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Review
. 2014 Dec;13(4):394-400.
doi: 10.1007/s12663-013-0566-8. Epub 2013 Aug 30.

New Management Strategies of Oral Tongue Cancer in Bangladesh

Jachmen Sultana  1 , Abul Bashar  2 , Motiur Rahman Molla  3
Affiliations
Review

New Management Strategies of Oral Tongue Cancer in Bangladesh

Jachmen Sultana et al. J Maxillofac Oral Surg. 2014 Dec.

Abstract

Introduction: Malignancies of the tongue represent one of the greatest management challenges for the maxillofacial surgeons as well as oncologists, because of the adverse effects of treatment on oral and pharyngeal function, the eventual quality of life, and the poor prognosis of advanced disease. Therefore, it is important to use judgment and experience in determining the best method of treatment.

Material and methods: We reviewed forty cases of oral tongue cancer patients admitted in the Dental and Facio-Maxillary Surgical Oncology department in National Institute of Cancer Research and Hospital, and department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital, Dhaka, Bangladesh, during the past four years and followed till the lesion healed or recurred and followed later on upto two years. All cases were thoroughly examined, investigated with routine blood examinations and radiography of the involved region. Preoperative biopsy of the lesion and staging was done in each and every case. Postoperative biopsy was taken where there was a doubt about the possibility of recurrence.

Results: Squamous cell carcinoma (well differentiated) is by far the most common malignancy of the oral tongue. Generally a correlation is recognized between tumor size, nodal presence, metastasis, and eventual prognosis. When surgeons detect oral tongue cancer at an early stage, they can often treat it with surgery or can, often treat it with surgery or radiation. In later stages the cancer may require a combination of surgery, radiation and chemotherapy.

Conclusion: Standard and uniform protocol has not been explored till now for the practice in our country. So current management strategies of oral tongue cancer cannot be underestimated.

Keywords: Bangladesh; Management; Oral Care; Prevention; Tongue Cancer.

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Figures

Fig. 1
Fig. 1
Technique of examination of the oral tongue and common site of tongue cancer
Fig. 2
Fig. 2
Common tongue pathology, surgical management and postoperative recurrence
See this image and copyright information in PMC

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