Life after tongue cancer surgery. Brown was referred to UCSF Health, where surgeons recommended a drastic treatment that was her best shot at survival: a total glossectomy, or tongue removal, followed by chemotherapy and radiation. Twisted bowel can be caused by a number of issues, including adhesions, tumor, hernia, colorectal cancer, volvulus and diverticular disease. Over the last several decades the approach to treatment of oral cancer has changed very little with regards to primary tumour extirpation while the approach to the "at risk" lymph nodes has evolved significantly. alas no known addictions. Patients and methods: A total of 289 consecutive patients with tongue cancer who had undergone primary surgery from 2003 to 2008 at our hospital were recruited. Recovery time can vary depending on the type of surgery you have. This can be frustrating and you may feel you have no control over things. Second cancers after treatment. g. People who have a total glossectomy may lose swallowing function. Approximately one-third of this length is located at the back of the throat and is attached to the hyoid bone. doi: 10. For those unfamiliar with this concept, it can seem confusing and even controversial. Life is good ️ #tonguecancer #survivor #radiotherapy #headandneckradiotherapy”. Lympha WebMD also lists long patches of blood in or on the stool, pencil-thin stools and pelvic pain as common symptoms of colon cancer. At Mayo Clinic, head and neck cancer specialists lead teams of doctors in caring for people with tongue cancer. Sep 2, 2024 · Tongue cancer significantly impacts speech and swallowing functions, necessitating comprehensive rehabilitation post-surgery. Patients and methods: Nine consecutive patients (seven men and two women; average age 51 years) who had been diagnosed with T4a carcinoma of the mobile tongue and/or tongue base and treated by glossectomy, free-flap reconstruction, and either radiation therapy or chemoradiation responded to the European Organization for Research and Treatment Oct 13, 2016 · After seven chemotherapy cycles and 35 days of radiation, I sat in my bedroom thinking about what words best described my seven-week treatment journey for throat cancer. The procedure may affect a patient’s ability to speak, eat and swallow. Yang et al. I was shocked, devastated and scared. 1177/000348941312200608. I was speaking very poorly a day or two after. Aug 22, 2022 · Background. These parts include the following: The front part is the area you can see. 09. These and other side effects from surgery for oral cancer may cause challenges that require supportive care services to help patients maintain or improve their quality of life. Patient QOL was evaluated using the University of Washington Quality of Life Questionnaire, version 4. Distant: The cancer has spread to distant parts of the body such as the lungs. These procedures involve the complete removal of Treatment for a right hilar mass on the lung can be surgery, radiation, chemotherapy or medications, depending on what is causing the mass, says About. Been 3 years cancer free, and still have the drastic effects from the radiation and chemo (no saliva, cannot swallow properly, cannot sleep with out proper aids). Ridding the body of cancer and preventing it r Laura Ingraham had early stage breast cancer. More than 55 out of 100 people (more than 55%) will survive their cancer for 5 years or more after diagnosis. This is called a second cancer. Originating from various cultures across the globe, this genre of music To cook beef tongue in a pressure cooker, place whole washed tongue into the pressure cooker, add just enough water to cover the tongue, bring to pressure and cook for about 30 min The two main human castration procedures are bilateral orchiectomy and bilateral oophorectomy, states the Encyclopedia of Surgery. After glossectomy surgery, length of recovery time is totally dependent on how much of your tongue your surgeon had to remove. Oropharyngeal cancers Feb 24, 2023 · floor of the mouth below the tongue . Twenty-nine patients participated in the study for a minimum of one year after oncologic treatment. Other times, waiting a while is not a problem. Even if it was not yet healed I went to radiation and Chemo theraphy on July to august, 2016. Stage 4 35 out of 100 people (35%) will survive their cancer for 5 years or more after diagnosis. 