clinical and radiological evaluation are fundamental in the decision-making process in tongue cancer.

Pathological aspects of tumor pathways of progression and different structures of the oral cavity involved are in some cases can be trickier to assess.

Radiological workup is made mainly with MRI in order to have a clear vision of all the muscolar e soft tissue components of the oral cavity.

Only after a strict evaluation of these aspects radical excision of the tumor can be programmed.

Recent classification of glossectomies gave a better understanding of how different cases can be correctly handled surgically.

In oral cavity cancer more than in other head and neck districts it is very important to obtain radicality by clear margins in order to obtain the best oncological results. Nevertheless, residual functions like swallowing and speech need to be also considered.