UNIQUE PRESENTATION OF CARCINOMA OF TONGUE AND ITS MODALITIES OF TREATMENT.

JPUMHS; 2025:15:01,106-111. http://doi.org/10.46536/jpumhs/2025/15.01.603

Abstract

BACKGROUND: Carcinoma of Oral cavity are most common problem all over the world
due to un hygiene conditions. AIM OF STUDY: To determine the Unique presentation of
carcinoma of tongue and its modalities of treatment. STUDY DESIGN: Prospective
observational study. PLACE AND DURATION: Two years’ study from January 2023 to
March 2024 Was Conducted at Oral and Maxillofacial surgery at dental department and
General surgery department at Liaquat University of Medical Health sciences jamshoro and
Hyderabad. PATIENTS AND METHODS: The study comprises 100 patients all were
admitted from Oral and maxillofacial surgery dental department and General Surgery
Department of Liaquat university of medical and Health Sciences jamshoro and Hyderabad.
The patients were evaluated fully after history, clinical examination and specific investigation
of Blood Complete Picture, Cytology of ulcer Edge biopsy of tongue ulcer and FNAC of
Cervical Lymph Node Biopsy X-ray Head, Neck and Chest, Ultra sound of neck Endo
luminal ultra sound, Contrast C.T scan of Head Neck and Chest, MRI of head, Neck, thorax
and PECT Scan and General assessment of the patients who were diagnosed malignant
tongue ulcers and bone scan. Base line investigations. Complete Blood Count, Blood Urea,
Blood sugar, HBSAG, Anti HCV, HIV Covid 19 and urine detail report. RESULT: In this
study of 100 patients of Carcinoma of tongue were in age group. Age range between 12 to 60
years .65 sixty five patients were presented age range between 12 to 35 years ,19patients
were presented with age range between 35 to 50 years and 16 patients were presented with
age range between 51 to 60 years .Out of 100 patients 60 patient were presented with Non
Healing ulcer ,16 patients were presented Non healing ulcer along with hard nodule of
tongue ,12 patients were presented with Non healing ulcer along with tongue nodule ,
bleeding , dysphagia with unilateral cervical lymph node enlargement , 12 patients were
presented with non-healing ulcer , hard nodule of tongue ,bleeding, dysphagia and with
bilateral cervical lymph node , Out of 100 patients 21 patients were presented in stage 1, 24
patients were presented in Stage 11 ,55 patients were presented Stage 111 and 1V . Out of 100
patients 21 patients were treated local excision 24 patients were treated partial glossectomy
along with selective and Modified Radical Neck dissection ,55 patients were treated on radio
and chemotherapy. CONCLUSION: Oral cavity problem now a day is a common world wide
due to eating of Most carcinogenic substance in diet may lead to damage normal Oral cavity
epithelium may lead Non Healing Ulcer, dysplasia and metaplasia then convert in to
malignancy.