These symptoms may indicate squamous cell carcinoma of the tongue | Squamous cell carcinoma of the tongue

These symptoms may indicate squamous cell carcinoma of the tongue

The symptoms of squamous cell carcinoma are relatively unspecific, especially in the beginning. It becomes noticeable by a new perceptible spatial requirement, growing into neighboring structures and possibly by tumor necrosis (destruction of tissue). Among the most frequent symptoms are:

  • Localized pain
  • Foreign body sensation in the mouth
  • Great language
  • Bloody saliva
  • Halitosis
  • Sensitivity disorders (sensory disorders)
  • Difficulty swallowing and difficulty speaking and making sounds (This occurs only when the movement of the tongue is disturbed or restricted).

Treatment of squamous cell carcinoma of the tongue

The therapy of squamous cell carcinoma of the tongue is based on the stage at which it is discovered at diagnosis and on the common consensus of all treating physicians. The specialists involved are (or can be) ENT physicians, oral surgeons, MKG surgeons, plastic surgeons and oncologists. The treatment of squamous cell carcinoma of the head and neck is primarily surgical, i.e. it is removed by surgery.

The resulting pits and gaps can be further treated in complex plastic surgery operations (for example, by covering them with your own muscles). In some cases, chemotherapy or a combination of radiation and chemotherapy (radiochemotherapy) may also be necessary. Depending on the infestation, removal of the lymph nodes in the affected region may also be necessary.

Then an operation is performed on the respective side of the neck from the outside (“neck dissection“). In an incurably advanced stage, palliative treatment is performed.The aim of this is to allow food intake for as long as possible and to maintain the quality of life according to the patient’s expectations. Here, surgical measures can also be used, which are then no longer used to cure the cancer, but to allow the passage of food.

As in every cancer disease, supportive measures (support) play an important role. Psycho-oncological discussions as well as patient-centered discussions about medical measures at the end of life or in health crises should take place regularly. Especially because of the prognosis of squamous cell carcinoma of the tongue.