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January 20, 2019
Most studies have reported an increasing risk of occult metastasis in the neck with increasing tumour depth of invasion and consequently, reduced recurrence-free overall survival. This risk ranges from 20 to 30 percent 1-2.  Assessing the depth of invasion of the tumour is extremely difficult without removing the entire tumour whilst a sample from a...
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  Numerous studies looking at mouth cancer have reported five-year overall survival rates of 95 and 85 percent for early stage I and II oral cancers respectively6-8. In this section, I will outline the principles of management for different oral subsites: The Lower Lip Squamous cell carcinomas occur more commonly than basal cell carcinomas in...
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Reconstruction for Early Oral Cavity Cancer If you have stage I or II disease early oral cavity cancer, surgery is generally the preferred option in oral cavity cancer as treatment will provide useful prognostic information such as the depth of invasion, discohesive front, perineural invasion, lymph node metastasis and extracapsular spread. These features are important...
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Oral cavity cancers tend to invade the soft tissues early with bone invasion seen more often in very large tumours or tumours originating from the gingival mucosa. It is critical to evaluate in detail the size of tumour, extent or depth iof invasion, the spread to local regional lymph nodes and spread to distant sites...
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Your Care Pathway at The London Head and Neck Clinic The first stage in management of the mouth cancer is to obtain a small tissue sample by carrying out a biopsy. Often, this can be carried out under local anaesthetic however, some cancers may require examination under general anaesthesia due to their location. Once the...
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