THE STATUS OF TONGUE AND FLOOR CANCER AT THE NATIONAL HOSPITAL OF ODONTO-STOMATOLOGY IN HANOI DURING THE PERIOD OF 2023-2025

Nhung Nguyễn Hồng, Sơn Phạm Thái, Vũ Ngô Gia Phi

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Abstract

Objective: To describe the epidemiological and clinical characteristics of tongue and floor of mouth cancer at the National Hospital of Odonto-Stomatology in Hanoi during the period of 2023-2025. Subjects and Methods: A descriptive cross-sectional retrospective study was conducted on patients with tongue and floor of mouth cancer at the National Hospital of Odonto-Stomatology in Hanoi from 2023-2025. Results: The average age was 56.4 years; the male/female ratio was 2/1; ulcer and pain accounted for 56.67% of symptoms, and bleeding accounted for 20%; Tongue border tumors accounted for 50%, and floor of mouth tumors accounted for 36.7%; The time from symptom onset to hospitalization was less than 3 months in 56.66% of cases; Squamous cell carcinoma accounted for 86.67%, with the remainder being adenoid cystic carcinoma and mucoepidermoid carcinoma. Conclusion: Tongue and floor of mouth cancer is observed in both sexes with a higher rate in males. Patients are often middle-aged or elderly, but there is a trend toward younger ages. The rate of risk factors is no longer recorded at a high level as living habits and practices in Vietnam are increasingly changing. Early-stage symptoms of tongue and floor of mouth cancer are difficult to detect, while symptoms such as ulceration and pain are most common. The majority of patients come to the hospital within 3 months after symptom detection, showing the effectiveness of raising patient awareness. Squamous cell carcinoma at the tongue border is the most common.

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References

1. Freddie Bray, "Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries," CA: A Cancer Journal for Clinicians vol. 68, no. 6, pp. 394-424, 2018.
2. Nguyễn Hồng Nhung and Lê Văn Sơn, "Tình hình ung thư khoang miệng tại bệnh viện Răng Hàm Mặt TW Hà Nội giai đoạn 2015-2019," Tạp chí Y học Việt Nam vol. 488 pp. 61-64 2020
3. Jamie R Oliver, "Survival of oral tongue squamous cell carcinoma in young adults," Head and Neck, vol. 41 no. 9 pp. 2960-2968 2019
4. American Cancer Society. Key Statistics for Oral Cavity and Oropharyngeal Cancers 2025
5. Aisha A Hussein, Marco N Helder, and Jan G de Visscher "Global incidence of oral and oropharynx cancer in patients younger than 45 years versus older patients: A systematic review," European journal of cancer, vol. 82 pp. 115-127 2017
6. International Agency for Research on Cancer. World (GLOBOCAN 2022).
7. Laith Mukdad, "Oral tongue squamous cell carcinoma survival as stratified by age and sex: A surveillance, epidemiology, and end results analysis," laryngoscope vol. 129, no. 9 pp. 2076-2081 2019
8. R Katna, B Bhosale, A Deshpande, and N Kalyani, "Oncological outcomes in patients undergoing major glossectomy for advanced carcinoma of the oral tongue," Annals of the Royal College of Surgeons of England, vol. 102 no. 7 pp. 514-518 2020
9. Lâm Đức Hoàng, Đặng Huy Quốc Thịnh, Trần Lan Phương, and Nguyễn Thị Bích Hiền, "Đánh giá kết quả ban đầu xạ trị trong mô điều trị ung thư lưỡi di động giai đoạn I, II và III," Journal of 108-Clinical medicine and Pharmacy vol. 17 no. 5 2022
10. Sankaranarayanan R, et al. Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial. Lancet. 2005;365(9475):1927–1933