Treatment of stage I and II (early) head and neck cancer: The oral cavity
- Neil D Gross, MD, FACS
Neil D Gross, MD, FACS
- Associate Professor
- Director of Clinical Research
- Head and Neck Surgery
- MD Anderson Cancer Center
- Nancy Y Lee, MD
Nancy Y Lee, MD
- Attending Physician
- Memorial Sloan-Kettering Cancer Center
- Scott Okuno, MD
Scott Okuno, MD
- Professor of Oncology
- Division of Medical Oncology
- Mayo Clinic
- Shyam SD Rao, MD, PhD
Shyam SD Rao, MD, PhD
- Assistant Professor of Radiation Oncology
- University of California Davis Comprehensive Cancer Center
- Section Editors
- Bruce E Brockstein, MD
Bruce E Brockstein, MD
- Section Editor — Cancer of the Head and Neck
- Clinical Professor of Medicine
- University of Chicago Pritzker School of Medicine
- David M Brizel, MD
David M Brizel, MD
- Section Editor — Radiation Therapy
- Leonard R Prosnitz Professor of Radiation Oncology
- Professor of Otolaryngology Head & Neck Surgery
- Duke University Cancer Institute
- Marshall R Posner, MD
Marshall R Posner, MD
- Section Editor — Cancer of the Head and Neck
- Professor of Gene and Cell Medicine
- The Tisch Cancer Institute
- Icahn School of Medicine at Mount Sinai
- Marvin P Fried, MD, FACS
Marvin P Fried, MD, FACS
- Section Editor — Head and Neck Surgery
- Professor and University Chairman, Department of Otorhinolaryngology - Head and Neck Surgery
- Montefiore Medical Center, Albert Einstein College of Medicine
Squamous cell carcinoma is the predominant malignancy that occurs in the oral cavity. Minor salivary gland cancers and sarcomas are less common.
The initial approach to squamous cell carcinoma of the oral cavity and the treatment of stage I and II (early) disease are discussed here. The management of locally advanced oral cavity cancer and the treatment of metastatic and recurrent cancers are discussed separately.
The oral cavity extends from the skin-vermilion junction of the lips to the junction of the hard and soft palate above, and to the line of circumvallate papilla of the tongue below. The anterior tonsillar pillars and glossotonsillar folds serve as the lateral boundaries between the oral cavity and oropharynx.
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- EPIDEMIOLOGY AND RISK FACTORS
- OVERVIEW OF APPROACH TO ORAL CAVITY CANCERS
- Pretreatment evaluation
- MANAGEMENT OF PRIMARY TUMOR
- Radiation therapy
- SPECIFIC TUMOR SITES
- - Squamous cell carcinoma
- - Basal cell carcinoma
- Floor of mouth
- Oral tongue
- Retromolar trigone and lower alveolar ridge
- Upper alveolar ridge and hard palate
- Buccal mucosa
- MANAGEMENT OF THE NECK
- ADJUVANT THERAPY
- POSTTREATMENT SURVEILLANCE
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS