Cancer of the Mobile Tongue: About 29 Cases Collected at the ENT and CCF Service of the University Hospital Centre of Fann (Dakar/Senegal)

Ndour Ngor¹*, Ahmed Houra¹, Ndiaye Ciré¹, Amelle Lokossou¹, Younes Hussen¹, Dieye Abdoulaye¹, Diallo Mamadou Diouldé¹, Niang Fallou¹, Ndiaye Malick², Tall Abdourahmane¹ and Ndiaye Issa Cheikh¹

Received: January 27, 2020;   Published: February 11, 2020

DOI: 10.32474/SJO.2020.03.000174

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Summary

Objectives: We report the epidemiological, clinical, paraclinical and therapeutic data of mobile tongue cancers operated in the ENT and CCF service of the University Hospital of Fann (Dakar/Senegal).

Patients and methods: This were a monocentric retrospective study, conducted at the ENT and cervico-facial surgery department of the CHNU of Fann from 1 January 2009 to 31 December 2018, i.e. 10 years. All patients operated during this period with cancer of the mobile tongue with histological confirmation were included.

Results: A total of 29 records were collected. They were 17 males and 12 females, for a sex ratio of 1.07. The mean age of the patients was 52 years with a median age of 49 years. Tobacco intoxication was found in 5 patients or 17.24% of cases. Isolated glossodynia was the most frequent symptom, (27.5%) of the cases. The lesion was ulceroburging in 55% of cases and was located on the right lateral edge of the mobile tongue in 72.4% of cases. As part of the extension workup, CT scan was performed in 4 patients. Panendoscopy was performed in 27 patients or 93.1% of cases. The tumor was classified as T3- T4 in 61.9% of cases and N0-N1 in 58.5% of cases. Hemi glossectomy was the most common procedure performed (48.27%) associated with complete unilateral functional curettage (41.3%). The anatomopathological result of the operation was in favor of squamous cell carcinoma in 100% of cases. Nine of our patients had benefited from additional treatment after surgery, i.e. 31% of cases.

Conclusion: Despite surgical advances and radiotherapy, treatment is often a failure for many at-risk patients. We conclude from this work that the prognosis is significantly better in patients diagnosed at an early stage.

Keywords: Mobile tongue; squamous cell carcinoma; glossectomy

Abbreviations: ADT: Aerodigestive Tract; SPSS: Statistical Package for Social Science

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