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Home > Blog > Cancer > Tongue Cancer
CancerNarayana Health

Tongue Cancer

by Narayana Health January 2, 2023
written by Narayana Health January 2, 2023
Tongue Cancer

Most common head and neck malignancy

Smoking , alcohol, tobacco chewing , sharp dentures and most recently HPV

Mostly squamous cell carcinoma and less frequently salivary gland malignancy

Most frequently involved subsite of oral cavity as compared to buccal mucosa , alveolus , retromolar trigone , floor of mouth lips

Diagnosis:

Radiological Investigations in form of MRI tongue, CECT or CEMRI face and neck, PET CT for response assessment

Pathological Investigations: Incisional biopsy , Punch Biopsy , EUA+Biopsy , FOL +Biopsy , fine needle aspiration from neck node.

Treatment:

AIM : to give complete cure preserving functionality and minimizing therapy sequelae.

Primary : surgical , role of radiation in advanced cases , unresectable disease , or as an adjuvant to surgery with or without chemotherapy as  in adjuvant or neo adjuvant setting

Early stage tongue carcinoma (T1 or T2) can be treated successfully with single modality treatment [surgery(Glossectomy any type with selective neck dissection)] or radiation

Advanced stage tongue carcinoma(T3 or T4) may require neoadjuvant chemotherapy or definitive chemoratiation (depending on the subsite). After response assessment, surgery ( glossectomy any twith neck dissection and locoregional /free flap ) or salvage surgery can be done

Recent advancements:

Transoral Laser surgery (CO2 laser, ND Yag laser, Er yag laser, KTM laser)

Transoral Robotic surgery

Tyrosine kinase inhibitors, Protein disulphide isomerases (PDIs) inhibitors as in for chemotherapy

Oral cancer Best cancer hospital in india

Dr. Kaushal Kishor Yadav

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