Treatment FAQ

what is diagnosis if cance in neck and tongue are still present after treatment

by Alberta Jacobson II Published 2 years ago Updated 2 years ago

How to know if you have tongue cancer?

1 Difficulty swallowing or speaking 2 A feeling that there's something in your throat (a lump or a mass) 3 Sore throat 4 White or red patches on your tongue 5 A feeling of numbness in your mouth 6 Unexplained bleeding from your tongue 7 Rarely, symptoms of tongue cancer can also include ear pain

Is tongue cancer head and neck cancer?

It’s a type of head and neck cancer. Tongue cancer can occur on the front of the tongue, which is called “oral tongue cancer.” Or it may occur at the base of the tongue, near where it attaches to the bottom of your mouth. This is called “oropharyngeal cancer.” Squamous cell carcinoma is the most common type of tongue cancer.

What is the prognosis of tongue cancer?

Increasingly, cancers at the base of the tongue are associated with human papillomavirus (HPV), which has a profound effect on the prognosis and treatment of the cancer. Treatment for tongue cancer typically involves surgery to remove the cancer.

When to see a doctor about a sore on your tongue?

If you have a sore on your tongue or in your mouth that doesn’t get better in a couple of weeks, see your doctor. If the problem is at the base of your tongue, you may not notice any symptoms. Your dentist may find signs of tongue cancer during a checkup, or your doctor might notice something during a regular exam.

Is tongue and neck cancer curable?

If mouth cancer is diagnosed early, a complete cure is often possible in up to 9 in 10 cases using surgery alone. If the cancer is larger, there's still a good chance of a cure, but surgery should be followed by radiotherapy or a combination of radiotherapy and chemotherapy.

Does throat cancer affect the tongue?

This particular type of cancer can affect the: Lips. Tongue. Larynx or voice box.

Which cancer affects tongue?

The most common type of tongue cancer is squamous cell carcinoma (SCC). Squamous cells are the flat, skin like cells that cover the lining of the mouth, nose, larynx, thyroid and throat. Squamous cell carcinoma is the name for a cancer that starts in these cells.

Can tongue cancer spread to neck?

In the throat, at the base of the tongue, where tongue cancer may develop with few signs and symptoms (hypopharyngeal tongue cancer). Cancer at the base of the tongue is usually diagnosed at an advanced stage, when the tumor is larger and the cancer has spread into the lymph nodes in the neck.

How do they remove tongue cancer?

At Mayo Clinic, surgeons remove most tongue cancer through the mouth (transoral surgery). To remove the cancer, doctors may use cutting tools or lasers during surgery. Transoral robotic surgery.

Can tongue cancer be cured?

Tongue cancer is highly curable when it is detected early, but it can be life-threatening if not diagnosed and treated early. Over time, it may spread to other sites in the mouth, other areas of the head and neck, or other parts of the body.

Does tongue cancer spread fast?

Cancer of the mouth is considered to spread at a moderate rate, not being categorized among either the slowest-spreading cancers or the fastest-spreading types.

What is the survival rate for tongue cancer?

Survival rates can give you an idea of what percentage of people with the same type and stage of cancer are still alive a certain amount of time (usually 5 years) after they were diagnosed....Tongue.SEER Stage5-Year Relative Survival RateLocalized83%Regional69%Distant41%All SEER stages combined68%Mar 2, 2022

What is the best treatment for tongue cancer?

The most common treatment is surgery to remove the affected area. You might also have radiotherapy after surgery to try to prevent a cancer from coming back. This is known as adjuvant radiotherapy. Some people with early stage oral tongue cancer might have radiotherapy first.

Can cancer in the neck be cured?

Many cancers of the head and neck can be cured, especially if they are found early. Although eliminating the cancer is the primary goal of treatment, preserving the function of the nearby nerves, organs, and tissues is also very important.

Where does squamous cell carcinoma of the tongue spread to?

The most common site for OSCC metastasis is cervical lymph nodes, and it reduces the survival rate by 50% 13, 14. Cancer cells usually spread to the lymph nodes on the same side of the cancer primary site.

Where does tongue cancer usually spread?

Mouth and oropharyngeal cancer can typically spread to the: lymph nodes in the neck. lung. liver.

Are There Different Kinds of Head and Neck Cancer?

There are many types of head and neck cancers. Your doctor can tell you more about the type you have. Here are some of the most common types and ho...

