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Is surgery really required for squamous cell carcinoma of tongue?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am diagnosed with squamous cell carcinoma (tongue) after biopsy report. I have completed PET scan, CT scan, and biopsy. I want advise on the treatment plan.

Is surgery really required for good results?

Answered by Dr. Pawar Satyajit Jalinder

Education:

MBBS

Professional Bio:

Dr. Pawar Satyajit Jalinder is a dedicated medical oncologist with expertise in the diagnosis and treatment of a wide range of solid tumors and hematological malignancies. He has experience managing complex cancer cases and is certified in the treatment of various cancers using evidence-based and personalized approaches. In addition to oncology, Dr. Pawar Satyajit Jalinder has experience managing complicated multisystem rheumatological disorders and infections. He has contributed to medical research with publications on tuberculosis and cancers such as multiple myeloma, lung cancer, and sarcomas. Dr. Pawar Satyajit Jalinder is committed to delivering compassionate, patient-centered care while helping patients make informed treatment decisions.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have gone through your reports (attachment removed to protect patient's identity).

My diagnosis is squamous cell carcinoma of the tongue with probably neck nodes involvement. The lesion is quite large, crossing the midline and touching the alveolus. At this stage, surgery will be difficult. Probably, you will need two cycles of chemotherapy followed by reassessment for surgery.

In this case, surgery involving neck dissection and reconstruction will be needed, followed by postoperative radiation depending on postoperative reports.

If you have any other questions I am happy to help you.

Medically reviewed by Dr. K. Shobana
Published At April 4, 2018
Reviewed At May 30, 2025

Education:

MBBS

Professional Bio:

Dr. Pawar Satyajit Jalinder is a dedicated medical oncologist with expertise in the diagnosis and treatment of a wide range of solid tumors and hematological malignancies. He has experience managing complex cancer cases and is certified in the treatment of various cancers using evidence-based and personalized approaches. In addition to oncology, Dr. Pawar Satyajit Jalinder has experience managing complicated multisystem rheumatological disorders and infections. He has contributed to medical research with publications on tuberculosis and cancers such as multiple myeloma, lung cancer, and sarcomas. Dr. Pawar Satyajit Jalinder is committed to delivering compassionate, patient-centered care while helping patients make informed treatment decisions.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Pawar Satyajit Jalinder is a dedicated medical oncologist with expertise in the diagnosis and treatment of a wide range of solid tumors and hematological malignancies. He has experience managing complex cancer cases and is certified in the treatment of various cancers using evidence-based and personalized approaches. In addition to oncology, Dr. Pawar Satyajit Jalinder has experience managing complicated multisystem rheumatological disorders and infections. He has contributed to medical research with publications on tuberculosis and cancers such as multiple myeloma, lung cancer, and sarcomas. Dr. Pawar Satyajit Jalinder is committed to delivering compassionate, patient-centered care while helping patients make informed treatment decisions.

This doctor is not available for online consultations on the platform anymore.

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