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Corel Medical Series: Cancer
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c14b.dxr
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00052_Field_SRC.c14b.C.2.txt
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1997-01-28
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Treatment Overview
• If surgery is the chosen method, the tumor must be removed along with the areas in the neck where it usually
first spreads, to provide a margin of safety. The chosen surgeon must be able to reconstruct the area, working
with dentists who are specialists in reconstructing portions of teeth that have had to be removed to provide the
best chance of cure. This helps return the patient to the most normal quality of life.
• If the cervical nodes are involved, all the lymph nodes on that side of the neck usually have to be removed
(radical neck dissection).
• Radiation therapy for lip or oral cancer can be with either external beams or occasionally the implantation of
radioactive seeds into the tumor site for a specified time to give a calculated dose of radiation. Either method can
be used alone, but most cancer centers use the two in combination.
• Surgery to remove a tumor of the tongue often requires removing a generous portion of the tongue to provide a
margin of safety. Surprisingly, there may be very little effect on speech and swallowing, although if the tumor is
large, a larger portion of the tongue has to be removed and speech becomes more of a problem. A speech
therapist may be needed for proper rehabilitation .
• Cancer of the space around the teeth usually requires the removal of some of the teeth as well as the primary
cancer site in the gingiva (gums). The dental prosthodontist creates a specialized plate for complete
rehabilitation.