Intense multi-agent neo-adjuvant chemotherapy including ifosfamide followed by wide excision and postoperative radiation are recommended. Local therapy should not take precedence over or interfere with systemic chemotherapy.

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In recent years, several articles have published data about the safety and feasibility of endoscopy-assisted resection of benign neoplasms. CASE REPORTA 10-year-old boy presented to us with a mass over the tongue for 2 years gradually progressed to the present size associated with difficulty in swallowing. ABSTRACTSurgery for the base of the tongue lesions can be challenging since this area is difficult to access and contains important neurovascular structures. External incision in the neck via an approach that varies from a transoral midline glossotomy approach to a lip-split mandibulotomy, which inevitably results in obvious scarring of the face and neck. Transoral robotic surgery can be considered for removal of these difficult neoplasms. But limitations of robotic surgery include the size and cost of the device, a learning curve, and safety concerns. Hence, alternative surgical approaches that allow for good exposure, complete tumour excision, low complication rates, low recurrence rates, and no postoperative neck scarring are preferred.

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