True about tongue cancer:
**Core Concept**
Tongue cancer is a type of head and neck malignancy that originates in the epithelial cells of the tongue. The most common sites of origin are the lateral and ventral surfaces, which are more exposed to carcinogens and have a higher risk of malignant transformation.
**Why the Correct Answer is Right**
The correct answer highlights the most common site of tongue cancer, which is the lateral margin. This is because the lateral surface of the tongue is more prone to contact with carcinogenic substances, such as tobacco and alcohol, which can lead to malignant transformation of the epithelial cells. The lateral margin is also a common site for early detection of tongue cancer, as it is easily accessible for examination and biopsy.
**Why Each Wrong Option is Incorrect**
**Option A:** Adenocarcinoma is not the most common type of tongue cancer; the most common types are squamous cell carcinoma and basal cell carcinoma.
**Option B:** Cervical lymph node metastasis is not universally present in tongue cancer; in fact, it is often absent in early-stage disease.
**Option D:** Slurring of speech is not a common complaint in tongue cancer; patients may complain of dysphagia, pain, or a sensation of a lump in the mouth.
**Clinical Pearl / High-Yield Fact**
The "E" in the "ABCDE" rule for head and neck examination stands for "Erythroplasia" or "Erythema", which is a common sign of early tongue cancer. Be sure to examine the lateral margin of the tongue carefully for any suspicious lesions.
**β Correct Answer: C. MC site is on Lateral margin**