Subramaniam N, et al. - In patients with T1N0 squamous cell carcinoma (SCC) of the tongue, researchers investigated factors affecting local control. This retrospective analysis included 144 patients with pT1N0 SCC of the tongue who underwent wide excision and neck dissection without adjuvant therapy. According to findings, patients with a margin of 5 mm may require revision; however, if they do not have additional adverse pathological features (score ≤ 4), local control is 88% at 5 years, and they may be observed. Those who have margins exceeding 5 mm with a total score greater than 5 may still benefit from adjuvant therapy.