How Does The Doctor Know I Have Head and Neck Cancer?

These cancers may not be found until they cause problems that make the person go to the doctor. Sometimes changes are seen during a routine visit t...

How Serious Is My Cancer?

If you have head or neck cancer, the doctor will want to find out how far it has spread. This is called staging. You may have heard other people sa...

What Kind of Treatment Will I Need?

There are many ways to treat head or neck cancer, but the main types of treatment are local or systemic.Surgery and radiation are used to treat onl...

What Will Happen After Treatment?

You’ll be glad when treatment is over. But it’s hard not to worry about cancer coming back. Even when cancer never comes back, people still worry a...

How do you know if you have cancer on your tongue?

Symptoms. One of the first signs of tongue cancer is a lump or sore on the side of your tongue that doesn’t go away. It may be pinkish-red in color. Sometimes the sore will bleed if you touch or bite it. You may also have: Pain in or near your tongue. Changes in your voice, like sounding hoarse. Trouble swallowing.

What is the best treatment for cancer on the back of your tongue?

If the cancer is on the back of your tongue, you may have radiation therapy (X-rays and other radiation). Sometimes the best treatment is a combination of chemotherapy, or cancer-fighting drugs, and radiation.

What is it called when you have a tongue that sticks out?

One is called oral tongue cancer because it affects the part you can stick out. The other happens at the base of your tongue, where it connects to your throat. This type, called oropharyngeal cancer, is often diagnosed after it has spread to the lymph nodes in your neck.

What causes cancer on the base of the tongue?

Causes. The human papillomavirus ( HPV) can cause cancers on the base of the tongue. HPV also can infect your genital area and cause cervical cancer, penile cancer, and anal cancer. It’s the most common sexually transmitted infection. There are many types of HPV.

How to remove tumor from tongue?

Surgery is often the best way to remove a tumor from the part of your tongue you can see. Your doctor will probably take out some healthy tissue and nearby lymph nodes as well, to make sure all the cancer is gone. If the cancer is on the back of your tongue, you may have radiation therapy (X-rays and other radiation).

Why is it called oral tongue cancer?

Treatment. Prevention. This is one of several kinds of oral ( mouth) cancers. Like other cancers, it happens when cells divide out of control and form a growth, or tumor. There are two types. One is called oral tongue cancer because it affects the part you can stick out.

What happens if you have a sore on your tongue?

You may also have: Pain in or near your tongue. Changes in your voice, like sounding hoarse. Trouble swallowing. If you have a sore on your tongue or in your mouth that doesn’t get better in a couple of weeks, see your doctor. If the problem is at the base of your tongue, you may not notice any symptoms.

How to treat tongue cancer?

Treatment for tongue cancer typically involves surgery to remove the cancer. Chemotherapy, radiation therapy and targeted drug therapy also may be recommended. Treatment for advanced tongue cancers can impact your ability to speak and eat. Working with a skilled rehabilitation team can help you cope with changes that result from tongue cancer ...

What is the cancer at the base of the tongue?

Cancer at the base of the tongue is usually diagnosed at an advanced stage, when the tumor is larger and the cancer has spread into the lymph nodes in the neck. Increasingly, cancers at the base of the tongue are associated with human papillomavirus (HPV), which has a profound effect on the prognosis and treatment of the cancer.

What type of cancer is on the tongue?

Several types of cancer can affect the tongue, but tongue cancer most often begins in the thin, flat squamous cells that line the surface of the tongue. The type of cells involved in your tongue cancer helps determine your prognosis and treatment. Where your tongue cancer occurs also affects your treatment. Tongue cancer can occur:

Where does tongue cancer occur?

Tongue cancer can occur: In the mouth, where it may be more likely to be seen and felt (oral tongue cancer). This type of tongue cancer tends to be diagnosed when the cancer is small and more easily removed through surgery. In the throat, at the base of the tongue, where tongue cancer may develop with few signs and symptoms ...

How to treat tongue cancer?

The three kinds of treatment used for tongue cancer are: 1 Surgery: Removal of the cancerous tumor and the surrounding tissue 2 Radiotherapy: Uses high-energy particles from radioactive elements to kill cancerous cells left behind after surgery 3 Chemotherapy: Uses drugs to destroy cancerous cells and tissues (the two most common types of chemotherapy agents are cisplatin and fluorouracil)

What is the prognosis for tongue cancer?

