Tongue Cancers

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Tongue Cancers

Tongue cancer is an emotionally terrifying cancer of the tongue, and it is important to be able to recognize tongue cancer symptoms. This type of cancer involves a tumor or a malignant lesion in any part of the tongue, and could be in the front free-moving part of the tongue or at the base of the tongue in the back.

INTRODUCTIONKnow More

About Tongue Cancer

Tongue cancer is a form of cancer that begins in the cells of the tongue. Several types of cancer can affect the tongue, but tongue cancer most often begins in the thin, flat squamous cells that line the surface of the tongue. The type of cells involved in your tongue cancer helps determine your prognosis and treatment.

Tongue cancer can occur in the mouth, where it may be more likely to be seen and felt (oral tongue cancer). If caught early, surgery can often remove the cancerous growth before it metastasizes and spreads to other parts of the body. So, early diagnosis and treatment is highly recommended.

Types of tongue cancer are :

Squamous cell carcinoma (SCC)

This is the most common type of tongue cancer which is flat, skin like cells that cover the lining of the mouth, nose, larynx, thyroid and throat. Squamous cell carcinoma is the name for a cancer that starts in these cells. Squamous cell carcinoma develops when some squamous cells mutate and become abnormal.


Verrucous carcinoma

Verrucous carcinoma, a type of very slow-growing cancer made up of squamous cells. This type of cancer rarely spreads to other parts of the body, but it may invade nearby tissue.


Minor salivary gland carcinomas

This disease includes several types of oral cancer that may develop on the minor salivary glands, which are located throughout the lining of the mouth and throat. These include adenoid cystic carcinoma, mucoepidermoid carcinoma and polymorphous low-grade adenocarcinoma.


Lymphoma

Oral cancer like tongue cancer that develop in lymph tissue, which is part of the immune system, are known as lymphomas. The tonsils and base of the tongue both contain lymphoid tissue.


Benign oral cavity tumors

Several types of non-cancerous tumors and tumor-like conditions may develop in the oral cavity and oropharynx. Sometimes, these conditions may develop into cancer. For this reason, benign tumors are often surgically removed.

RISK FACTORS Know More

Risk Factors

White tongue is the result of an overgrowth and swelling of the fingerlike projections (papillae) on the surface of your tongue. The appearance of a white coating is caused by debris, bacteria and dead cells getting lodged between the enlarged and sometimes inflamed papillae.



Causes of papillae hypertrophy or inflammation include, for example:

  • Poor oral hygiene
  • Dry mouth
  • Dehydration
  • Smoking or other oral tobacco use
  • Alcohol use (excessive)
  • Mouth breathing
  • Low roughage diet (eating mostly soft or mashed foods)
  • Mechanical irritation from sharp tooth edges or dental appliances

SIGN & SYMPTOMS Know More

Sign & Symptoms

Symptoms of tongue cancer include :

  • A lump or sore on the side of your tongue that doesn't go away. It may be pinkish-red in color. Sometimes the sore will bleed if you touch or bite it.
  • Pain in or near your tongue
  • Changes in your voice, like sounding hoarse
  • Trouble swallowing
  • Mouth numbness
  • A tongue ulcer that persists
DIAGNOSIS & TREATMENTS Know More

Diagnosis Treatments

Diagnosis

To make a diagnosis, the doctor will take a medical history and patient's tongue and neck will be examined. Several tests are used to aid in the diagnosis. These tests include :

  • X-rays of the mouth and throat, including CT (computed tomography) scans (X-rays that show images in thin sections).
  • PET scans (positron emission tomography), which use radioactive materials to identify excessive activity in an organ. This may indicate the tumor is growing.
  • Tongue cancer usually requires a biopsy, a small sample of tissue that is removed from a tumor to diagnose cancer. There are different methods to obtain a biopsy:
    Fine needle aspiration biopsy : A thin needle is inserted into the tumor mass and a sample is drawn out by suction into a syringe.
    Incisional biopsy : A sample is removed with a scalpel (surgical knife).
    Punch biopsy : A small circular blade removes a round area of tissue.



    Treatments

    Surgery

    Dr. Dipen Patel has extensive experience treating tongue cancer. Surgeons often partner with pathologists, who analyze tissue during surgery to make sure all of the cancer has been removed.


    Approaches used during tongue cancer surgery may include :

    Transoral surgery : Surgeons remove most tongue cancer through the mouth (transoral surgery). To remove the cancer, doctors may use cutting tools or lasers during surgery.
    Transoral robotic surgery : This surgery provides more-precise access to cancers at the base of the tongue. Typically this surgery is safe and effective and enables faster recovery times compared with standard surgical approaches.
    Open surgery : In certain cases, such as with large cancers or cancers that have spread in the neck, surgeons may use an approach that uses a large incision in the neck to remove the cancer.
    Sentinel node biopsy : In order to determine whether cancer has spread to nearby lymph nodes, your surgeon may recommend a sentinel node biopsy.
    During this procedure, a blue dye or radioactive tracer is injected near the cancer site. The doctor follows the path of the tracer to the first lymph node (sentinel node). This node is removed and tested for cancer.
    If the sentinel node doesn't contain cancer, it's unlikely that other lymph nodes contain cancer. If the sentinel node is cancerous, the surgeon may remove other lymph nodes in the neck for testing.
    Reconstructive surgery : People with advanced tumors who experience face, jaw or neck disfigurement after tumor removal may need reconstructive surgery. Head and neck surgeons work with surgeons in plastic and reconstructive surgery to restore the appearance of the face, jaw or neck and use of the mouth. Experts in oral and face (maxillofacial) surgery also may be involved.


    Radiation therapy

    Radiation therapy uses high-powered beams of energy, such as X-rays and protons, to kill cancer cells. Radiation therapy may be an option for early or advanced tongue cancer.
    Dr. Dipen Patel has access to the most advanced radiation therapy treatments, such as intensity-modulated radiation therapy, which precisely targets radiation to tumor cells and limits radiation exposure to nearby normal tissue, and brachytherapy, which places radioactive material close to the tumor site.
    Dr. Dipen Patel also offers proton therapy to precisely deliver radiation with less damage to surrounding tissue.


    Chemotherapy

    Chemotherapy uses drugs to kill cancer cells. Chemotherapy may be used along with radiation therapy to treat locally advanced tongue cancer. For tongue cancer that has recurred or has spread to other areas of the body, chemotherapy may be recommended to slow the growth of the cancer.


    Targeted therapy

    Targeted therapy drugs alter specific aspects of cancer cells that fuel their growth. These drugs can interrupt the spread and growth of specific tongue cancer cells. Targeted therapy is often used in combination with chemotherapy or radiation therapy.


    Rehabilitation

    Some people need help to improve their swallowing and speech function during and after tongue cancer treatment.
    If cancer or treatment makes it difficult for you to eat enough to get all the nutrients you need, your doctor may recommend tube feeding (enteral nutrition).


    Palliative care

    Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. Palliative care is provided by a team of doctors, nurses and other specially trained professionals. Palliative care teams aim to improve the quality of life for people with cancer and their families. This form of care is offered alongside curative or other treatments you may be receiving.