3 The overall survival rate after 5 years for stages I, II is 70. Shirley Su the following week. That’s why it’s so important to tell your healthcare provider if you develop any new lumps, spots on your tongue or sores that don’t go away. I got my surgery last August 2017 when removing the cancer took 75-80% of my tongue. In fact, she told me: "It has been my experience that surgeons do not always consider quality of life after surgery when performing head/neck surgery. Stephen Latus: Taking Back My Life After Sudden Hearing Loss; Restless Nights are a Thing of the Past after BPH Surgery; I Finally Decided to Have Uterine Fibroid Embolization; 22 year old's heart stopped; As COVID-19 Restrictions Ease, Grateful Heart Patient Receives Urgent Surgery; After COVID-19 Forces Postponement, a Successful and Safe Surgery Some people are affected more than others. In comparison, if a human had the same size tongue it would reach the belly button. Cancer survivors can be affected by many health problems, but often a major concern is facing cancer again. The tongue is an imp The average human tongue is 4 inches long. I always seem to have a tickle in my throat. Patients and methods: Nine consecutive patients (seven men and two women; average age 51 years) who had been diagnosed with T 4a carcinoma of the mobile tongue and/or tongue base and treated by glossectomy, free-flap reconstruction, and either radiation therapy or chemoradiation responded to the European Organization for Research and Treatment of Cancer Head and Neck-35 questionnaire, the Jun 1, 2013 · Aesthetic and functional radical surgery in young patients with stage one or two tongue cancer: a preliminary report: Insufficient sample size: 10. Signs of recurrence Feb 6, 2021 · If you’ve been diagnosed with oral, or mouth cancer, the most common treatment is surgery to remove the cancerous tissue, especially in early stage oral cancers. If Life expectancy for a lymph node cancer patient depends on the patient’s age, early detection, whether the cancer has spread to other parts of the body and other factors, states Am Life expectancy for someone diagnosed with liver cancer depends on how widespread the cancer is, notes the American Cancer Society. Nov 17, 2021 · Helping patients recover after surgery. Mar 6, 2024 · If you have cancer in the mouth, it can change your life. Childhood cancer survivors may be at risk of additional late side effects. . She was referred to Oakland by the surgeon who initially diagnosed her tongue cancer. Jun 16, 2023 · Tongue cancer surgery. Four years later, Brown is cancer-free and, unlike many patients who undergo total glossectomy, able to eat and speak understandably. Tracheostomies are most often used when treating patients with head and neck cancers, including tongue cancer, oral cancer and thyroid cancer. Pain While there is a significant amount of individual variability on pain perception, tongue base surgeries have as the main issue a significant amount of post-operative pain. Unfortunately, on the left side of the reconstructed tongue was not healed. After the discovery of a small lump in her right breast, she was diagnosed in April 2005 with an aggressive type of breast cancer that Swelling of the legs after surgery is called lymphedema, and it is caused by a build-up of fluids in the fatty tissue just under the skin, notes the American Cancer Society. METHODS: A sample of 134 tongue cancer patients aging 36 to 74 years was divided into treatment group (67 patients) and control group (67 patients). But everyone can benefit from help and support from other people, whether friends and family, religious groups, support groups, professional counselors, or others. Due to metastasis, stage 4 cancer is usually According to Orthobullets, the life expectancy for someone with metastatic bone cancer is about six months. Usually, this phase disappears at around four to six months when There are different reasons for a person to chew on their tongue; a common reason is attributed to stress, some more serious reasons are possibly due to hairy leukoplakia or even t Some popular tongue twisters about love include the statement, “Love’s a feeling you feel when you feel you’re going to feel the feeling you’ve never felt before,” and the well-kno Hearing a diagnosis of prostate cancer is life-altering for men. Most side effects will go away on their own or can be treated, but some may last a long time or become permanent. This study evaluates the rehabilitation outcomes of Indian patients who underwent tongue cancer surgery, focusing on speech therapy, nutritional support, and psychosocial interventions. Jul 5, 2024 · After Tim Turner began feeling pain in his jaw, doctors discovered an ulcer underneath his tongue. Localized: There is no sign the cancer has spread outside the organ where it started (for example, the lip, tongue, or floor of mouth). Hello everyone. Aug 8, 2024 · If you had surgery to your voice box, mouth, jaw, tongue or throat you will have problems talking after your operation. Speech therapy and reconstructive surgery can help you redevelop language skills and swallowing function after tongue cancer surgery. Apr 3, 2019 · Jeannie Hopper will always speak with a lisp and have trouble swallowing. DOI: 10. Those firsthand experiences provided her with comfort when she was diagnosed recently with tongue cancer. I still have problems eating and swallowing a lot of different foods,but I try to stick with soups yogurt,mashed potatoes with a lot of Source: www. Dec 28, 2020 · My tongue cancer diagnosis and surgery. Patient QOL was evaluated using the University Mar 30, 2019 · Tongue cancer can occur on the front of the tongue, which is called “oral tongue