On 13/1, Master, Doctor Mai Van Chinh, from the Oncology Department at Thanh Nhan Hospital, reported that the patient was admitted with severe, widespread tongue lesions that hindered eating and communication. A second biopsy at the hospital confirmed squamous cell carcinoma of the tongue, the most common type of oral cavity cancer.

The surgical team immediately performed surgery to remove the tumor and conduct a systemic neck dissection. Among the 36 lymph nodes removed, doctors found one contained metastatic cancer cells. The successful surgery ensured clear margins and maximally preserved tongue function. After one week post-operation, the patient recovered well, eating and speaking almost normally, and was discharged.

Doctors operating on the patient. *Photo: Hospital provided*.

In his medical history, the patient stated he noticed the ulcer about one year prior. After a local medical facility diagnosed it as benign via biopsy, he only took prescribed medication and did not schedule follow-up appointments. However, the lesion did not heal and progressively worsened.

According to Doctor Chinh, tongue cancer often metastasizes early to the cervical lymph nodes. Many cases involve microscopic metastases, which are difficult to detect with ultrasound or MRI. Therefore, neck dissection is crucial for improving treatment efficacy and extending survival, even when imaging scans show no abnormal lymph nodes.

Experts advise the public to be vigilant for signs such as ulcers, growths, or white or red patches on the oral mucosa or tongue that persist for over two weeks. Even if an initial biopsy is benign, patients should seek immediate examination at a specialized hospital if the lesion does not improve or worsens. Early detection significantly increases the chances of curative treatment and preserves communication function.

Le Nga