Causes of recurrent tongue cancer

Nowadays, due to irregular lifestyles, the incidence of tongue cancer is getting higher and higher, which seriously harms our health. Many people get better after a period of treatment, but they will relapse again. Many people ask me what is the reason for the recurrence of tongue cancer. I have collected a lot of information. Now let's learn about the reason for the recurrence of tongue cancer together!

The reasons for recurrence of tongue cancer are as follows:

Investigating the causes of recurrence, the results of the expert experiment showed that the course of the disease was longer than 6 months, the maximum diameter of the tumor surface was >3cm, the tumor growth pattern was invasive, and the recurrence rate increased significantly with the increase of T stage, N stage and the degree of infiltration (P<0.05). Generally speaking, the longer the course of the disease, the larger the tumor, and the deeper the degree of infiltration. Especially for tumors in some hidden parts or involving multiple anatomical areas, surgical operation is difficult and the surgical effect is poor. The N stage statistics and the postoperative recurrence of patients showed that the neck recurrence rate of tongue cancer patients with clinically palpable lymph node enlargement (N1-3) was 66.6%, and the neck recurrence rate of patients with clinically palpable enlargement was 20%, and the difference between the results was significant (P<0.01). This result shows that N stage is closely related to neck recurrence, but not to in situ recurrence.

Patients with cervical lymph node metastasis confirmed by postoperative pathology are more likely to have neck recurrence after surgery. For such patients, especially those who did not undergo adequate regional neck lymph node dissection during surgery, further treatment is required after surgery, such as supplementary neck radiotherapy, to reduce neck recurrence. From the statistical results, it can be seen that the more thorough the neck lymph node dissection, the lower the patient's neck recurrence rate. This result shows that many patients have "undertreatment" rather than "overtreatment" in neck lymph node dissection treatment.

Therefore, during surgery, attention should be paid to the selection of neck lymph node dissection procedures, in order to prevent excessive tissue sacrifice and achieve a complete cure. The statistical results show that with the increase of pathological grade, the recurrence rate of patients shows an increasing trend, but there is no significant statistical difference between the recurrence rates. Many relevant data show that radiotherapy and chemotherapy for patients with tongue cancer before and after surgery will help reduce the recurrence rate and improve the prognosis of patients. In the statistical data, the recurrence rate of patients who received comprehensive treatment was slightly lower than that of patients who received surgical treatment alone, but there was no significant statistical difference between the two. This result may be due to the fact that most of the patients in this group who received comprehensive treatment were patients with high clinical stage, poor tumor cell differentiation, and high malignancy, and such patients themselves have a high tendency to relapse, which led to the difference in statistical results.

The above are the reasons for the recurrence of tongue cancer. We must pay attention to it in normal times. If the disease recurs, we must go to a regular hospital for examination and treatment in time.