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Corel Medical Series: Cancer
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c14b.dxr
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00053_Field_SRC.c14b.C.3.txt
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1997-01-28
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• Occasionally, when the cancer involves the upper gums it may be necessary to remove a portion of the sinus.
The prosthodontist is again needed for reconstruction.
• For larger cancers that have a lower cure rate with surgery alone, treatment combines all three methods
chemotherapy , followed by surgery, followed by radiation therapy .
Treatment by Location & Stage
Stage I
Standard Treatment
• Lip: Surgery or radiotherapy , depending on cosmetic and functional results.
• Front of tongue: Wide local excision . For larger lesions, either surgery or radiotherapy.
• Inside of cheek: Surgery for small lesions (with skin graft, if needed) or radiotherapy for larger lesions.
• Floor of mouth: Surgery or radiotherapy.
• Lower gums: Surgery, possibly with removal of some bone and the use of a skin graft. Radiotherapy results are
usually not as good as surgery.
• Behind wisdom teeth (retromolar trigone): Can usually be controlled by external radiotherapy. Alternatively,
surgical removal, including part of jawbone.
• Upper gums and hard palate: Surgery, with postoperative radiation if needed.