TONGUE - Carcinoma

This consists of the right half of the mandible, and the right half of the tongue; on the under-margin of the tongue there is an ulcer, some 5 x 3 cm., with a raised, red, necrotic-looking base.
This man presented at the age of 60 with pain in the right ear and, on examination, he was found to have the lesion found here. This was biopsied, and the diagnosis of squamous cell carcinoma confirmed. He had a long history of alcoholism and heavy smoking. A block dissection was done and involved lymph nodes were found.