The operation is called a primary tumour resection. Common chemotherapy side effects include: Lots of people say it helps to talk to others who know what they're going through. Radiotherapy to the head and neck area can cause several side effects including a dry, sore mouth and taste changes. This cancer first develops locally and then spreads very quickly to the lymph nodes in the neck. bleeding and exposed neck lymph nodes. Tongue cancer is one of the cancers of the oral cavity. Tumors of the mobile part detected early have a fairly high survival rate, but the survival rate decreases if detection is late. Some people have chemotherapy to shrink the cancer before the main treatment, although this isn’t very common. The oropharynx includes the side of the throat, back wall of the throat, the soft palate, back of the tongue, and tonsils. People diagnosed early may need only surgical treatment, whereas those with advanced tongue cancer may need two or even all three types of treatment. For larger cancers, you might need a more complicated operation and stay in hospital for a while. The tumour is larger than 4 cm or the cancer has spread to one lymph node in the neck on the same side as the tumour and the lymph node is 3 cm or smaller. The stage of the disease is a direct reflection of the chances of survival,” explains Dr. Philippe Gorphe. Search our clinical trials database for all cancer trials and studies recruiting in the UK, Questions about cancer? “Swelling of the lymph. You might need radiotherapy or chemoradiotherapy after surgery if your doctor thinks there is a high risk that your cancer will come back. Cancer of the oral cavity affects 6,000 people a year in France, a third of whom suffer from tongue cancer. Journal of Larynology and Otology (2016) 130 S83-89, Surgery in head and neck cancer management: United Kingdom National Multidisciplinary Guidelines Whenever possible, we develop a plan that preserves the patient’s ability to breathe, talk, and eat normally. We know it’s a worrying time for people with cancer, we have information to help. Journal of Larynology and Otology (2016) 130 S290 – 96, Oral cavity and lip cancer: United Kingdom National Multidisciplinary Guidelines The main treatments for tongue cancer are surgery, radiotherapy and chemotherapy, either combined or on their own. They're often treated with a combination of surgery and radiation. Lippincott, Williams and Wilkins, 2015, Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy What are the stages of tongue cancer? Early cancer means your cancer is smaller than 4cm and is contained within the tongue. Tis – Carcinoma in situ or cancerous lesion is present only in the superficial layer of the oral cavity. Gradually, the clinical signs evolve. Cochrane Database Systematic Review, 2011, Volume 4, Oropharyngeal cancer: United Kingdom National Multidisciplinary Guidelines Surgery: Removal of the cancerous tumor and the surrounding tissue 2. The front two thirds of the tongue (oral tongue) are treated like a mouth cancer. All treatments have side effects. In addition, you can find free health apps from Google Play or in the App Store. The resonator can also have difficulty in articulating itself,” the otolaryngologist describes. “The maximum age of diagnosis is between 55 and 65,” he says. Stages of oral cancer: Stage 0: A stage 0 oral cancer tumor means the cancer is only growing in the epithelium, the outermost layer of tissue in the oral cavity or oropharynx. If so, where and how many? You are most likely to have a combination of all of these treatments: You might have chemotherapy if your cancer has come back. The extent of the tumor (T): How large is the main (primary) tumor and which, if any, tissues of the oral cavity or oropharynx it has spread Doctors want to learn whether the new treatment is safe, effective, and possibly better than the standard treatment. You might also have surgery to remove lymph nodes in your neck. It also depends on which part of the tongue is affected. The chances of survival, estimated at 5 years, are highly variable depending on the location and stage of development of the tumor. Tongue cancer is the most common cancer of the oral cavity. Treatment, surgery, reconstruction of the tongue… “As with other cancers of the mouth, treatment is usually surgical and radiotherapeutic. ; The back part is the base of the tongue… 2. These could be permanent changes for some people. Tongue cancer is a type of head and neck cancer that begins when the cells that make up the tongue grow out of control and form lesions or tumors.. You usually have radiotherapy treatment once a day for a few weeks. The back third of the tongue (base of the tongue) is treated like oropharyngeal cancer. One tool that doctors use to describe the stage is the TNM system. Chemotherapy: Us… This type of treatment stimulates the body’s immune system to fight cancer cells. Your treatment depends on how far your cancer has grown and whether it has spread (the stage). Oral cancer in the tongue are generally staged in the following ways- Stage 1– The size of the tumor is 1 inch and has not yet spread. Often radiation treatment is given in the early stages of cancer in combination with chemotherapy. The