Age of my father is 62.Cancer of tongue has been diagonosised.The histopathology report says\"specimen consist of multiple bits of G/B tissue aggregating to 3.0x3.0 cm A/F. According to doctors the cancer has sifted to nodes so the node being huge it is difficult to operate,therefore they have sugested us for chemothearpy.After 3 cycle they will reassis and says us whether it can be operated or not? is this process correct for my dad.Can i send you the scan copy of the reports. Looking forward for your reply.My email id is  YYYY@YYYY  Regards Rajiv Malla, Nepal
Hi, Thanks for writing in. Cancer of the tongue should be treated depending on the treatment response after initial chemotherapy and radiation therapy. As the cancer area is 3.0 x 3.0 cm therefore there is stage 3 or 4 disease. The presence of nodes makes is possibly stage 4. In this case there is a need to first give chemotherapy as that can make the node to decrease in size and then surgery might be possible. Some doctors also recommend radiation after chemotherapy to shrink the tumor and then make it operable. You can send your reports in text or scanned form, and then we can help you understand the situation better. For the proper staging, both CT scan and pathology reports are to be assessed in detail. The chances of five year survival in head and neck cancer is better than other cancers with proper treatment and follow up. Please do not worry.