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Carcinoma tongue T2N2bMx
Diagnosed in 1st march as scquamous cell carcinoma lateral border of tongue with no clinically pal palpable lymph node in posterior 1/3 rd in left side.operated on 9 the march 2016.hemiglossectomy with mendible swing and MRND.frozen was negative margin and paraffin comes clear margin and 2 lymph nodes positive out of56 and extranodal metastasis. Patient asked to come for radio therapy after 45 days.but on the 40th days after operation there is a swelling in the suture line.which gradually increase in size and day after that another lymph node found.every day there is a new lymph node.doctor advise for PET/CT and FNAC which detect a large recurrence in the retromolar trigon and in the neck area,in lung a very small calcification found which is not sure for metastasis.and in FNAC it found that lymph nodes are malignant.doctor advice for chemotherapy&after that if possible further excision and radiotherapy..but for last 3 days high WBC and chemo can't start.now what is the best treatment?
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Dr. Chethan R S
General Physician 4 yrs exp Bangalore
Hi.....,  Targeted drug therapy targets cancerous cells to interfere with cell growth on a molecular level. such as monoclonal antibodies, alter specific aspects of cancer cells that fuel their growth. These drugs can interrupt the spread and growth of specific tongue cancer cells. It is often combined with chemotherapy and or radiation therapy as part of a tongue cancer treatment plan... Is also a treatment plan for carcinoma tongue....
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