CPB Ljubljana 2018 course book

Exclusive LDR-BT in T1-2 mobile tongue.

• 1970 - 1986, 166 T1-2 SCC of the mobile tongue • Local control 90% • 36 minor or moderate necrosis (16% T1, 28% T2). Half of these involved bone (five required surgical intervention) • We recommend that T1-T2 carcinomas of the mobile tongue be treated by Ir 192 implantation to deliver 65 Gy. • Mandibular necrosis should be reduced by using an intra-oral lead-lined dental mold.

1990

Excellent local control But 20% necrosis

J.J. Mazeron, J.M. Crook, V. Benck, et al. Iridium 192 implantation of T1 and T2 carcinomas of the mobile tongue. Int J Radiat Oncol Biol Phys, 19 ( 1990 ), pp. 1369–1376