Vol. 5, Issue 1, Part A (2023)

One of the treatments for tongue cancer is a hemiglossectomy, which involves surgically removing half of the tongue. Regional metastases can be treated surgically and afterwards with supraomohyoid neck dissection (SOHND). SOHND, or selective neck dissection, is recommended for patients with T₂, T₃, and clinically negative (N0) or N1 cervical lymph nodes who have tongue cancer. 46-year-old male with a lump on the right side of his tongue that has been bothering him for the previous six months. It was established that he had a long history of chewing tobacco. The results of a physical examination revealed a painless mass measuring 4.3 x 2.2 x 4.7 cm, with 2.2 cm depth of invasion (DOI) on the right two-thirds of the anterior tongue. The biopsy's histopathology results revealed an invasive keratinizing squamous cell carcinoma, and A contrast enhanced MRI was done suggestive of a mass lesion on right lateral border of the tongue involving its root, anteriosuperior margin with infiltration into opposite genioglossus muscle and appearing hyperintense on T₂. The size of the cervical lymph nodes was also enlarged to 13 mm, and the density of the bone was normal. The main form of therapy for T3N1M0 tongue cancer is hemiglossectomy, and radiotherapy should be thought of as adjuvant therapy for a better prognosis.