Background: Squamous cell carcinoma (SCC) is the most common malignancy in the head and neck region and specifically in the oral cavity, with oral tongue squamous cell carcinoma (OTSCC) comprising 2540% of all oral carcinoma. Despite the progress made in cancer management and the introduction of multidisciplinary treatment modalities, the overall survival has not improved in the past 30 years. Therefore, a refinement of the treatment strategy is needed.
Aim: A case of surgical management of moderately differentiated squamous cell carcinoma at lateral of tongue is presented.
Case Report: A 46-year-old man complained of canker sores at lateral of tongue for three months in prior that did not heal with gargle solution and vitamin, accompanied by pain on the tongue and migraine. Frozen section biopsy was done in the initial of surgery to make a rapid diagnosis and was found a moderately differentiated squamous cell carcinoma. Partial glossectomy followed with modified radical neck dissection was performed under general anaesthesia. Three months postoperatively, there was no sign of recurrence.
Conclusion: Rapid diagnosis will lead to a better selection of surgical treatment. Surgical treatment of partial glossectomy followed with neck dissection has become an option for a better prognosis.
Key words: Surgical management, partial glossectomy, moderate differentiated oral tongue Squamous cell carcinoma, neck dissection, frozen section
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