ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ SỚM PHẪU THUẬT UNG THƯ LƯỠI DI ĐỘNG GIAI ĐOẠN I-II Ở NỮ GIỚI TẠI BỆNH VIỆN K

Abstract

Objective: To describe the clinical, paraclinical characteristics, and early surgical outcomes of stage I–II mobile tongue cancer in female patients at K Hospital. Patients and Methods: A retrospective combined with prospective study was conducted on 91 female patients diagnosed with stage I–II squamous cell carcinoma of the mobile tongue and treated at K Hospital from January 2018 to December 2024. Results: The mean age was 60.5 ± 13.6 years, with the >60 age group accounting for the highest proportion (58.2%). The most common initial symptom was tongue pain (60.4%). The most frequent tumor location was the free margin of the tongue (90.1%). Histopathology was predominantly grade II squamous cell carcinoma (71.4%). Stage I accounted for 74.7% and stage II for 25.3%. All patients (100%) underwent neck dissection. Most patients achieved good surgical outcomes, with only a few experiencing temporary complications: transient marginal mandibular nerve injury (12.1%) and transient spinal accessory nerve injury (4.4%). Conclusion: Stage I–II mobile tongue cancer in female patients often occurs in older individuals, with lesions mainly located at the free margin of the tongue. The majority of patients presented at stage I. Surgery remains the main treatment modality and provides favorable outcomes for this group of patients.