cancer. Surgery is the most common treatment for tongue cancer. Jun 14, 2023 · Tongue cancer surgery may have significant quality-of-life implications. Eight months after tongue surgery. Golf ball sized tumor on the base of my tongue, plus 2 more in my throat. If successful, Mohs surgery should remove all of the cancerous skin, leaving Having a uterus comes with its own health conditions, and it is important for females to understand this. have reported that the recurrence rate was 44. Your speech and swallow After the cancer is removed, reconstructive surgery might be done to help restore the appearance and function of the areas affected by the cancer or cancer treatment. The tongue has two parts, and cancer can develop in either of them. This is called the oral tongue. Had the same operation (60% of tongue removed), wrist in mouth trick, as well as a modified radical neck dissection. Regional: The cancer has spread to nearby structures or lymph nodes. org Authors: Zhao-hui Yang et al. Cancer that comes back after treatment is called a recurrence. com. 2013 Jun;122(6):386-97. com, babies sticking out their tongues is a normal reflex that is part of the sucking phase. But a week or so after the surgery, speaking wasn’t a problem. Oct 13, 2023 · Radiation therapy is commonly a part of treatment plans for tongue cancer. The surgeon removes the cancer and some of the healthy cells around it, called a margin. The tongue. And sometimes you might need chemotherapy or radiation before having surgery. Apr 29, 2022 · As a social worker at Huntsman Cancer Institute, Karen Jensen saw the daily impact doctors and care team members made on patients. It depends on the type of cancer and other factors. However, WebMD points out that this depends largely on age of the patien Life expectancy for liver cancer patients is measured as a five-year survival rate, according to the American Cancer Society. Purpose: To study the changes and factors affecting the quality of life (QOL) of patients with tongue cancer 1 year after primary surgery. They will determine stage after surgery. Dr. What causes a sore tongue is usually something simple like an abrasion or a burn. The mass can be caused b Speaking in tongues is a fascinating and often misunderstood practice mentioned in the Bible. I just joint this community searching for orientation on what to eat after 8 months tube feeding (G tube). Finding cancer in my tongue was a LONG process of more than 18 months. This part of the tongue is The structure located beneath the tongue is called the frenulum or lingual frenulum. 9% in 118 patients with OSCC. The surgical treatment of tongue cancer, with or without Mar 30, 2020 · In the case of permitted digital reproduction, please credit the National Cancer Institute as the source and link to the original NCI product using the original product's title; e. For the second year, go every 2-6 months. Other causes are vitamin or mineral deficien Your tongue is a busy part of your body, especially if you spend much time talking and eating. Sep 19, 2023 · According to one 2022 review, oral cancer recurrence may occur in 50–60% of people with advanced oral cancer and 25–30% of people with early stage oral cancer. It made a hole in my mouth that connects the chin. There are a number of different treatments doctors recommend. @article{Yang2010QualityOL, title={Quality of life of patients with tongue cancer 1 year after surgery. Our objective was to describe the quality of life Similar Situation. But if a partial or total removal of your voice box (larynx According to HealthGuidance, causes of black spots under the tongue include tongue piercings, hyper-pigmentation, excessive smoking and drinking, and oral cancer. Patients and Methods: A total of 289 consecutive patients with tongue cancer who had undergone primary surgery from 2003 to 2008 at our hospital were recruited. Sometimes referred pain cause In most cases, a swallowed tongue ring passes from the body via a bowel movement without incident. , primary surgery, radiation therapy, surgical revision for ankyloglossia) as it is well known that the healing process usually takes at least 12 to 18 months [20]. For the first year, go every 1-3 months. 048 Corpus ID: 30422693; Quality of life of patients with tongue cancer 1 year after surgery. }, author={Zhao-hui Yang and Wei‐liang Chen and Hong-Zhang Huang and Chao-bin Pan and Jin-Song Li}, journal={Journal of oral and maxillofacial surgery : official journal Abstract: PURPOSE: The aim of the present study was to evaluate the effect of early swallowing treatment on dysphagia and quality of life (QOL) in tongue cancer patients after surgery. Menstruation can be painful, cysts can form and need surgery, and, unfortu If breast cancer is diagnosed at an early enough stage, it’s treatable. After surgery: Combining radiation therapy with chemotherapy after surgery can help kill cancer cells that were too small and remained during surgery. My biggest problem is coughing and clearing my throat. 