Tongue Issues: Should You Worry About Possible Cancer? - Otolaryngology

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Tongue issues?


My mother (54 years old) developed a hard lump in the middle of her tongue three days ago, located in the central part of the tongue.
Additionally, there is a lot of white coating around the tongue.
The hard lump is not painful, but it feels like something is stuck there.
She does not have any bad habits such as betel nut chewing or smoking.
Could this be tongue cancer? Does she need to go to the hospital for an examination?

Kua Kua, 20~29 year old female. Ask Date: 2018/08/19

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is recommended to drink plenty of water and gargle.
If there is no improvement after a week, it is advisable to seek medical examination and treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/08/19

More Info


When it comes to concerns about potential cancer, particularly in the case of your mother's recent tongue issues, it is understandable to feel anxious. The presence of a hard lump on the tongue, especially if it is accompanied by white patches or coating, can be alarming. However, it is essential to approach this situation with a balanced perspective, considering both the possibilities and the necessary steps to address your concerns.

Firstly, the hard lump on the tongue could be due to several benign conditions. For instance, it might be a fibroma, a benign growth that can occur in the oral cavity, or it could be a result of irritation or trauma. The white coating on the tongue, known as leukoplakia, can also occur due to various non-cancerous reasons, such as oral thrush (a fungal infection), dehydration, or poor oral hygiene. In some cases, leukoplakia can be a precursor to cancer, but this is not always the case.

However, it is crucial to recognize that while many tongue lesions are benign, persistent changes in the mouth, especially those that last longer than two weeks, warrant further investigation. The fact that the lump is hard and has been present for three days, along with the sensation of something being stuck, suggests that a medical evaluation is necessary. Early detection is key in managing any potential issues, including cancer.

Given your mother's age and the symptoms described, it is advisable to schedule an appointment with a healthcare professional, preferably an ear, nose, and throat (ENT) specialist or a dentist who has experience with oral lesions. They can perform a thorough examination and may recommend further diagnostic tests, such as a biopsy, to determine the nature of the lump. A biopsy involves taking a small sample of tissue from the lump to be examined under a microscope, which can provide definitive information regarding whether it is cancerous or benign.

In addition to seeking medical advice, it is essential to maintain good oral hygiene and monitor any changes in the lesion. If the lump grows, changes in color, or if your mother experiences pain, difficulty swallowing, or any other concerning symptoms, these should be reported to the healthcare provider promptly.

While it is natural to worry about the possibility of cancer, it is important to remember that many oral lesions are not cancerous. The key is to take proactive steps by consulting with a healthcare professional who can provide guidance based on a thorough assessment. Early intervention can lead to better outcomes, regardless of the diagnosis.

In summary, your mother should definitely see a healthcare professional to evaluate the hard lump on her tongue. While there are many benign explanations for her symptoms, only a medical examination can provide clarity. Encourage her to seek help as soon as possible to ensure that any necessary treatment can be initiated promptly, should it be required.

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