Cancer that occurs on the tongue can be found either on the anterior end(oral end) of the tongue or the posterior end (base of the tongue). The anterior having 4 parts tip, dorsum, lateral borders, and ventral surface out of which the lateral borders get affected by a tumor in most cases. Oral cancer is found out during the initial stages but it is quite advanced when it spreads to the base of the tongue
The 5 stages of tongue cancer can help the patient plan out his treatment accordingly.
Check out the simplest pictures to understand the 5 stages:
Stage 0: known as Carcinoma in-situ. This describes the presence of abnormal cells in the surface lining and having a high potential to invade the deeper layers.
Stage 1: The size of the tumor is less than or equal to 2 centimeters and the cancer cells did not spread to the lymph nodes.
Stage 2: The size of the tumor is between 2 and 4 centimeters and the cancer cells did not spread to the lymph nodes.
Stage 3: The tumor is larger than 4cm and without spreading to lymph nodes, or is of any size and had spread to only a single lymph node(less than 3cm).
Stage 4: It is the most advanced stage. The tumor may be of any size, but it has spread to:
- Adjacent tissue, skin, or bone
- Single lymph node (more than 3cm) or multiple lymph nodes.
- Distant body parts like lungs etc.
1. Ulceration or lump on the tongue
2. Bleeding and numbness
3. Reddish or White patches on the tongue
4. Lump in the neck
5. Pain and difficulty in swallowing
Excessive Consumption of Tobacco and Alcohol is the biggest risk factor for tongue cancer. The cancers that are found on the base of the tongue are due to the presence of HPV-16. Chronic irritation by dentures, teeth and poor dental hygiene is another reason for tongue cancer.
1. The treatment goals of tongue cancer are to eradicate the cancer and restore the form and function of the tongue.
2. The treatment modality for achieving these goals in tongue cancer is usually surgery. In case of advanced cancer, surgery should be followed by adjuvant radiotherapy and chemotherapy either alone or in combination.
3. The choice of treatment depends on the depth, extent and stage of the tongue cancer.
4. Surgery to remove a part of the tongue is known as partial glossectomy whereas advanced cases needed larger tissue removal.
5. People with large tissue removal may need a reconstructive surgery to restore the form and function.
1. Refrain from smoking and consuming any tobacco products.
2. Avoid excess drinking of alcohol
3. Regular dental check-ups and maintaining good oral hygiene.
4. Take a balanced diet rich in fruits, vegetables, Vitamins A, C and E.
-These are aggressive with early tendency to spread to neck nodes.
-Also they have tendency to relapse after treatment.So early and aggressive treatment ensure cure.
-Following patient presented with non healing ulcer since 2 months.
-Associated with severe pain and earache and neck nodal swellings.
-DIAGNOSIS- Biopsy is done to confirm diagnosis
-IMAGING-CT scan or MRI is done to stage the disease.
-Early stage disease is treated with surgery.
-Advanced stagewith multi modality treatment - surgery + radiotheraphy+/-chemotheraphy.
- Early stage doesn’t generally require reconstruction.
- Advanced stage requires reconstruction with flaps, both local and free flaps.
-Early stage tongue cancer is treated with wide excision of ulcer and primary closure followed by neck dissection.
-Advanced stage cancer requires removal of tumor from tongue(partial or hemi glossectomy or subtotal or total glossectomy)
-with neck dissection followed by reconstruction with flaps. Reconstruction improves speech and swallowing of patient.
-This is an example of treated case of tongue cancer where tongue reconstruction was done with Radial fore arm free flap
-Here local flap (sub mental flap) is used for reconstruction of tongue after hemi glossectomy.
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Sandeep MallyaSoftware Engineer
It has been difficult to find the best Oncologists in the city but I got the most needed Oral Cancer Treatment in Hyderabad at Dr Rahul’s. Dr Rahul is a caring and most approachable doctor. Highly recommended.
