Tongue cancer treatments

TREATMENT
In general, irradiation therapy and surgery have similar results for similar stages. Total glossectomy is associated with severe speech and deglutition dysfunction. It is poorly tolerated and the procedure is thus rarely performed . Hemiglossectomy preserves some speech and swallowing ability. The choice between surgery and irradiation therapy also depends on the practice and preference of a particular nous and cervix oncology service.
Radiation therapy is ofttimes used as the first modality while surgery is distant for recurrence. Surgical garner is good for small lesions but the effectiveness drops with progressively larger lesions. Hence, coloured glossectomy followed by irradiation therapy is the method of choice in many centres.

Treatment of the neck is a highly controversial point, but some authors feel that nonappointive communication of the nevkis indicated even for T1 neoplasms supported on the incidence of pattern metastases, 20-33% in most series, as well as the slummy results with a later garner procedure. Most authors exponent non appointive communication of the cervix for initiate II disease (T2N0) for the same reasons, and the incidence of pattern metastases in this assemble is even higher. Supraomohyoid neck dissection is often the machine of choice for management of the clinically perverse neck, with radiation being reserved for those patients with lymphatic involvement, especially if there is evidence of capsular invasion.

The problem of understaging has been ofttimes cited in meaning to carcinomas of the test tongue, and reports haw be found addressing limited factors which haw indicate those patients with primeval lesions most probable to harbor pattern metastases, and thusly be the most probable to goodness from prophylactic communication of the neck. Such factors as depth of penetration, histologic grade, perineural or perivascular invasion hit all been investigated but hour are widely acknowledged to hit sure prophetical value.

Chemotherapy is useful in oral cancers when utilised in combination with another treatment modalities such as irradiation therapy. It is seldom utilised alone as a monotherapy. When cure is implausible it can also be utilised to extend life and can be considered sanative but not sanative care. Biological agents, such as Cetuximab have recently been shown to be trenchant in the treatment of squamous cell head and cervix cancers, and are likely to have an increasing role in the future direction of this condition when utilised in conjunction with another treatments.

Treatment of oral cancer will usually be by a multidisciplinary team, with treatment professionals from the realms of radiation, surgery, chemotherapy, nutrition, dental professionals, and even science every possibly participating with diagnosis, treatment, rehabilitation, and patient care.

Surgery to remove the tumor in the representative or throat is a common communication for oral cancer. Sometimes the doc also removes lymph nodes in the neck. Other tissues in the representative and cervix may be distant as well. Patients may have surgery alone or in combination with irradiation therapy.