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Corel Medical Series: Cancer
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c14b.dxr
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00104_Field_SRC.c14b.A.3.txt
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1997-01-28
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• 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 .
• 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 and 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.