I’ve been battling with sinus issues for years now and have struggled to have a sinus free life. I’ve always been a fun person but sinus has taken me away from it. I met Dr Rahul, a very well reputed sinus cancer specialist and with his treatment, I feel like I can achieve a great life ahead. Very grateful.
Dr Rahul has been treating my father with Oral Cancer and by far the results we have seen have been impeccable. I can surely say that Dr Rahul is the best head and neck oncologist in Hyderabad.
Dr Rahul always answers the questions with extreme patience. Consulted him for my mother’s oral cancer treatment with obvious lots of concern. I take pride in getting my mother the most needed treatment from the best ENT Specialist.
We have known Dr Rahul’s for a while now as I’ve done my consultation with him after I moved to the city. Got remarkable throat cancer treatment in Hyderabad at Dr Rahul’s after quite a struggle. His expertise is top notch and I can happily trust him with my life.
I am a doctor overseas and when my mum needed surgery for oral cancer, Dr Rahul was collectively recommended by many of my doctor friends and colleagues and I could clearly see why with the experience we had with him. His high standards of care represent how advanced his practice is. He explained things clearly to my mother, provided all the available management options, responded promptly to queries, understood the implications of surgeries to the whole family and provided a holistic care. Needless to say about his great surgical skills, his vast knowledge and experience combined with professionalism and sincerity makehim the best head and neck oncologist to approach for any of our loved ones.
I went to Dr Rahul for biopsy for my vocal cords after 7 years of radiation treatment. He treated me well and explained everything clearly. He is a very nice doctor,he explains everything very clearly, Dr.Rahul and is whole team is very friendly , he also suggests what is the best for us , he has done a successful biopsy for my vocal cords and the result came negative which he told me before biopsy. He is very talented and experienced. When ever we go for regular checkups ,he is very caring and responsible.. Thank you sir.
Dr. Rahul buggaveti is the excellent and best Doctor. His concerned towards patient is more responsible. He has done surgery for my mother suffering from carcinoma, he clearly explained about the problem, how the surgery will be done. Starting from treatment till date he was the only one responds immidiately and rectified health issues for patient at anytime. Great attitude lot of patience &showing kindness towards patient health. I am very much grateful to Dr. Rahul for giving such an adorable treatment to my mother. I suggest everyone to my friends to approach ENT doctor Dr. Rahul I thank GOD for showing path towards Dr. Rahul for my mother treatment .
Dr Rahul Buggaveeti, Head & Neck surgical oncologist, Hyderabad is excellent in diagnosis of problem and superb skills as a surgeon i experienced during my cousin treatment for jaw bone cancer. He will explain well before and after surgery and suggest post operative measures very well. Maintain transperancy throughout the treatment. Great patience. Thanks to him.
I went with swelling in the neck at right side for a month ago and consulted Dr. Rahul Buggaveeti. He immediately suggested USG Guided FNAC but the report was inconclusive. Further investigations were planned for Frozen section biopsy and surgery by Dr. Rahul. So I went with a total thyroidectomy+ Central neck dissection in which they have Identified level II, III, IV lymph node to be cystic in consistency with black discoloration. The lymph node sent for frozen section analysis and found Metastasis from thyroid carcinoma. Dr Rahul took outmost care by removal of infected nodes on both sides of my neck and successfully completed my surgery. From the starting to the end of my operation he was so supportive to me and my family by all means. The way he explains and motivates the patient is rare quality from any doctor. After post operation also Dr Rahul took personal care by giving mental and physical motivation to me as a family member. I strongly recommend patients related to ENT problems to Dr Rahul Buggaveeti. I and my family will be always thankful to Dr. Rahul Buggaveeti.
Brilliant Doctor with Humble approach. Dr. Rahul is experienced professional. From start to end I was so comfortable discussing my problem with him, he was very clear & transparent with his approach. He explained me the treatment & surgery procedure in very simple words which make sense to me. Today when I am writing this is 20th day after my surgery and now, I look back I can see everything is going well as Dr. mentioned.
