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Corel Medical Series: Cancer
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Corel Medical Series: Cancer.iso
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c14b.dxr
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00054_Field_SRC.c14b.C.4.txt
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1997-01-28
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Five-Year Survival 90 to 100 percent (lip and upper gums), 96 percent (tongue), over 90 percent (inside of cheek), 90 percent (lower gums), 88 percent (floor of mouth)
Stage II
Standard Treatment
• Lip: Surgery alone, if simple closure is satisfactory. If surgery has to be complex, radiotherapy produces better
cosmetic and functional results.
• Front of tongue: Surgery initially for smaller lesions. Additional surgery, and sometimes radiation therapy , are
used later if tumor remains or recurs. Both surgery and radiotherapy are used for tumors that are growing
deeper.
• Inside of cheek: Small T2 lesions are treated with radiotherapy or surgery. Larger T2 lesions are treated with
surgery, radiotherapy or both.
• Floor of mouth: For small T2 lesions, surgery if the tumor is attached to bone and radiotherapy if lesions
involve the tongue. Both surgery and radiotherapy can be used for large T2 lesions. The choice depends on the
expected disability from surgery. For larger lesions, radiotherapy may be used postoperatively.
• Lower gums: Small lesions treated with surgery, sometimes requiring removal of some bone as well as a skin
graft. Radiotherapy has been used, but results are generally not as good as with surgery alone.
• Behind wisdom teeth: Same as Stage I.