Evaluation of Oral Cancer: Key points

  • Squamous cell carcinoma (SCC) is the most common oral cancer
  • Histological diagnosis is essential and to exclude other malignancies like minor salivary cancers , melanoma, and inflammatory (e.g. TB) and traumatic causes
  • Surgery +/- adjuvant radiation therapy offers the best chance of cure for SCC of the oral cavity
  • Objectives of preoperative evaluation
    • Confirm diagnosis
    • Stage the cancer
    • Decide whether to offer curative or palliative treatment
    • Patient evaluation: Fitness, objectives, ability to complete surgery and postoperative radiation therapy, and ability to deal with the long-term consequences of treatment
    • Surgery
      • Plan appropriate surgery
      • Avoid inappropriate surgery
      • Avoid surgery beyond the scope of the surgeon

Index: Clinical Practice Guidelines for Oral Cancer

Resource Appropriate Oral Cancer Guideline Scenarios