Recurrence of tongue cancer pain

Recurrence of tongue cancer pain how to do, what is an effective way to


My father now 44 years old, the year before checking out the tongue, and then Beijing Cancer Hospital to do the surgery, was doing very good, but in the last relapse, and finally the mouth can be widened, but a recurrence of mouth and little sheets a, and the pain is more than two days are even swallowing throat pain, the doctor said it seemed to be very serious, there is little hope of recovery, I would like to help, is there any way I can let my father pain is not severe, his rehabilitation, please, I really impatient and seek medical help me, thank you



Disease Name
Tongue

Disease Overview
Tongue cancer is the most common oral cancer, more men than women. The majority of tongue squamous cell carcinoma, especially in the Anterior 2 / 3 parts of cancer is less common, and more at the tongue base, tongue base and sometimes also occur lymphoepithelial carcinoma and undifferentiated carcinoma. Occurred in the tongue edge of the tongue, followed by tongue, tongue, and tongue, etc., often ulcerated or infiltrating. Generally higher degree of malignancy, rapid growth, highly invasive and often spread to the tongue, causing tongue movement is limited, so to speak, difficulty eating and swallowing occurred. Tongue back arch and the tongue and palate can be violated tonsil, tongue cancer can spread to the late floor of the mouth and jaw, so that the entire tongue fixed.
Base of the tongue of secondary infection or severe pain often occurs in cancer and radiation to the same side head face. Because the tongue has a rich lymphatic and blood circulation, and the tongue of the mechanical movement frequently, so the earlier transfer of tongue cancer and a higher risk of metastasis. Tongue or the tongue over the center line of the tongue to the contralateral cervical lymph node metastases can; Ministry Tongue and neck cancer more depth to the submandibular lymph nodes, the group transfer; tongue cancer can be transferred to the Department or directly to the neck under the chin deep the group of lymph nodes, base of the tongue cancer is not only transferred to the submandibular or deep cervical lymph nodes, may also poststyloid and pharynx to the rear of the lymph node. Tongue can also occur distant metastasis, and more generally transferred to the lungs.

Classification of Diseases
Oncology, dentistry
Disease description
Tongue cancer is the most common oral cancer. According to the Shanghai Second Medical University Ninth People's Hospital, 1954-1990 years were treated 1751 cases of oral cancer statistics, 551 cases of tongue cancer (31.6%) in the first place. 85% of tongue cancer in the tongue, and most occurred in the tongue, 1 / 3 the side edge of the department, the majority of squamous cell carcinoma; a small number of adenocarcinoma, lymph cell carcinoma or undifferentiated carcinoma.

Symptoms and signs
Can be expressed as early tongue ulcers, and invasion of exogenous 3 types. Some cases the first symptom is only tongue pain, sometimes to reflect temporal or ear. Exogenous can come from malignant papilloma. Invasive type may be no protrusions or surface ulcers, most likely to delay treatment, patients often can not early detection.
Tongue ulcers and usually exist invasion, accompanied by spontaneous pain and varying degrees of tongue movement disorders. Advanced tongue cancer can be directly beyond the midline floor of the mouth or infringement, and invasion of the mandibular lingual periosteum, the bone plate or bone. May extend back before the column base of the tongue or pharynx and pharyngeal wall, tongue movements can be severely restricted at this time, fixed, an increase in salivary fluid spill, but could not control, eating, swallowing, speech are difficult. Severe pain, can be reflected to the hemi-head. Higher rate of lymph node metastasis of tongue cancer, typically about 40%. Transfer parts of the deep cervical lymph node groups on the most. Tongue to late, can occur in other parts of the lung metastasis or distant metastasis.

Diagnostic tests
Tongue diagnosis is generally easier, but for early tongue cancer, particularly invasive type of vigilance. Diagnostic palpation of the tongue than by inspection is particularly important. Biopsy should be carried out to confirm the diagnosis. According to our data, treatment based on surgery, 3, 5-year survival rate is generally above 60%; T1 cases up to 90%.

Treatment
(A) the early treatment of primary tumor of the tongue can be considered well-radiotherapy, surgery or cryotherapy alone. Should be integrated with advanced tongue cancer treatment, according to the different conditions with radiotherapy plus surgery or triple (chemotherapy, surgery, radiotherapy) or quadruple (or triple immunotherapy plus TCM) therapy.
1, radiation therapy can be used for advanced tongue cancer patients before surgery, postoperative adjuvant therapy.
2, surgical treatment is the primary means of treatment of tongue cancer. T1 can be used for cases of more than 1cm away from the lesion outside the wedge resection, direct suture; T2-T4 cases should be removed until the whole line of semi-tongue-tongue resection. For the chewing and language of the vital organs, tongue defects 1 / 2 or more lines should be the same period reconstruction.
3, the chemical treatment of T1, T2 of the tongue can be considered cryotherapy.
(B) the treatment of metastases of tongue cancer transfer rate as high, so the T1 case, the other should be considered the same period underwent selective neck dissection; clinical node-positive patients should be concomitant therapeutic neck dissection surgery.

Safety Tips
1, to pay attention to oral hygiene, so every morning and evening brushing, mouthwash after meals.
2, if the cavity should be filled early, to repair the use of residual crown and root to be in time, earlier resumption of normal tooth anatomy.
3, grinding sharp change and non-functional cusp marginal ridge, the crown occlusal surface of the teeth become sharp and blunt the edge of ridge-shaped, to prevent damage to the lingual edge of the organization.
4, found that benign lesions or precancerous lesions, such as the Ministry of tongue papillomas or erosive lichen planus, etc., should be promptly removed biopsy, or active treatment, regular observation.
5, quit smoking, alcohol and other bad habits, physical exercise, improved nutrition, eat foods rich in vitamins and anti-cancer, anti-cancer effect of fresh fruit, Eat spicy food.