Abstract
Prognosticators and Management of Oral Tongue Squamous Cell Carcinoma
Highlights
Oral cancer is the fifth most fatal cancer worldwide [1], In developed countries, the most common site of oral cancer is the tongue whereas in Sudan the gingivo-buccal sulcus is more predominant due to an increase in smokeless tobacco usage [1]
The authors retrospectively identified all patients diagnosed with tongue squamous cell carcinoma from 2011 to 2019 at Khartoum Teaching Dental Hospital
The most common site of this cancer was the lateral part of the tongue (87%) followed by the anterior part (10%) and the posterior part with (3%) (Figure 1)
Summary
Oral cancer is the fifth most fatal cancer worldwide [1], In developed countries, the most common site of oral cancer is the tongue whereas in Sudan the gingivo-buccal sulcus is more predominant due to an increase in smokeless tobacco usage [1]. The most common clinical presentation in patients with tongue cancer is a sore or lump, it can be presented as an indurated ulcer with raised edges or as an exophytic growth. In stage I and II tumors, single modality treatment is preferred (surgery or radiotherapy), for advanced stages (Stage III and IV tumors) combined treatment has proven to be more effective (surgery + radiology/ Chemoradiotherapy) [9]. Oral cancer is ranked as the fifth most fatal cancer. It has different clinical presentations, patients with tongue cancer typically present with a sore or a lump. The treatment depends on the stage, with single modality treatment being the most used for stage I and II tumors, and combined treatment being used most of advanced stages
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