The cure rate of tongue cancer lymph node metastasis

The cure rate of tongue cancer lymph node metastasis

Tongue cancer has a high probability of spreading in the late stage. A little carelessness in life or deficiency in the body during treatment may lead to lymph node metastasis of tongue cancer. Many tongue cancer patients may be really defeated by the disease at this time and feel that their lives are coming to an end. In fact, even if tongue cancer metastasizes to the lymph nodes, it may still be cured according to the condition. Let us now understand the cure rate of tongue cancer metastasis to the lymph nodes.

Advanced tongue cancer should be treated with comprehensive treatment, using radiotherapy plus surgery or triple (chemotherapy, surgery, radiotherapy) or quadruple (triple plus traditional Chinese medicine or immunotherapy) therapy depending on different conditions.

1. Radiation therapy

It can be used as an adjuvant treatment before and after surgery for advanced tongue cancer cases.

2. Surgical treatment

It is the main method for treating tongue cancer. For T1 cases, wedge-shaped resection more than 1 cm away from the lesion can be performed and sutured directly; for T2-T4 cases, hemiglossectomy or even total glossectomy should be performed. As an important organ for chewing and speech, reconstruction should be performed when more than 1/2 of the tongue is missing.

3. Chemotherapy

Cryosurgery can be considered for T1 and T2 tongue cancer.

Management of metastatic disease

Due to the high metastasis rate of tongue cancer, all cases except T1 should be considered for selective neck dissection at the same time; for patients with clinically positive lymph nodes, therapeutic neck dissection should be performed at the same time.

Tongue cancer treatment with TCM

1. Treatment based on syndrome differentiation

【Common evidence】

(1) Fire poison and blood stasis

Treatment method: Clear the heart and relieve heat, detoxify and resolve stagnation.

(2) Syndrome of severe fire poison

Treatment method: Clear away heat and relieve fire, detoxify and reduce swelling.

(3) Syndrome of fire poison damaging yin

Treatment method: Nourish yin and relieve fire, detoxify and disperse nodules.

Main prescription: Ganluyin with modifications.

2. Chinese herbal medicine

3. External medication

Pearl Bingpeng powder: Sprinkle the powder on the surface of tongue cancer ulcer. Used for tongue cancer ulcer.

Shuangliao Houfeng Powder: Apply the powder frequently to the tongue ulcer surface and affected area. Used for tongue cancer surface erosion, sore throat, etc.

4. Acupuncture

Depending on the condition of the disease, comprehensive treatments such as body acupuncture, ear acupuncture, acupoint laser, etc. can be used.

When tongue cancer metastasizes, the disease has entered the late stage. At this time, the patient's health is poor. Traditional Chinese medicine can be used to control the spread of cancer cells, relieve the patient's pain, improve the quality of life, and prolong survival time. The etiology and pathogenesis of cancer are very complex, but the key pathogenesis can be summarized by the three words "deficiency, stasis, and poison". In treatment, the three major countermeasures of "supporting the body, unblocking, and attacking poison" should be adopted. Overall consideration, targeted, and focused medication should be used to support the body, regulate qi and remove stasis, resolve phlegm and dredge collaterals, attack poison and disperse knots, treat according to syndrome differentiation, and prescribe the right medicine to finally balance the body's yin and yang, qi and blood, and restore the functions of the internal organs to a natural healthy state. Improve the cure rate of tongue cancer metastasis to lymph nodes.

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