4 Revealing Tongue Cancer Stages

The tongue comprises two kinds of tissue: squamous and glandular. Tongue cancer can develop in either type of cell, but most cases occur in squamous cells. Tongue cancer is more common in men than women, and the average age at diagnosis is 60. Further on, we will talk about the stages of tongue cancer.

Causes and Risk Factors of Tongue Cancer

Several risk factors can increase your chance of developing tongue cancer, including:

• Tobacco use: People can develop tongue cancer from smoking. Smoking tobacco is the most common cause of tongue cancer. Chewing tobacco and snuffing also increase a person's risk.
• Heavy alcohol use: Drinking alcohol increases the risk of tongue cancer, especially if a person smokes tobacco.
• HPV on Tongue: Infection with the human papillomavirus (HPV) is a risk factor for tongue cancer. HPV on the tongue is a sexually transmitted virus that can cause abnormal changes in the cells of the language.
• Oral hygiene: Poor oral hygiene and dental health can increase the risk of tongue cancer.
• Diet: A diet low in fruits and vegetables may increase the risk of tongue cancer.
• Age: Tongue cancer is more common in people over 50.

Tongue Cancer Symptoms

The symptoms of tongue cancer can vary depending on the size and location of the tumor. Tongue cancer often starts as a small, painless sore that does not heal on the tongue. The sore may bleed easily and appear as a red or white patch on the tongue. Tongue cancer may also cause problems with chewing, swallowing, or speaking.

Other tongue cancer symptoms can include:

• A sore throat that does not go away
• Painful swallowing
• Weight loss
• Bad breath
• Ear pain

Tongue Cancer Stages

Tongue cancer stages range from I to IV. Surgery and radiation therapy can often cure tongue cancer caught in the early stages (I and II). However, tongue cancer that has spread to other body parts (phase IV) is more challenging to treat and is often incurable.

Tongue cancer stages are differentiated as follows:

• Stage I Tongue Cancer: In stage I tongue cancer, the tumor is 2 centimeters (cm) or less and has not spread to nearby lymph nodes or other body parts.
• Stage II Tongue Cancer: In stage II tongue cancer, the tumor is more significant than 2 cm but has not spread to nearby lymph nodes or other body parts.
• Stage III Tongue Cancer: In stage III tongue cancer, the tumor has spread to nearby lymph nodes but not to other body parts.
• Stage IV Tongue Cancer: In stage IV tongue cancer, the tumor has spread to other body parts, such as the lungs or liver.

Diagnosing and Treating Tongue Cancer 

If a person has symptoms of tongue cancer, their doctor will perform a physical examination and take a medical history. The doctor may also order one or more tests to make a diagnosis.

Tests used to diagnose tongue cancer include:

• Biopsy: A biopsy removes a small piece of tissue from the tongue for examination under a microscope. A biopsy is the only way to diagnose tongue cancer definitively.
• Imaging tests: Imaging tests such as X-rays, computed tomography (CT) scans, and magnetic resonance imaging (MRI) scans look for tumors in the tongue.
• Endoscopy:  An endoscope is a thin, flexible tube with a light and camera that examines the inside of the throat.

After performing the tests, the doctor will review the results and make a diagnosis. For example, if a person gets tongue cancer, their doctor will stage the cancer to determine its extent. Staging is necessary because it helps guide treatment decisions.

The treatment for tongue cancer depends on the stage of the disease, the patient's overall health, and preferences. Treatment options for tongue cancer include surgery, radiation therapy, and chemotherapy.

• Doctors may treat early-caught tongue cancer with partial removal of the tongue, known as partial glossectomy. More advanced tongue cancer may require a total reduction of the language (total glossectomy). Surgery may also remove lymph nodes in the neck affected by cancer.
• Radiation therapy uses high-energy beams to kill cancer cells. Doctors can use radiation therapy before or after surgery and may combine it with chemotherapy.
• Chemotherapy is a treatment that uses drugs to kill cancer cells. Doctors can administer chemotherapy intravenously or orally, and they often use it in combination with radiation therapy.

Doctors will closely monitor a patient for signs of cancer recurrence after treatment. Follow-up appointments may include physical examinations, imaging tests, and blood tests. These appointments are essential to ensure that cancer has not returned.

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