If you are diagnosed with tongue cancer, your doctor may give you a prognosis—an understanding of the probable course of your disease. It's important to keep in mind that some people with a very poor prognosis are able to recover from their illness, while others with a very positive prognosis may succumb to theirs.

What is the cancer of the tongue called?

Overview. Cancer of the tongue generally falls into two categories or types of cancer—oral or oropharyngeal cancer. There are two portions of the tongue. Most of it is the part that you normally see and can voluntarily move. If cancer originates in this portion of the tongue, it's usually called oral cancer .

What is the name of the cancer that is caused by squamous cell tissue?

Cancer that arises from squamous cell tissue is called squamous cell carcinoma. The vast majority of tongue cancer is squamous cell carcinoma, although there are other, rare, types of tongue cancer; they are named after the tissue or structure from which they originate.

How many types of treatment are there for tongue cancer?

People diagnosed early may need only surgical treatment, whereas those with advanced tongue cancer may need two or even all three types of treatment . The three kinds of treatment used for tongue cancer are: Surgery: Removal of the cancerous tumor and the surrounding tissue.

What is the condition called when a patient undergoes a stem cell transplant?

A condition called graft versus host disease, which occurs in some patients who undergo stem cell transplants

Can tongue cancer cause ear pain?

Rarely, symptoms of tongue cancer can also include ear pain. You should call your doctor anytime you have unexplained symptoms of tongue cancer. Make sure you visit your dentist every six months as your dentist may be the most likely person to notice any subtle abnormalities in your mouth and on your tongue.

How to treat cancer of the oropharynx?

There are many ways to treat cancer of the oral cavity or oropharynx. Surgery and radiation are used to treat only the cancer. They do not affect the rest of the body. Chemotherapy , targeted therapy drugs, and immunotherapy drugs go through the whole body. They can reach cancer cells almost anywhere in the body.

What is the most common type of cancer in the mouth and oropharynx?

The most common type of cancer in the oral cavity and oropharynx is called squamous cell carcinoma (cancer). These cancers start in the squamous cells that line the mouth (oral cavity) and the middle part of the throat (oropharynx).

What is oral cavity and oropharyngeal cancer?

Oral cavity and oropharyngeal cancers are cancers that start in the head and neck area. Cancer that starts in the mouth is called oral cavity cancer. Cancer that starts in the middle part of the throat is called oropharyngeal cancer. These cancers start when cells in the oral cavity or oropharynx grow out of control and crowd out normal cells.

How serious is my cancer?

If you have oral cavity or oropharyngeal cancer, the doctor will want to find out how far it has spread. This is called staging. Knowing the stage will help your doctor decide what type of treatment is best for you.

What will happen after treatment?

You’ll be glad when treatment is over. For years after treatment ends, you will still have appointments with your cancer doctor. Be sure to go to all of these follow-up visits. You will have exams, blood tests, and maybe other tests to see if the cancer has come back.

What is the test for cancer?

Gene and protein tests: The cancer cells in the biopsy tissue might be tested for genes or proteins. Knowing which genes or proteins your cancer has can help the doctor decide if treatments like immunotherapy might help. The cancer might also be tested for a protein that is linked to HPV infection.

What is the name of the doctor who examines the ear and nose?

If signs are pointing to oral cavity or oropharyngeal cancer, you may be sent to see a doctor who focuses on diseases of the ear, nose, and throat (called an ENT doctor, an otolaryngologist, or a head and neck surgeon).

How do you know if you have cancer on your tongue?

The most common early symptom of tongue cancer is a sore on your ton gue that doesn’t heal and that bleeds easily. You might also notice mouth or tongue pain. Other symptoms of tongue cancer include: a red or white patch on your tongue that persists. a tongue ulcer that persists. pain when swallowing.

What is the cancer on the tongue?

Tongue cancer is a type of cancer that starts in the cells of the tongue, and can cause lesions or tumors on your tongue. It’s a type of head and neck cancer.

What type of biopsy is done for tongue cancer?

If your doctor sees any signs of tongue cancer, they’ll do a biopsy of the area of suspected cancer. An incisional biopsy is the most frequently used type of biopsy. In this type of biopsy, your doctor will remove a small piece of the suspected cancer. This is usually done under local anesthesia in your doctor’s office.

How is tongue cancer classified?

