Tongue Cancer

Tongue cancer is a type of oral cancer that affects the tongue, which is a vital part of the mouth used for tasting, chewing, and speaking. It is a rare form of cancer, but it can be aggressive and requires prompt treatment.

Types of Tongue Cancer

There are several types of tongue cancer, including:

  • Squamous cell carcinoma: This is the most common type of tongue cancer, accounting for about 90% of all cases. It arises from the squamous cells that line the surface of the tongue.
  • Adenocarcinoma: This type of cancer arises from the glandular cells in the tongue and is less common than squamous cell carcinoma.
  • Mucosal melanoma: This is a rare and aggressive type of cancer that arises from the pigment-producing cells in the tongue.

Causes and Risk Factors

The exact cause of tongue cancer is not known, but several risk factors have been identified, including:

  • Tobacco use: Smoking or chewing tobacco can increase the risk of developing tongue cancer.
  • Alcohol consumption: Heavy drinking can also increase the risk of tongue cancer.
  • Human papillomavirus (HPV) infection: Certain strains of HPV have been linked to an increased risk of tongue cancer.
  • Poor oral hygiene: Not taking care of the teeth and mouth can increase the risk of developing tongue cancer.
  • Diet: A diet that is low in fruits and vegetables and high in processed meats may increase the risk of tongue cancer.

Symptoms

The symptoms of tongue cancer can vary depending on the location and size of the tumor, but common symptoms include:

  • A sore or ulcer on the tongue that does not heal
  • Pain or discomfort in the tongue or mouth
  • Difficulty speaking or swallowing
  • Bleeding from the tongue
  • Numbness or tingling in the tongue or mouth

Diagnosis

Tongue cancer is typically diagnosed using a combination of physical examination, imaging tests, and biopsy. The diagnostic process may include:

  • Visual examination: A doctor will examine the tongue and mouth to look for any visible signs of cancer.
  • Biopsy: A sample of tissue from the tongue is removed and examined under a microscope to check for cancer cells.
  • Imaging tests: X-rays, CT scans, or MRI scans may be used to determine the size and location of the tumor and to check if it has spread to other parts of the body.

Treatment

The treatment for tongue cancer depends on the stage and location of the tumor, as well as the overall health of the patient. Treatment options may include:

  • Surgery: The tumor is removed surgically, along with a margin of healthy tissue.
  • Radiation therapy: High-energy rays are used to kill cancer cells.
  • Chemotherapy: Medications are used to kill cancer cells.
  • Targeted therapy: Medications that target specific molecules involved in cancer growth and development are used to treat the disease.

Prognosis

The prognosis for tongue cancer depends on the stage of the disease at diagnosis. If caught early, the chances of survival are good, but if the cancer has spread to other parts of the body, the prognosis is poorer. The 5-year survival rate for people with tongue cancer is around 50-60%.

Article last updated on: 6th June 2025.
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