Tongue cancer – The appropriate treatment plan for each patient
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سرطان اللسان – خطة العلاج المناسبة لكل مريض ؟
Tongue cancer. is a type of cancer that starts in the cells of the tongue, and can cause lesions or tumors on your tongue. It’s a type of head and neck cancer.
Tongue cancer can occur on the front of the tongue, which is called “oral tongue cancer.” Or it may occur at the base of the tongue, near where it attaches to the bottom of your mouth. This is called “oropharyngeal cancer.”
The cause of tongue cancer is unknown. However, certain behaviors and conditions can increase your risk, including :
smoking or chewing tobacco.
heavy drinking.
being infected with human papillomavirus (HPV), a sexually transmitted disease.
chewing betel, which is particularly common in south and southeast Asia.
a family history of tongue or other mouth cancers.
a personal history of certain cancers, such as other squamous cell cancers.
a poor diet (there is some evidenceTrusted Source that a diet low in fruits and vegetables increases the risk of all oral cancers).
poor oral hygiene (constant irritation from jagged teeth or ill-fitting dentures can increase your risk of tongue cancer).
Treatment for tongue cancer
Treatment for tongue cancer depends on how big the tumor is and how far the cancer has spread. You might only need one treatment or you might need a combination of treatments.
Early mouth cancer that hasn’t spread can usually be treated with a small operation to remove the affected area. Larger tumors usually need to be removed with a surgery called a partial glossectomy, in which part of the tongue is removed.
If doctors remove a large piece of your tongue, you might undergo reconstruction surgery. In this surgery, your doctor will take a piece of skin or tissue from another part of your body and use it to rebuild your tongue. The goal of both the glossectomy and reconstruction surgery is to remove the cancer while damaging as little of your mouth as possible.
Glossectomy can lead to severe side effects, including changes in how you eat, breathe, talk, and swallow. Speech therapy can help you learn to adjust to these changes. In addition, talk therapy can help you cope.
If the cancer has spread to your lymph nodes, those will likely be removed with surgery.
If you have a large tumor in your tongue or the cancer has spread, you’ll probably need to have a combination of surgery to remove the tumor and radiation to ensure that all tumor cells are removed or killed. This can lead to side effects such as a dry mouth and taste changes.
Doctors may also recommend chemotherapy to treat your cancer, in combination with surgery and/or radiation.
Dr. Ayman Abdel Hamid
The official page: Prof. Dr. Ayman Abdel Hamid, consultant and teacher of oncology surgeries and limited surgical intervention
Doctorate in Oncology Surgery at the National Cancer Institute, Cairo University
Master of Surgery oncology at the National Cancer Institute, Cairo University
Bachelor of Medicine and Surgery, Faculty of Medicine, Kasr Al-Ainy, Cairo University, 2010, with distinction and honors
More than 14 years of practical experience in surgery, oncology, and limited surgical intervention using surgical laparoscopes and surgical robots