CARCINOMA TONGUE : AN EXPERIENCE FROM A TERTIARY CARE CENTER IN CENTRAL INDIA

Dr.Elroy Saldanha; Dr. Dhruv Patel; Dr.Nikhil Mehta; Dr. Bonny Joseph; Dr. Sandeep Ghosh; Dr.Vinod Dhakad; Dr. Sanjay Desai.

Volume : X, Issue : I, January - 2020

CARCINOMA TONGUE : AN EXPERIENCE FROM A TERTIARY CARE CENTER IN CENTRAL INDIA

Dr. Elroy Saldanha, Dr. Dhruv Patel, Dr. Nikhil Mehta, Dr. Bonny Joseph, Dr. Sandeep Ghosh, Dr. Vinod Dhakad, Dr. Sanjay Desai.

Abstract :

Introduction: Cancers of the tongue as well as buccal mucosa have been noted to be quiet common in India, attributed to various causes and has varied clinicopathological features involving various subsites of oral cavity in advance malignancy.Varied treatment modalities has been described in the treatment of carcinoma tongue. In view of the changing trends, we did a study to evaluate the practices followed in carcinoma tongue at our center Materials And Methods: Non randomized prospective observational study that was done on patients who presented with carcinoma tongue in our institution. Patients underwent metastatic workup and based on tumour board planned for the surgeries based on disease burden. Surgery along with reconstruction, post op complications with adjuvant treatment and follow up noted and assessed Results: Most common decade involved was 41–50 years with 34 cases (33.66%). In the productive age group between the age of 21 years and 50 years we had 73 cases. Males were 82 cases (81.19%). 34% patients had growth in the left lateral aspect of the tongue, while 23% had complete involvement of anterior two third of the tongue. 25 patients (24.75%) pts presented in stage IVA, while 43 (42.57%) were in stage II with 35 patients (34.65%) patients had undergone Total Glossectomy + B/L MRND 2 and 33 (32.67%) underwent Hemi Glossectomy + MRND 2 with 50% of patients had pectoralis myocutaneous flap (PMMC) was used for the reconstruction of the defects and 20% with Free Radial Artery Forearm Flap (FRAFF). Most of the histopathology were squamous cell carcinoma and 10% had adenoid cystic carcinoma. Conclusion: The mainstay of treatment of head and neck cancer is surgery and specially carcinoma tongue requires aggressive management due to involvement of adjacent subsites and subsequent morbidity. Multimodality treatment is the key in advanced malignancy. Lacking of screening programmes leads to patient being presented with advanced malignancy requiring extensive and morbid surgeries.