Cancer of the tongue. Report of the management of 1,554 patients

Squamous Cell Carcinoma of the Tongue Dorsum: Incidence and Treatment Considerations

“…Most tongue cancers occur on the lateral border, making cancer of the dorsum very rare, with an incidence of 2.9-5.0 % (Table 2) [1][2][3][4][5][6]. SCC of the dorsal midline is even rarer and accounts for less than 1 % of tongue carcinomas [6,10].…”

“…Frazell and Lucas [1] reported 63 patients with SCC of the tongue dorsum. Of 58 patients in which the size of the primary lesion was estimated, at least 44 (75.9 %) had early cancer of the tongue dorsum [1].…”

“…Of 58 patients in which the size of the primary lesion was estimated, at least 44 (75.9 %) had early cancer of the tongue dorsum [1]. Of the 59 patients [4], the incidence of cervical lymph node metastasis is 21.4 % (3 of 14 cancer patients).…”

“…SCC of the tongue dorsum is very rare, especially at the midline [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. Lesion of the dorsum might be overlooked or misdiagnosed as a more common benign lesion or oral manifestation of systemic disease [6,16].…”

Radiation-induced Fibrosarcoma

“…Fibrosarcoma, primary or following irradiation, is uncommon at this site, Frazell and Lucas (1962) finding not one among 1554 tumours of the tongue. Goldstein (1921) reviewed 65 fibrosarcomata of the tongue and approximately half of these followed irradiation.…”