1016/j. Prostate cancer is the second most common male cancer in PSA levels in men may rise due to prostatitis or a urinary tract infection, prostate biopsies and prostate surgery, states the National Cancer Institute. Some of the cause Mohs micrographic surgery is the removal of certain types of skin cancer in the area that is affected. 2 Surgery and radiotherapy remain the mainstays of treatment for primary tumors and regional lymph nodes. This surgery is called a glossectomy. ” Or it may occur at the base of the tongue, near where it attaches to the bottom of your mouth. That's because children's bones, tissues and organs grow quickly. Mine was early stage, and I was LUCKY that it hurt, because sometimes it doesn’t and you just don’t notice it. Oral and oropharyngeal cancer remains among the top ten most common malignancies in the United States and worldwide. Lower and upper back pain can be tr Stage 4 cancer means there is a distant spread of the cancer, states Cancer Institute NSW. Over time, it may b According to NoahsDad. Side effects of surgery will depend mainly on the type and site of surgery and your overall health. Statistical analysis showed that co-morbidities, degree of tumor differentiation, and tumor stage were important prognostic factors for Sometimes late side effects develop months or years after surgery. Brown was referred to UCSF Medical Center, where surgeons recommended a drastic treatment that was her best shot at survival: a total glossectomy, or tongue removal, followed by chemotherapy and radiation. It took me about a month to be able to eat soft foods and about another 3 weeks for most other foods. Surgery for oral cancer may cause these side effects: pain; bleeding Feb 26, 2021 · Most often, our cancer patients may need a tracheostomy because a tumor is obstructing the airway or swelling or other problems from surgery or radiation are making it difficult to breathe. It uses radiation A sore tongue can be caused by dehydration, fever and dry mouth, while a sore mouth can be the result of burning mouth syndrome, explains MedicineNet. In addition to treating tongue cancer, a glossectomy may be used to treat some cases of obstructive sleep apnea or an abnormal enlargement of the tongue (macroglossia). This exploratory study investigated how patients recover their communicative function, swallowing ability, and quality of life after primary surgery [with or without adjuvant (chemo)radiation therapy] for tongue cancer over the course of Feb 23, 2022 · A patient’s QOL one year after cancer treatment is a good long-term predictor of QOL in disease-free individuals . However, the specific length of time needed fo. Depending on the extent of your cancer and its removal, your surgical team will perform reconstructive oral cancer surgery to address changes in the function or appearance of your mouth, jaw, or throat as the result of the operation. Studies have shown that people with head and neck cancer who are treated at facilities that perform a lot of head and neck cancer surgeries, tend to live longer. We'll cover deferent types, side effects, costs, and more: surgery, or a drug regimen to boost success rates. Leuko A tongue barbell that is too short could cause the jewelry to embed itself in the tongue. I had surgery in April 2020. Recovery after Mouth Cancer Surgery Helping you recover after your operation is one of our top priorities. Your Mayo Clinic care team. Stage 3. Mar 8, 2019 · Furthermore, clinical swallowing evaluations after oral tongue reconstruction have shown that 75% of patients, on average, achieve an unrestricted oral diet by 6 months after surgery. A prospective cohort study was conducted from January 2021 to December 2022 at a Life After Complete Removal of the Tongue Hello to all who responded to my post. TikTok video from Lynn Hunt (@lynnhunt27): “Discover the journey of a tongue cancer survivor one year after surgery and radiotherapy. Jan 26, 2018 · They made me a reconstructed tongue out of the soft tissue on my back and I went home after ten days. A total of 289 consecutive patients with tongue cancer who had undergone primary surgery from 2003 to 2008 at our hospital were recruited. This progression is also called metastasis. , “Adjusting to a New Life After Brain Surgery was originally published by the National Cancer Institute. 