Limited tongue movement

Introduction Limited tongue movement is the clinical manifestation of tongue cancer. Tongue cancer is a common malignant tumor in the oral and maxillofacial region. More men than women, most of them are squamous cell carcinoma, especially in the 2/3 front of the tongue. Adenocarcinoma is rare, mostly at the base of the tongue. Sometimes the root of the tongue can also occur. Lymphatic epithelial cancer and undifferentiated cancer.

Cause

The etiology of oral cancer has not yet been fully understood, but the consensus is that most oral cancers are related to environmental factors. Some external factors such as heat, chronic damage, ultraviolet rays, X-rays and other radioactive substances can become carcinogenic factors. For example, tongue and buccal mucosa cancer can occur in long-term, often irritated areas such as residual roots, sharp cusps, and poor prostheses. In addition, internal factors such as neuropsychiatric factors, endocrine factors, immune status and genetic factors have been found to be associated with the development of oral cancer. Before the onset of oral cancer, there is usually a precancerous stage, such as oral leukoplakia, traumatic ulcer. , mastoid tumors, etc.

an examination

Related inspection

Blood routine oral X-ray examination oral endoscope

1. The tongue, the tip of the tongue, the back of the tongue or the abdomen of the tongue are not cured for a long time.

2. Rapid growth, pain, hard, unclear borders, tenderness.

3. Tongue movement is limited, eating and swallowing difficulties.

4. Histopathological examination confirmed the diagnosis.

[clinical manifestations]

1. More common in the tongue, followed by the tip of the tongue, the back of the tongue and the abdomen of the tongue, may have a history of local leukoplakia or chronic stimuli.

2. It is often ulcerated or infiltrated, with fast growth, obvious pain and strong invasiveness.

3. There may be limited movement of the tongue, difficulty in eating and swallowing.

4. Cervical lymph node metastasis often occurs early.

Differential diagnosis

Tongue cancer should be differentiated from the following diseases:

1. Traumatic ulcers, more common in the elderly, occur in the posterior margin of the tongue, often with irritants in the corresponding parts. The ulcer is deep, the surface is grayish white, and the base is not hard. Removing the irritant can heal itself. Perform a biopsy if necessary to facilitate early diagnosis and treatment.

2. Tuberculous ulcers, which occur mostly on the back of the tongue, occasionally on the tip of the tongue and the edge of the tongue. The ulcer is superficial, purple-red, and the edges are not uniform. It has a sneak damage of small mouth and small bottom, and the base has no infiltration. Have a history of tuberculosis.

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