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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.
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