751 Likes, 161 Comments. Following a full hysterectomy, one ovary still produces enough hormones to keep a woman out of early menopause, states the American Cancer Society. Fellow tongue cancer survivor. She knew that being here was the best place she could possibly be. Second cancers after oral cavity or oropharyngeal cancer treatment Tongue cancer can be curable with early diagnosis and treatment. The aspects related to how to deal with deglutition problems, time taken for meal consumption, pleasure in eating, chewing problems, food sticking in throat and mouth, choking, and the knowledge of feeding restrictions were factors that contributed to a negative impact for patients with advanced-stage tumors who underwent radiotherapy. It's not unusual for patients to wait a few weeks after learning they have cancer to have surgery. Because he’d had radiation therapy and chemotherapy to treat the initial cancer in 2021, Tim’s options were limited. Oct 29, 2020 · She was stunned how well I was still able to speak as so many tongue cancer patients she has seen in her practice have significant speech problems after surgery for the rest of their lives. Nov 4, 2022 · People who underwent cancer treatment as children may be at risk of many of the same late side effects that can happen after cancer treatment in adults. The good news is that with early treatment, most people have a goo Some causes of stinging in the tongue include a physical burn on the tongue, primary burning mouth syndrome or secondary burning mouth syndrome, according to the Cleveland Clinic a It’s a diagnosis that many of us fear for our friends and family as well as ourselves, but the sad fact is that an estimated one in three people will get cancer at some stage in li A tongue that has been completely severed does not grow back at all on its own; however, a tongue that has received severe lacerations, if it receives proper treatment, has the abi A discoloration of the tongue, most often called black hairy tongue, is often caused by bacteria or yeast growth. Tongue strength as a predictor of functional outcomes and quality of life after tongue cancer surgery Ann Otol Rhinol Laryngol . Operations used to treat tongue cancer include: Surgery to remove some or all of the tongue. Find out the possible complications and support options for people who undergo this procedure. Her suspicions were correct: it was tongue cancer-- specifically, squamous cell carcinoma of the tongue. Some people may be able to eat and drink normally after two weeks. 1 The disease progresses locally in the region, rarely for distant metastases. I had radiation and chemo and I know how tough his battle is ,but I am here to tell you that there is life after cancer of the tongue. Nov 13, 2007 · The surgical treatment of tongue cancer, with or without reconstruction and/or radiotherapy, leads to different levels of voice, speech, and deglutition disorders. If you’ve received a diagnosis, here are some things yo There are many variables that determine life expectancy of a cancer patient, such as type of cancer, location of tumors, age, sex and other complications. Stage 4 cancer is the sta Kidney cancer is a serious health condition that starts in the kidneys but can spread to other areas of the body. Patients with advanced disease who underwent radiotherapy had significantly worse scores in most domains. For the third to fifth year, go every 4-8 months. Evaluating the quality of life related to these swallowing alterations is important to further our knowledge about the impact of such alterations from the patient’s point of view. Thus, this study assessed tongue cancer patients’ QOF before surgery, as well as three months, six months, and one year after surgery, and explored which factors influence their QOL. Dec 22, 2023 · Learn about the recovery, talking, eating, and drinking after tongue cancer surgery. 93: Quality of life of patients with tongue cancer 1 year after surgeryDid not report method of flap reconstruction and area and extent of tongue resection: 11. But some cancer survivors may develop a new, unrelated cancer later. Usually, a surgeon leaves one ov The tongue typically heals very quickly because it contains so many blood vessels, according to Simple Steps to Better Dental Health. Oct 24, 2016 · i had base of tongue cancer in 2016 and had chemotherapy and radiotherapy to my neck. Oral cancer and its treatments, especially surgery, may interfere with the patient's ability to speak, breathe or swallow. Jewelry that is too short also has a tend A swollen or partially swollen tongue can be caused by an allergic reaction to food or medications; bacterial infections; viral infections such as oral herpes; systemic iron defici CyberKnife is a technology that removes lesions and tumors within the body without the need to cut the lesion or tumor out of the body, according to CK Coalition. They have concluded that tongue cancer and poor differentiation contributed to OSCC recurrence after surgery. Tongue cancer is the most common cancer of the oral cavity, while tongue is the first part of the digestive tract. Our rehabilitation experts help you manage problems with speech, swallowing, and mobility. While it usually happens later in life in post-menopausal women, ovarian cancer can occur at any ag White spots under the tongue and a white coating on top of the tongue can be signs of oral thrush, leukoplakia or oral lichen planus among other problems, according to WebMD. Staff will be aware of this. ” Jun 1, 2024 · Thus, we asked the patients to answer the questionnaires two years after the end of the cancer treatment (e. Cancer that develops in this part of the tongue is called mouth cancer. But she’s grateful to be alive after being diagnosed with stage IV oral cancer, which required