11. Oral Cavity: Carcinoma of the Tongue

The __ of the tongue is in the oral cavity

The BOT of tongue is in the ___

anterior 2/3 in oral cavity

posterior 1/3 (BOT) in oropharynx

What are the 4 different areas of the tongue?

1. tip

2. lateral borders

3. dorsum 

4. undersurface

Carcinoma of the tongue epidemiology

1. male predominant

2. Median age: 60, rare under 40

Carcinoma of tongue etiology

1. typical H&N etiologies

2. Plummer-Vinson Syndrome

3. caustic injury

Carcinoma of tongue symptoms of in situ cancer

1. leukoplakia

2. erythroplasia

3. chronic, non-healing painless ulcer

In what part of the tongue doe most tongue carcinomas present themselves in?

lateral borders of anterior tongue

(FYI: cuz you bite those)

Tho tongue cancers usually arise on the lateral border of the anterior tongue, where can they spread to?

they can cross mid-line or extend beyond the BOT

(FYI: bad prognostically)

Carcinoma of the tongue general tx

Carcinoma of the tongue dose

60-75 Gy depending on stage

What nodes must be included in the field when treating carcinoma of the tongue

sub digastric (jugulodigastric) and submaxillary nodes