Surgical Removal of Stage IV Left Oral Tongue Squamous Cell Carcinoma
This exhibit illustrates the misdiagnosis and progression of squamous cell carcinoma of the tongue. In march, a small tumor on the left inferior tongue was misdiagnosed as a canker sore. Eight months later, the tumor has progressed to stage IV squamous cell carcinoma, covering the the posterior third of the left lateral inferior tongue. A paramedian mandibulotomy (division of the mandible and relevant musculature to allow access to the posterior mouth and oropharynx), partial glossectomy (partial removal of the tongue), and dissection of the neck were performed to remove cancerous tissues. Twenty-four lymph nodes were removed from regions I-IV of the neck. Two were found positive for metastatic cancer. Radiation therapy was performed for six weeks after surgery, leaving radiation burns on the face and neck.