Patterns of recurrence after XXXX laser excision of @entity957 .

@entity1 @entity135 @entity5 @entity957 @entity544 @entity204
OBJECTIVE: To examine retrospectively consecutive @entity1 treated with @entity544 laser excision of @entity957 for the patterns of recurrence based on the location of the initial @entity5 and on the @entity5 stage. DESIGN: Retrospective chart review. SETTING: Tertiary care center including a university hospital and a Veterans Affairs Medical Center. PROCEDURES AND @entity1 : Sixty-one procedures performed on 51 consecutive @entity1 . The only @entity1 not included were three who were unavailable for follow-up. The average follow-up was 32 months. If the @entity1 whose follow-up was limited because of @entity204 are excluded, the average follow-up was 40 months. MAIN OUTCOME MEASURES: Incidence of recurrence, time to recurrence, development of second intraoral primary lesions or pulmonary metastases, and cause of @entity204 . RESULTS: A nearly equal incidence of recurrence irrespective of site of lesion (tongue, 42%; floor of mouth, 40%; and other oral cavity sites, 45%). Determinate survival differed by stage. @entity1 with T1 lesions showed a determinate survival rate of 80%; those with T2 or T3 lesions had a determinate survival rate of 57%; and those treated for recurrent disease had a determinate survival rate of 44%. CONCLUSIONS: @entity544 laser excision of @entity957 is a useful, advantageous method, but it appears to offer no advantage for recurrence over standard methods. Appropriate management of @entity135 in @entity1 with @entity957 must be carefully considered. @entity1 with this potentially aggressive form of @entity5 deserve long-term follow-up.