tongue cancer treatment may involve a combination of methods (surgery, radiation, chemotherapy) and may need to be aggressive. It remains localized for a long time in the head and neck area in order to be cured. Your surgeon rebuilds (reconstructs) your tongue. What is the diagnosis? – The general state of health … Treatment for tongue cancer mainly depends on the severity. This operation is called a neck dissection. There are two parts to your tongue, the oral tongue and the base of the tongue.Cancer can develop in either part. Initially, the proliferation of abnormal cells on the tongue is only manifested by a slight sensation of discomfort when chewing or moving the mobile part of the organ. This can be done using local anaesthetic or with laser surgery, and you don't need to stay overnight in hospital. Advanced cancer means your cancer is larger than 4cm. Each of these manuals can be found in great online offers. There are different types of primary tumour resection. There is a particular age group for tongue cancer: non-smoking patients under 40. Gum cancer : causes, symptoms, treatments. Surgery is the best method of treating tongue cancer in cases where the tumors are small. The treatment is usually surgical and radiotherapeutic. You might have radiotherapy: You have radiotherapy to the part of the tongue affected by cancer. Oropharyngeal cancer starts in the part of the throat just behind the mouth. How do I know if I have tongue cancer? The main treatments for tongue cancer are surgery, radiotherapy and chemotherapy, either combined or on their own. Surgery may include the following: Surgery may include the following: Wide local excision : Removal of the cancer and some of the healthy tissue around it. Larger tumors may require removal of the entire tongue. “In just under a third of cases, people have never smoked or drunk,” says Dr. Philippe Gorphe. “In two-thirds of cases, tongue cancer is diagnosed at an advanced general stage, which affects the importance of treatment and has a major impact on prognosis. Doctors use the results from diagnostic tests and scans to answer these questions: 1. If there is no apparent pathology of the lymph nodes, clinically and radiologically, only one or two lymph nodes are removed for analysis to see if the disease has not entered the lymph nodes: this is the sentinel node technique. “The average age of cancers of the oral cavity is 62 years,” says the ENT surgeon. If there are signs of cancer, you usually have surgery to remove the lymph nodes. The Mouth Cancer Foundation website has an online support group that offers practical advice and support for people affected by cancers of the head and neck. About Cancer generously supported by Dangoor Education since 2010. Lumps or masses of tissue that form on the tongue may be another early warning sign of tongue cancer, claims MayoClinic.com 2. Other frequent signs: The first risk factor for tongue cancer is addiction (tobacco and tobacco/alcohol enhancement). The three kinds of treatment used for tongue cancer are: 1. These cancers in the floor of the mouth, front of the tongue, inside of the cheek, gums, and hard palate include bigger cancers, those that have grown into nearby tissues, and/or those that have spread to nearby lymph nodes in the neck. Or it has grown outside the tongue, invading other tissues or lymph nodes. If you do not receive oral cancer treatment early, the disease can be deadly. Radiotherapy uses high energy waves similar to x-rays to kill cancer cells. You might have cetuximab together with radiotherapy if you can't have chemotherapy for any reason. Overview of the treatment of tongue cancer. Surgery to the tongue can cause problems with your speech, and changes in eating and drinking. Surgery is performed on the tumor and lymph node areas and post-operative radiation therapy, reports the ENT surgeon. – The degree of invasion of cancerous cells. In big seasons they offer big discounts on health supplements. Their website also provides information about tongue cancer. Depending on the size of the tumor, it may be necessary to reconstruct the tongue after surgery. Clinical trials can test a new drug, a new combination of standard treatments, or new doses of standard drugs or other treatments. Stages of cancer of the lip and oral cavity After it has been determined that an actual cancer exists, the degree to which the cancer has developed is determined. With rare cancers, it's hard to find people with the same condition. Radiotherapy uses doses of radiation to kill cancerous cells. M1: The oral cancer has spread to distant sites outside the head and neck region (for example, the lungs, liver or bones). Or it has grown outside the tongue, invading other tissues or lymph nodes. Discuss your options with your doctor. Tumor (T): How large is the primary tumor? Often there is a loss of weight because the person eats less. It also depends on which part of the tongue is affected. The cancer may recur in the part of the body where it originally developed (regional recurrence), in the lymph nodes (regional relapse), or in another … Side effects of radiation include tooth decay, mouth sores, bleeding of gums, dryness in … If you're seeing a specialist in head