A patient presented with a 1 X 1.5 cms growth on the lateral border of the tongue. The treatment indicated would be
## **Core Concept**
The question pertains to the management of a tongue lesion, specifically a growth on the lateral border of the tongue, which is highly suggestive of oral cancer, most commonly **squamous cell carcinoma**. The treatment of oral cancer depends on the stage, location, and size of the tumor, as well as the patient's overall health.
## **Why the Correct Answer is Right**
The correct approach for a 1 x 1.5 cm growth on the lateral border of the tongue, which is likely to be an early-stage oral cancer, involves **surgical excision**. This method allows for the removal of the tumor with a margin of normal tissue to ensure that all cancer cells are eliminated, reducing the risk of recurrence. For small lesions like this, **wide local excision** or **laser surgery** might be considered to minimize morbidity while achieving oncological clearance. This approach is preferred because it offers a chance for cure with minimal impact on speech and swallowing functions.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is blank and cannot be evaluated.
- **Option B:** This option is also blank and cannot be assessed.
- **Option C:** Similarly, this option is blank and does not provide any information for evaluation.
- **Option D:** This option is blank as well.
## **Clinical Pearl / High-Yield Fact**
A crucial point to remember is that any unexplained, persistent ulcer or growth in the oral cavity, especially on the lateral border of the tongue, should be considered malignant until proven otherwise. Early detection and treatment significantly improve outcomes in oral cancer. A biopsy is usually essential for definitive diagnosis before deciding on the treatment modality.
## **Correct Answer:** .