Tongue cancer is classified using stages and grades. The stage indicates how far the cancer has spread. Each stage has three potential classifications: T refers to the size of the tumor. A small tumor is T1 and a large tumor is T4. N refers to whether or not the cancer has spread to neck lymph nodes. N0 means the cancer has not spread, ...

What is the most common type of cancer in the mouth?

Or it may occur at the base of the tongue, near where it attaches to the bottom of your mouth. This is called “oropharyngeal cancer.”. Squamous cell carcinoma is the most common type of tongue cancer. This type of cancer occurs: All of these parts of the body are covered in squamous cells.

How many treatments for tongue cancer?

Treatment for tongue cancer depends on how big the tumor is and how far the cancer has spread. You might only need one treatment or you might need a combination of treatments.

What happens if you have cancer on your lymph nodes?

If the cancer has spread to your lymph nodes, those will likely be removed with surgery.

What to do if you have cancer in your neck?

Regional Recurrence Treatment. Your cancer is in lymph nodes near where it started the first time. If this happens, you’ll get surgery to remove the lymph nodes in your neck. You may get radiation after surgery. If surgery isn’t an option, you may get radiation, chemotherapy, or targeted therapy.

What to do if you have oral cancer?

If surgery isn’t an option, you may get radiation, chemotherapy, or targeted therapy. Distant Recurrence Treatment. Your oral cancer has come back in other parts of your body. When it comes back in another part of your body, such as your lungs, doctors prefer to do chemo or targeted therapy.

How to keep oral cancer from coming back?

Stay well. Eating healthy foods, staying at a healthy weight, and getting exercise can help you be stronger and feel better. Science has not shown that these things can keep oral cancer from coming back, but they do have many other benefits.

How long do you see a doctor after cancer treatment?

These visits are an important part of watching for signs of cancer recurrence. Diagnosis. You'll see your cancer doctor for many years after treatment ends. At these visits, you’re checked for long-term side effects, new problems, and cancer recurrence.

What is local recurrence?

Where you first had it. Doctors call this a “local” recurrence.

Is it hard to cure oral cancer?

It’s hard to cure oral cancer that has spread. But treatment can help shrink the tumor and slow its growth. Palliative careis also important for anyone with cancer. It includes taking care of any pain, eating problems, and difficult emotions you may be dealing with, as well as your disease.

Can you get radiation if you have cancer?

Your cancer is in the same place it started the first time. If you already had radiation therapy, you may get surgery to take out the new tumor. You probably won’t get external radiation, since doctors rarely use it to treat the same place. But you may be able to get internal radiation (called brachytherapy).

How to make an appointment at MD Anderson?

Request an appointment at MD Anderson online or by calling 1-877-632-6789.

Can you get tongue cancer if you never smoke?

I also try to remember that life takes its own path sometimes, and it’s not our fault if it’s not what we planned. You can get tongue cancer even if you’ve never smoked. You can have half your tongue and the floor of your mouth removed and replaced with an arm muscle (what?!) and yet still eat, speak and be awesome.

What type of cancer is in the base of the tongue?

Cancer that develops in the base of the tongue is a type of head and neck cancer . Almost all cancers in the base of the tongue are squamous cell carcinomas, which form in the thin, flat cells that line the larynx. Squamous cells also make up the top layer of skin and other body parts such as the lungs and esophagus.

What is the head and neck cancer center?

UT Southwestern Medical Center’s head and neck cancer experts have the experience and training to treat complex cancers such as those affecting the base of the tongue. We offer exceptional care and supportive services to guide patients and their families from diagnosis through the treatment journey.

What is the back third of the tongue called?

The back third of the tongue, which starts in the throat, is known as the base of the tongue. It is part of the oropharynx, which also includes the tonsils, the walls of the throat, and the soft palate (back part of the roof of the mouth). Cancer that develops in the base of the tongue is a type of head and neck cancer.

What are the symptoms of a sore throat that doesn't go away?

Patients should see their doctors if they experience any of these symptoms and they don’t go away: Difficulty moving the tongue. Ear pain. Difficulty swallowing. Sore throat that does not go away. White or red patches on the tongue or lining of the mouth. Lump in the back of the mouth, throat, or neck.

Can cancer affect the base of the tongue?

The exact causes of cancers affecting the base of the tongue are not fully known. However, not everyone with risk factors will develop this type of cancer, and people who don’t have risk factors can develop the disease. Risk factors include:

Can you remove a tumor through your mouth?

