Cancer Pain Management Questions

Looks like a case of recurrent Carcinoma Tongue. The only options are Palliative chemotherapy or Immunotherapy.

I think you mean Biopsy sample. The Biopsy is taken by Oncosurgeon and sample sent to the pathology lab to confirm the cancer. The surgeon may ask for imaging like CT scan, MRI or ultrasound if he feels it to be necessary. After the imaging and Biopsy, we advise regarding the surgery, which may consist of removing the cancer with margin, neck dissection and reconstruction with a free flap or a local flap if necessary. Advanced disease may be advised chemotherapy before surgery to shrink the dise...more

The prognosis of advanced tongue cancer is quite poor. If need be a nasogastric tube can be inserted through nose for feeding or a PEG tube which is Inserted into stomach endoscopically. His nutrition and energy should improve with the tube feeds. Do check his electrolytes (sodium and potassium) as they may be deranged due to decreased food intake. I hope that the tumor is inoperable or metastatic hence we are not offering curative resection which gives about 50% survival. Also the life may be p...more

Treatment for leukoplakia, if needed, involves removing the source of irritation. If leukoplakia is caused by a rough tooth or an irregular surface on a denture or a filling, the tooth will be smoothed and dental appliances repaired. If leukoplakia is caused by smoking, you will be asked to minimize or stop smoking or using other tobacco products. Leukoplakia is usually harmless, and lesions usually clear in a few weeks or months after the source of irritation is removed. If eliminating the sour...more

It takes a lot years to go away .some times it also converts to cancer. If there is strong irritation. Sometimes mouth does not open. It can be oral submucous fibrosis as well. Kindly visit dentist for clinical review.

Leukoplakia is primary cancerous lesion. It won't turn to malignant if you very strictly quit your habbit. Otherwise it il definitely turn to malignant.

Stopping TOBACCO and smoking is the real treatment. Also remove any source of chronic trauma like tooth. Please get your condition followed up after every four months.

Where Was the first primary cancer?
Jaw cancer treatment usually includes surgery upfront, which may entail partial removal of bone. Also neck nodes may need removal. Also the defect needs reconstruction depending upon the amount of tissue excised. It can range from primary closure, local flaps to microvascular free flap with or without bone.
Sometimes in locally advanced cases, we ask for PET scan to rule out metastasis and consider chemotherapy before surgery.
If early stage, node ...more

Apart from taking symptomatic treatment I will suggest you to take injection vitcofol 2cc intramuscularly every alternate days for five pricks over the buttocks through a health professional

I dont have exact idea about Delhi, but in Mumbai I am a Consultant at H.N. Reliance hospital, where we have operated quite a few patients from Delhi. But I am sure there would be many hospitals in Delhi where they operate oral cancer patients.