and thickness of tumor, frequency of reconstruction, radiotherapy delivered, and survival. Results: The Finnish cohort included a higher proportion of patients managed with reconstructive surgery (67%) than the Swedish cohort (0%), p &lt; .00001. More patients were treated with postoperative radiotherapy (84%) in the Swedish cohort than in the Finnish (54%), p &lt; .0002. The Finnish cohort had a higher level of survival and included more frequent downstaging (cTNM to pTNM). Conclusions and significance: Our data indicate a major difference in the management of T2N0 oral tongue cancer. The optimal cut-off size and growth pattern of the tumor warranting reconstruction should be further evaluated in a prospective manner considering both survival and quality of life. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Acta Oto-Laryngologica (Supplement) is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=158919938
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/00016489.2019.1699663
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 188
    Subjects:
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Tongue tumors
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Population geography
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Plastic surgery
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Tumor classification
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Radiotherapy
        Type: general
      – SubjectFull: Finland
        Type: general
      – SubjectFull: Sweden
        Type: general
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      – TitleFull: A descriptive study highlighting the differences in the treatment protocol for oral tongue cancer in Sweden and Finland.
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              Text: 2020
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