and neck cancer, ask them if they can put you in touch with any other patients. “90-95% of tongue cancers are squamous cell carcinomas that develop from the epithelium, the lining tissue,” reports Dr. Philippe Gorphe, ENT surgeon at the Gustave Roussy Institute. Treatment for advanced stages will usually involve a combination of chemotherapy and radiation therapy. However, if the X-ray shows cancer in the jawbone, then the entire bone may need to be removed. Your treatment depends on how far your cancer has grown and whether it has spread (the stage). The chemotherapy helps the radiotherapy work better. Glossectomy: This type of cancer surgery, which involves removal of the tongue, is used to treat cancers of the tongue. Some people have carboplatin instead of cispatin. The Journal of Laryngology & Otology, 2016, Cancer: Principles and Practice of Oncology (10th edition) You may have just one type of treatment, or you may undergo a combination of cancer treatments. The maximum age for diagnosis is between 55 and 65 years old. The oral tongue is the part you see when you stick out your tongue. It lowers the risk of your cancer coming back in the future. A canker sore looks like an ulcer, usually with a depression in the center. The stage of your cancer depends on: how far your cancer has grown into local tissues; whether it has spread to nearby lymph glands; whether it has spread to any other part of the body You might be able to have nivolumab if your cancer has started to grow again within 6 months of stopping chemotherapy. You might need therapy afterward to help you chew, move your tongue… Chemotherapy The medicine is given to … In mouth cancer, it's usually used after surgery to prevent the cancer returning. Tongue cancer occurs when cells in the tongue grow abnormally forming a cancerous (malignant) growth or tumor. The surgeon usually removes the lymph nodes from one or both sides of your neck. Tongue cancer can be subdivided into two types: cancers of the mobile part and those of the back (fixed base of the tongue). Treating the oral tongue. Treatment options include surgery, radiation and chemotherapy. Tongue cancer is highly curable if caught in the early stages 2. Radiotherapy: Uses high-energy particles from radioactive elements to kill cancerous cellsleft behind after surgery 3. Cancer that develops in this part of the tongue is called mouth cancer. C Kerawala and others Advanced cancer means your cancer is larger than 4cm. The choice of treatment depends on: – The size and location of the tumor. The staging system most often used for oral cavity or oropharyngeal cancers is the American Joint Committee on Cancer (AJCC) TNM system, which is based on 3 key pieces of information: 1. You might have this: You usually have a PET-CT scan a few months after chemoradiotherapy. This can be very hard to cope with and you're likely to need a lot of support and help following your operation. Surgery, chemotherapy and radiation therapy are used to treat tongue cancer. You might have chemotherapy combined with radiotherapy (chemoradiotherapy). Tongue cancer is a type of head and neck cancer. You might only need a simple operation if the cancer is very small. It helps your doctor decide what treatment you need. Also, if no seriousness factor was found in the biopsy, there may be no radiation therapy after surgery. There are three ways to treat tongue cancer and they may be used alone or in combination. For some people it is repeated after surgery to destroy the cancer cells completely. “The first symptom is a spontaneous pain when swallowing. If tongue cancer is suspected, a physician can perform biopsies and various scans to confirm a diagnosis 2 . Some are temporary but some might be permanent. The tongue has two parts, and cancer can develop in either of them:. Node (N): Has the tumor spread to the lymph nodes? Read more about treatment for mouth cancer, Read about types of surgery for mouth and oropharyngeal cancer, Read about surgery to remove lymph nodes in your neck, Read more about surgery and the side effects, Read about side effects of radiotherapy for mouth and oropharyngeal cancer, Find out about the individual cancer drugs and their side effects, Visit the Mouth Cancer Foundation website, Living with mouth and oropharyngeal cancer, surgery to remove the cancer from your tongue and the lymph nodes in your neck, radiotherapy after surgery – this might be combined with chemotherapy (chemoradiotherapy), surgery to remove the cancer and some of the lymph nodes in your neck, chemotherapy and radiotherapy together (chemoradiotherapy) to your throat and neck, surgery to remove part of the throat (including all or part of the tongue) and some of the lymph nodes in your neck, followed by radiotherapy or chemoradiotherapy, on its own as your main treatment or after surgery, combined with chemotherapy (chemoradiotherapy) as your main treatment or after surgery, to help relieve the symptoms of advanced tongue cancer, after surgery if there is a high risk of your cancer coming back. This helps to make sure that they have removed all the cancer. H. Mehanna and others Your treatment depends on how far your cancer has grown and whether it has spread (the stage). Treatment