The effect of active patient management on life expectancy in tongue cancer

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Abstract

The result of the treatment of tongue cancer, which includes surgical treatment at the first stage followed by radiation therapy, is presented. Carrying out radical combined treatment of tongue cancer in the future leads to the appearance of a post-radiation ulcer in the area of surgery, followed by the development of a recurrence of tongue cancer in it and metastasis to regional lymph nodes or submandibular salivary glands. All of the above requires oncologists to actively monitor this group of patients. With the development of a post-radiation chronic long-term non-healing ulcer in the area of surgery, surgical rehabilitation should be carried out. Surgical removal of such an ulcer prevents further development of cancer recurrence. Regular examination, neck ultrasound, cytological examination of suspicious areas of the tongue and regional lymph nodes allows timely detection of relapse and metastases and radical surgical treatment. Such an active tactic of managing this pathology affected the patient’s life expectancy — 17 years.

About the authors

Sergey D. Fokeev

Altai State Medical University

Email: fokeev.sergey@yandex.ru
ORCID iD: 0000-0002-1157-6692
SPIN-code: 9609-0896

MD, Dr. Sci. (Med.), Associate Professor
Russian Federation, Barnaul

Stanislav Yu. Kapitulin

Altai State Medical University

Email: stass0331429@mail.ru
ORCID iD: 0000-0001-8131-3161
SPIN-code: 1217-0508

MD, Cand. Sci. (Med.), Associate Professor
Russian Federation, Barnaul

Elena S. Kazantseva

Novosibirsk Research Institute of Traumatology & Orthopedics

Email: ktyf1984@yandex.ru
ORCID iD: 0000-0003-3575-047X
SPIN-code: 5074-1757

MD, Cand. Sci. (Med.)

Russian Federation, Novosibirsk

Elina K. Kapitulinа

City Hospital No. 5

Email: elinalevina4@gmail.com
ORCID iD: 0000-0002-3856-2012
Russian Federation, Barnaul

Yulia G. Belokrylova

Altai State Medical University

Email: belokrulowaulia@yandex.ru
Russian Federation, Barnaul

Aleksandr F. Lazarev

Altai State Medical University

Author for correspondence.
Email: lazarev@akzs.ru
ORCID iD: 0000-0003-1080-5294
SPIN-code: 1161-8387

MD, Dr. Sci. (Med.), Professor

Russian Federation, Barnaul

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Tumor of the left half of the tongue.

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3. Fig. 2. Resection of the left half of the tongue.

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4. Fig. 3. Neoplasm at the tongue root on the left.

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5. Fig. 4. Resection of the left half of the tongue and the left half of the tongue root.

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6. Fig. 5. Condition after surgical treatment of tongue cancer.

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