You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A patient presented with a 1 x 1.5 cms growth on the lateral border of the tongue. The treatment indicated would be - and explain in detail?
Ans is 'a' i.e. laser ablation Treatment of oral tongue cancer is primarily surgical, with wide local excision and negative margin control. Small tumors (T1- T2)- may be removed by wide local excision and primary closure or closure by secondary intention. Excision of larger tumors - requires paial glossectomy or hemiglossectomy. Schwaz writes- "The CO2 laser may be used for excision of early tongue cancers or for ablation of premalignant lesions." If regional lymphnodes are involved- Modified radical neck dissection or selective neck dissection is done. Indications for postoperative radiation therapy include evidence of perineural or angiolymphatic spread or positive nodal disease.