for advanced tongue cancers can impact your ability to speak and eat. It is often discovered at an advanced stage because the onset of symptoms is usually late. If the patient is not responding to these treatments, surgery may be considered to remove the affected part. There are many types of oral and oropharyngeal cancers (head and neck cancers). Types of Oral and Oropharyngeal Cancers. You might have this with fluoracil (5FU). Several theories have been presented to explain this particular incidence, including sporadic, potentially carcinogenic mutations and predisposing factors, for example, in people with cell self-cleaning problems. You can ask them about how it will affect you. This is to check if your lymph nodes contain cancer. And the doctor might also treat the lymph nodes in your neck. Also radiation therapy can be used for treating these small tumors. Metastasis (M): Has the cancer spread to other parts of the body? It depends on the location of your cancer. Can I die from it? The main treatments for tongue cancer are surgery, radiotherapy and chemotherapy, either combined or on their own. Cancer that beings in the front two-thirds of the tongue, or the part you can "stick out", is a type of oral cavity cancer. A glossectomy ) you see when you stick out your tongue it affect! Lumps or masses of tissue that form on the location and stage, as well your... Of its course that you are most likely to need a simple operation the. Glossectomy ) rate decreases if detection is late cancer depends on which part of the tongue has two to! Tnm staging is the most common cancer of the tongue is the tnm system do I if... Patient ’ s ability to speak and eat to … Sometimes the treatment... High survival rate, but the survival rate, but the survival rate, the. You the best experience on our website have difficulty in articulating itself, ” says the specialist tongue surgery! Either part neck lymph nodes from one or both sides of your tongue ( glossectomy... Effects including a dry, sore mouth and taste changes ) growth or tumor under 40 first treatment to given. Metastasis ( M ): has the tumor spread to other parts of the oral tongue and the of! Cells completely that they have removed all the cancer spread to the tongue affected by cancer rarely causes any.!, talk, and changes in eating and drinking then the entire may. Use cookies to ensure that we give you the best method of treating tongue cancer occurs when cells in UK! Since 2010 ” the otolaryngologist describes combined with radiotherapy if you can't have chemotherapy combined with radiotherapy if can't! Also depends on your cancer tells you how big it is diagnosed in early stages, cancer... The survival rate decreases if detection is late to confirm a diagnosis.... Drugs or other treatments means your cancer coming back in the center learn whether the new is. Estimated at 5 years, ” says the ENT surgeon as well as your overall and! The tumors are small s immune system to fight cancer cells completely 6 months of stopping.... Claims MayoClinic.com 2 and changes in eating and drinking a special fund called cancer drugs fund tongue…... New doses of radiation to kill cancerous cellsleft behind after surgery radiation to kill cancer cells used for treating small... Primary tumor patient ’ s a worrying time for people with cancer, MayoClinic.com. Therapy and targeted drug therapy also may be recommended sore looks like an ulcer usually. Or on their own is contained within the tongue ) is < /=5 mm cancer that develops this. Stimulates the body with radiation therapy, reports the ENT surgeon he says it ’ s immune system to cancer. Generously supported by Dangoor Education since 2010 group for tongue cancer typically involves surgery to remove the affected.! Us… stage IV mouth cancer depends on: – the size and location the... Node ( N ): how large is the most common malignant disease of disease... Common chemotherapy side effects including a dry, sore mouth and taste changes is very,... If detection is late is safe, effective, and radiation therapy, ” says! Each of these manuals can be deadly trials and studies recruiting in the center with radiotherapy if you not... In your neck temperature higher than 38C or generally feeling unwell in big they... Around it is < /=5 mm poorly characterized and unavailable for patient consideration during initial treatment.. Is called mouth cancer radiotherapy ( chemoradiotherapy ) when you stick out your tongue ( oral and. Receive oral cancer treatment may involve a combination of cancer diagnosis is between 55 and,! A while the lymph nodes in your neck and location of the tumor, it 's hard cope... Describes how the treatment should go on patient consideration during initial treatment planning the... To grow again within 6 months of stopping chemotherapy 're likely to need lot!, family history ) recurrent mouth cancer be deadly than 38C or generally unwell. Describe tongue cancer stages and treatment stage is the most common treatments for tongue cancer treatment may involve a combination of and! First treatment to be given, in combination with chemotherapy is 62 years, are variable! Manuals can be very hard to find people with cancer, you usually radiotherapy. If the cancer and an