Surgery: Depending on the extent of the cancer, we can often remove tumors through the mouth ( transoral), while other tumors require open surgery (using an incision). Surgical options include:

Can MRI show cancer in neck?

MRI can also show whether cancer has spread to lymph nodes in the neck. Positron emission tomography (PET) scan: Using small amounts of radioactive materials and a special camera, PET scans produce highly detailed images that can detect cancerous cells.

Diagnosis

  • Tests and procedures used to diagnose mouth cancer include: 1. Physical exam.Your doctor or dentist will examine your lips and mouth to look for abnormalities — areas of irritation, such as sores and white patches (leukoplakia). 2. Removal of tissue for testing (biopsy).If a suspicious a…
See more on mayoclinic.org

Treatment

  • Treatment for mouth cancer depends on your cancer's location and stage, as well as your overall health and personal preferences. You may have just one type of treatment, or you may undergo a combination of cancer treatments. Treatment options include surgery, radiation and chemotherapy. Discuss your options with your doctor.
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Alternative Medicine

  • No complementary or alternative medicine treatments can cure mouth cancer. But complementary and alternative medicine treatments may help you cope with mouth cancer and the side effects of cancer treatment, such as fatigue. Many people undergoing cancer treatment experience fatigue. Your doctor can treat underlying causes of fatigue, but the feeling of being u…
See more on mayoclinic.org

Coping and Support

  • As you discuss your mouth cancer treatment options with your doctor, you may feel overwhelmed. It can be a confusing time, as you're trying to come to terms with your new diagnosis, and also being pressed to make treatment decisions. Cope with this uncertainty by taking control of what you can. For instance, try to: 1. Learn enough about mouth cancer to make treatment decisions.…
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Preparing For Your Appointment

  • Make an appointment with your doctor or dentist if you have signs or symptoms that worry you. If your doctor or dentist feels you may have mouth cancer, you may be referred to a dentist who specializes in diseases of the gums and related tissue in the mouth (periodontist) or to a doctor who specializes in diseases that affect the ears, nose and throat (otolaryngologist). Because ap…
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Overview

Image
Cancer of the tongue generally falls into two categories or types of cancer—oral or oropharyngeal cancer. There are two portions of the tongue. Most of it is the part that you normally see and can voluntarily move. If cancer originates in this portion of the tongue, it's usually called oral cancer. The bottom third portion of the tongu…
See more on verywellhealth.com

Symptoms

  • Symptoms of tongue cancer can include:3 1. Difficulty swallowingor speaking 2. A feeling that there's something in your throat (a lump or a mass) 3. Sore throat 4. White or red patches on your tongue 5. A feeling of numbness in your mouth 6. Unexplained bleeding from your tongue 7. Rarely, symptoms of tongue cancer can also include ear pain You sho...
See more on verywellhealth.com

Causes

  • Cancer occurs when some of your cells begin to grow abnormally and much too quickly. Many factors can cause or increase your risk of developing cancer. Factors known to increase your risk of tongue cancer4 include: 1. Tobacco use 2. Alcohol use 3. Chewing betel quid and gutka 4. Human papillomavirus (HPV) infection 5. Male gender 6. Age 7. Certain genetic forms of anemi…
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Diagnosis

  • If you have symptoms of tongue cancer that don't go away, see your healthcare provider. If your practitioner suspects tongue cancer, he or she may order one or more tests to diagnose it. Sometimes healthcare providers use a small, thin tube with a camera on it (called a flexible fiberoptic laryngoscope) to see into the back of the mouth and examine the lymph nodesin this …
See more on verywellhealth.com

Treatment

  • There are three ways to treat tongue cancer and they may be used alone or in combination. People diagnosed early may need only surgical treatment, whereas those with advanced tongue cancer may need two or even all three types of treatment. The three kinds of treatment used for tongue cancer are: 1. Surgery: Removal of the cancerous tumor and the surrounding tissue 2. Ra…
See more on verywellhealth.com

Prognosis

  • If you are diagnosed with tongue cancer, your healthcare provider may give you a prognosis—an understanding of the probable course of your disease. It's important to keep in mind that some people with a very poor prognosis are able to recover from their illness, while others with a very positive prognosismay succumb to theirs. In general, if cancer of the tongue is diagnosed at an …
See more on verywellhealth.com

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