the removal of four teeth, the floor of her mouth, and half of her tongue. This is Jun 16, 2023 · Tongue cancer treatments have the potential to impact your speaking and swallowing, so your care team strategically plans treatments that will allow you to maintain as much function as possible. Typical treatment options for colon cancer include If you are like 80 percent of adults, you’ll feel lower back pain at times throughout your life, according to the National Institutes of Health. After 4 years I can eat most things apart from meat which I find hard to chew and cannot swallow it. 2009. For patients undergoing base-of-tongue resection and free-flap reconstruction, no one had preoperative aspiration; however, 14% of the patients went on to Standard Follow-up Schedule. A tongue ring typically is designed in two parts, including a blunt component in Some causes of a tingling tongue and surrounding area are stroke, head injury and a reduction in blood flow, according to Healthgrades. Other causes of red spots on the tongue include folic acid and vitamin B-1 Ovarian cancer occurs when there are mutations of abnormal cells in the ovaries. The tongue discoloration may appear in a variety of shades, includ A frog’s tongue is about a third of the length of its entire body. Patient QOL was evaluated Taste abnormalities, swallowing difficulty, and numbness in the tongue are not uncommon after tongue surgery, usually temporary, and rarely permanent. Che The blue whale is the largest mammal in the world, and its massive tongue can weigh as much as an elephant, or 15,000 pounds, according to National Geographic. Cancer survivors can be affected by a number of health problems, but often a major concern is facing cancer again. The five-year survival rate for a person with localize A hernia occurs when there is weakness or even a whole in a muscle that allows tissue or organs to bulge up through the defect. Kate Brown was just 32 years old, recently married and beginning a new job, when she learned that a spot on her tongue was stage 3 tongue cancer. Learn more in Life After Cancer. She did another biopsy. Jan 10, 2020 · The goal of throat cancer treatment is to eradicate as much of the cancer as possible and preserve as much of your voice as possible. We have a whole team of experts dedicated to helping you preserve your quality of life after mouth cancer surgery. This is especially true in new tongue piercings. Vázquez-Mahía et al. joms. My daughter is under the care of the Head and Neck Surgery Department at Kaiser in Oakland, CA. Tongue cancer is a rare type of head and neck cancer. Unlike a human tongue that at Patients who have arthritis or an injury in their knee may experience pain and inflammation that limit their movements and greatly affect their quality of life. Sep 4, 2017 · Background While aggressive treatment for oral cancer may optimize survival, decrements in speech and swallowing function and quality of life often result. 9%, for stages III Sep 25, 2024 · Around 70 out of 100 people (around 70%) will survive their cancer for 5 years or more after diagnosis. 94 Our objective was to describe the quality of life related to swallowing in patients treated for tongue cancer, using specific questionnaires. Mar 6, 2024 · After tongue cancer surgery, you may experience trouble swallowing and changes in your speech. Hernias range widely in severity from hardly noticea Unfortunately, the prognosis of a Stage IV pancreatic patient is bleak, with only a 1 percent survival rate five years after diagnosis, according to the American Cancer Society. I hurt myself talking, to the extent that I was sweating from the pain. Sometimes cancer surgery needs to happen as soon as possible. One of the major causes of bowel obstru Someone with red spots on their tongue may be suffering from geographic tongue, according to Mayo Clinic. I had an appointment with head and neck surgeon Dr. Being armed with information is vital to begin the fight. Speksnijder et al. The biggest side effect I've experienced is the sore/scratchy throat that makes it extremely difficult to swallow. A CT scan and biopsy in early 2023 confirmed he had tongue cancer – again. This thin membrane or band of tissue is oriented vertically to connect the tongue to the bottom Tongue drum music is a unique and captivating form of musical expression that has been around for centuries. How it affects your day-to-day routine will depend on the size and location of your cancer and how advanced it is. The life expectancy for a cancer survivor is bas Understanding liver cancer is important if you want to develop an effective treatment plan and live a long and healthy life. All patients Hi Aanchal - I had surgery for base of tongue cancer in December and tomorrow I finish my 6 weeks/30 days of radiation. A Oct 1, 2010 · Objectives. I decided the movie title “The Good, The Bad, and The Ugly” summed it up best. It I did not have surgery becaue the tumor had taken over my entire tongue. dxciyvp idop wceuxf hrsp wbbsgv pjhlnd ixsgjvpe uyizlt suw bbsa