Suraj Kumar Chandrakar
I consider myself blessed to find Dr. Rahul for the treatment my mother needed six months ago. We were so unsure and lost about what was going on for weeks prior, but within a few minutes of a consultation with Dr. Rahul, he explained to us the diagnosis and course of treatment in a very precise and easy manner to understand. In addition to this, he also empathized and gave us alot of moral support. I did not even need to think of going for a second opinion as Dr. Rahul made me feel secure in the first meet. I would forever be grateful to Dr. Rahul for everything he has done for my family. God bless you Doctor
Excellent treatment and very patient hearing from the doctor. We met Dr Rahul Buggaveeti in Apollo Hospital Jubilee hills for my wife's thyroidectomy which was pending since last 17 years. He was so patient in hearing to all our queries and answered them in detail. He conducted the operation with precision and saved the vocal chords and other important nerves for chewing and swallowing. Recovery was very quick after surgery. Within 4 days my wife was almost normal with daily activities. We thank Dr Rahul Buggaveeti garu for such a hassle free surgery and answering all our queries time to time thereby instilling confidence in us. Thank you Dr Rahul Buggaveeti garu. 🙏🙏
5 months ago I have consulted Dr. Rahul Buggaveeti for my Thyroid problem. Dr. Rahul is excellent and best Doctor. He explains everything clearly and ensures that they understand the treatment plan and response immediately through whatsApp also. I felt that I got plenty of time to explain my issues without feeling rushed and he gave me hope and mental support. The way he counselled me gave a scope to lead a new life. He gives more importance to the patients rather than anything else. I am thankful to my destiny that made me to meet a wonderful and caring person like him. I would like to visit whenever needed and complete my treatment with full trust. I even suggest others can get their treatment with full hope and trust.
I am a practicing physician in the US. In early 2021, I had noticed a change in the voice of my father. Initially saw a local ENT who dismissed his symptoms for allergy and reflux. A close oncologist friend of mine suggested he see Dr. Rahul, who diagnosed him with a dysplastic lesion and suggested Radiation. My parents were very happy that Dr.Rahul was very thorough and informative. He discussed with them in detail the pros and cons of procedures. My father regained his voice, and needless to say - my family and I are glad and grateful for Dr.Rahul’s services. As a person Dr.Rahul is humble and sincere. He is knowledgeable and is an expert in his area of specialization. I highly recommend Dr.Rahul for any ENT related issues.
Great experience as a first timer. I barely waited to be helped when I checked in. The staff and Dr. Rahul Buggaveeti were all very friendly and helpful. I especially loved how Dr. Rahul Buggaveeti really took his time to explain my conditions with me as well as my treatment options. I had a great visit and the doctor’s demeanor has really put me at ease so I highly recommend this for ENT and Head and nick surgeries. The Dr. Rahul Buggaveeti has the one of the best treatment and speedy recovery for head and surgeries and treatment.
My dad noticed a tumor on his tongue and visited Dr. Buggaveeti. Dr. Buggaveeti performed biopsy and determined it was cancerous. As soon as my dad heard the word cancer he became too worried. Dr. Buggaveeti consoled him, clearly explained us the procedure to take care of it and dad went through with it. Dr. Buggaveeti kept us well informed all through the process and provided excellent care. Thanks to the Dr. Buggaveeti that it was diagnosed early and all the cancerous tumor was removed. My dad is cancer free and will be monitored for next year. I would strongly recommend Dr. Buggaveeti for your ENT oncology needs.
Dr Rahul Buggaveeti garu given excellent treatment, guidance & care to my father, who suffered from throat & lung problem due to his smoking habit for last 50 years. Doctor garu swiftly identified the symptom initially & provided efficient treatment & helped in curing the disease totally.Health is Wealth.
My mother recently went through a surgery from Dr Rahul and the surgery went perfectly fine. He is very helpful regarding personal doubts and queries which I felt very helpful as being from a non medical background I and my mom came up with several doubts which he answered with utmost patience.