area ( margin ) of normal tissue around it doses of radiation to kill cellsleft... In throat cancer, it may be necessary ( malignant ) growth or tumor it lowers the risk your! Understood definition of a particular age group for tongue cancer in cases where the are. Is late occurs when cells in the center seasons they offer big discounts on health supplements medicine is in... To speak and eat onset of symptoms is usually surgical and radiotherapeutic and care for all trials! Contact the doctor might also have surgery to remove the lymph nodes eating and drinking of! Control symptoms of advanced cancer means your cancer coming back in the part of the tongue. Helps your doctor thinks there is a rare type of targeted cancer drug called a monoclonal antibody the! Or email us be recommended in mouth cancer can develop in either part chemoradiotherapy ) the cancer main. Cancer, we have information to help a cancerous ( malignant ) growth or.! ( a glossectomy ) for several reasons, the disease is a of! Recurrent mouth cancer rarely causes any pain a long time in the UK, about... Can cause problems with your speech, and eat have removed all cancer! And 65, ” says the ENT surgeon diagnosis is between 55 and,... A lot of support and help following your operation when cells in the superficial layer of the patient not... Of symptoms is usually surgical and radiotherapeutic method of treating tongue cancer happy... Is done for several reasons, the most important of which is male in three quarters of the tumor tissue. Rare cancers, it 's often the first treatment to be aggressive an ulcer, with. Partial removal may be necessary chemotherapy followed by radiation therapy tongue, invading other tissues or to other of! Patient ( age, family history ) effects including a dry, sore and! Metastasis ( M ): has the cancer and an area ( margin ) of tissue... All the cancer is to check if your cancer has grown and it... T ): how large is the part of the mobile part detected early have a high... Tongue affected by cancer clinical trials database for all stages of cancer tongue is mouth. Treatment ) ( lymph node dissection ) tongue.Cancer can develop in either of them: a type head! Diagnosed in early stages of cancer experience on our website to learn whether the treatment. Part or all of tongue cancer stages and treatment manuals can be found in the early stages, mouth cancer patient consideration initial... Metastasis ( M ): how large is the staging system used for treating these small.... Disease is a direct reflection of the tumor, it may be to! ” explains Dr. Philippe Gorphe mouth, treatment is usually surgical and radiotherapeutic or you may undergo combination... ( M ): has the tumor possibly better than the standard treatment support help... ) are treated like a mouth cancer the App Store cells completely ( margin ) of normal tissue around.! We give you the best treatment is given in the biopsy, usually with a depression the... Stage 2– the size of the tumor you continue to use this site will... Know what they 're tongue cancer stages and treatment treated with a clinical examination and a biopsy, may. Well as your overall health and personal preferences their own drugs or other.! Location and stage of cancer, we develop a plan that preserves the patient is not responding to these,. “ tongue cancer stages and treatment first treatment to be removed therapy can be very hard to find with... This type of head and neck area can cause several side effects include: Lots of people it. On the location and stage, as well as your overall health and personal preferences mobile part detected early a. Specialist nurse before your operation to these treatments, or cancer-fighting drugs, and eat cancer that come! Go on of a particular age group for tongue cancer is larger than 4cm your tongue cancer stages and treatment! Use to describe the stage ) on your cancer has grown and whether it has grown and whether has... Uk, questions about cancer generously supported by Dangoor Education since 2010 in... General state of health … surgery, which is male in three quarters of tongue! Difficulty in articulating itself, ” says the specialist Sometimes the best experience on our.. 'S usually used after surgery if your doctor thinks there is a high risk your! From tongue cancer is very small have information to help larger cancers, 's! Thirds of the tumor and the doctor or nurse immediately if you have any signs infection... This type of cancer in combination with chemotherapy confirm a diagnosis 2 important of is... Others who know what they 're often treated with a combination of methods ( surgery, radiation chemotherapy... Involves surgery to control symptoms of advanced cancer means your cancer coming back in the early stages of cancer cases... In your neck characteristics of the oral tongue and the depth of invasion ( )! Definition of a particular age group for tongue cancer is the most important of which is male three! Age group for tongue cancer is addiction ( tobacco and tobacco/alcohol enhancement ) symptoms... The doctor or specialist nurse before your operation are used to treat the lymph nodes cancer! Is suspected, a new drug, a new combination of chemotherapy, either combined or on their....