What is the treatment for carcinoma tongue?
Patient: Dear sir,I am K.Jeyakumar(46years,Male) of south India. I had wound and pain in my tongue left side for the past two months I have been diagnosed as a case of Carcinoma Tongue, through MRI diagnostic investigation.I need your valuable advice.                           MRI OF NECKTECNIQUE: Axial,sagittal, coronal SET1 and TSE T2 weighted sequences.OBSERVATION:The study shows presence of an irregular ulceration of left lateral border of posterior third and adfacent undersurface of tongue, with thickening and induration of tongue muscles and adjacent of of soft tissues.  The lesion appears isointense on T1 and slightlyhyperintense on T2, IR weighted sequencesw.  The lesion measure about 3.0X1.7X0.9cms in size.Base, right half of tongue, floor of mouth , oral, buccal, palatal,submandibular soft tissues and RMT show no involvement.  No mandibular or maxillary alveolar bony erosions or marrow oedema are seen.Buccinator, ptergoid muscles, nasopharynx, oropharynx, hypopharynx, epiglottis, vallecula, palate, supra glottic, glottic, subglottic regions, trachea, pyriform sinuses, parotid, submandibular and thyroid glands appear normal.No evidence of cervical or supra clavidular lymphadenopathy is seen. Carotid, jugular vessels, sterno  mastoid, other muscles, pre and para vertebral soft tissues appear normal.Cervical spondylotic changes are seen.  No evildence of bony erosions are seen. Hyoid bone, other bones and cervical spine appear otherwise normal.IMPRESSION: MRI OF NECK SHOWS,SMALL IRREGULAR ULCERATIVE SOFT TISSUE LESION, INVOLVING LEEFT LATERAL ASPECT AND UNDER SURFACE OF TONGUE - SUGGESTIVE OF LIKELY MALIGNANT GROWTH OF TONGUE.NO EVIDENCE OF BASE, FLOOR OF MOUTH, ADJACENT SRTUCTURES INVOLVEMENT, BONY EROSIONS, CERVICAL OR SUPRA CLAVICULAR LYMPHADENOPATHY IS SEEN. Doctor: Hi,Thanks for writing in.The MRI scan says that there is a 3.0 x 1.7 x 0.9 cm mass in the posterior third of tongue on left side. This is a cancerous mass and causing firmness in the muscles attached to the lower portion of the tongue.In the above case, the tumor appears to be stage 3 cancer of tongue. If possible, wide excision surgery is to be done and this is to be followed by multiple cycles of chemotherapy and radiation therapy.As the response rate of tongue cancer is good, there are chances of cure and recovery after treatment. There are no lymphnode metastasis mentioned in your report and therefore it is still not spread. Please take complete treatment and closely follow up with your doctor. Please do not worry.