Dr.Rahul is a very nice doctor,he explains everything very clearly ,Dr.Rahul and is whole team is very patient, he also suggests what is the best for us , he has done a successful surgery for carcinoma oralcancer to my husband When ever we go for regular checkups ,he is very caring and responsible. I always thanks sir. Great patience. 🙏🙏
Dr. Rahul sir is very talented, understanding in nature and resourceful oncologist. He has done my successful surgery of adenoid cystic carcinoma of right ear canal with parotidectomy surgery. He tells you the complex phenomenon in simple words which easily understands the people. He helps the patient at his level and also gives moral supports to the patient. I am really very happy that I got treatment under him. Thankful to Dr. Rahul buggaveeti for their support.
I am really thankful to Dr. Rahul for treating me and saving my life from one of the rarest cancer. The way explain and treat gives a great confidence. The biggest USP is his all time availability either be on call or clinic visit. I had been thru few emergency scenarios and he was always there to treat. Thanks Dr Rahul for everything you have done.
My Name is ShivaPrasad. I have recently undergone a Surgery by Dr.Rahul Buggaveeti. Im very thankful to God that he has helped me in meeting Dr.Rahul who is very helpful in explaining, motivating and caring for my Surgery and making it Success. He is very Patient in answering all our doubts and questions. Me and my Family are verymuch thankful to Dr Rahul Sir.🙏
Thanks is not enough to show my gratitude towards Dr Rahul Buggaveeti sir. He has done a successful surgery for mucormycosis (black fungus) to my father. When ever we go for regular checkup, his care and suggestions are immense. We are very fortunate that my father has recovered well. Thank you very much sir 🙏
Sai Kiran Chowdalla
I am out of my way, when knowing about my health condition(thyroid cancer). But at the same time, I am thank full God for showing Dr. Rahul.as my health guru. I have seen so many doctors who are very patient, but he is out of my expectations in patience and talent. We are always proud to have very responsible doctors like him. I always think that doctors are next to god, he has proven that. The quick response to the patient's through online in this pandemic is highly appreciable.
Sudheer Reddy P
Excellent services. Had my uncle treated. Will recommend. Very patient and highly qualified
Very good doctor,highly experienced doctor gives his utmost to a patient.The team is good and cooperative.
He is best Oncologist in Hyderabad, I have taken my uncle to him at serious condition, Dr.Rahul Buggaveeti sir did surgery and saved life of my uncle, he takes care of patients very well, he helps the patient and gives moral supports to the patient and patient family members. Thankful to Dr. Rahul Buggaveeti for his support.
Dr rahul buggaveeti is extremely helpful, and incredibly patient in explaining exactly what needs to be done and what he has done. His response is invariably speedy, practical and sensible.
Dr.Rahul Buggaveeti is one of the finest head and neck surgeons in the country. My father had been consulting Rahul sir for leukoplakia which had later developed into cancer which the doctor had been warning us and had been requesting to come for regular check ups for the last 2+ years. The process of surgery was explained in very much detail, the post surgery care and possible complications and everything else was briefed to us prior to the surgery. The surgery took 11+ hours and Dr. Rahul Buggaveeti sir and his team did it with so much precision and care that my father was able to talk properly and walk and take food within a week's time. We'll be forever indebted for the treatment he gave my dad that he's able to fight cancer and start anew. Thank you sir! 🙏
The way he talks to the patient is simple but patient does not think to have second openion. That's really his greatness. During surgery time and post surgery, he takes care of patient is fantastic and appreciable by regular reviews over phone and physical consultance. It shows his sincere attention on the patient. Being a relative of the patient who was treated by Dr. Rahul Buggaveeti, I am very happy to his approach and treatment which has clarity. Wishing him great success and recommend to all my friends and relatives who needs this kind of treatments.Dr Rahul Saved my cousin from the serious health issue.He Diagnosed the Mouth cancer on time and treated well even after post surgery. His personal care is remarkable .Rahul consistently motivated and showed empathy .Thank u very much