Surgical Treatment of Oral Cavity Cancer
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Questions and Answers

What is the primary advantage of surgical resection for oral cavity cancer?

  • Allows for the removal of the cancer in a single treatment session
  • Provides a specimen for histopathological analysis (correct)
  • Avoids the side effects of radiation therapy
  • Preserves the oral environment better than radiation therapy
  • Which of the following is the most important factor in determining the surgical treatment of early-stage (T1, T2) oral cavity cancers?

  • Histologic margins (correct)
  • Tumor location
  • Tumor size
  • Patient preference
  • Why is it often better to hold radiation therapy for patients with head and neck cancer?

  • Radiation therapy is more expensive than surgery
  • Radiation therapy may be needed in the future if a second primary cancer develops (correct)
  • Radiation therapy is less effective than surgery for oral cavity cancers
  • Radiation therapy has more severe side effects than surgery
  • What is the concept of 'field cancerization' in the context of oral cavity cancer?

    <p>The presence of multiple foci of cancer within a single resection specimen</p> Signup and view all the answers

    What is the main reason why primary radiation therapy is not preferred over surgical resection for most stage I and stage II oral cavity cancers?

    <p>Radiation therapy has more severe side effects on the oral environment</p> Signup and view all the answers

    What is the primary rationale for advocating surgical resection with frozen-section analysis of the margins for most stage I and stage II oral cavity cancers?

    <p>To obtain a specimen for histopathological analysis and evaluate the surgical margins</p> Signup and view all the answers

    What is the significance of clear histologic margins in the surgical treatment of oral cavity cancer?

    <p>Clear margins are associated with improved survival outcomes</p> Signup and view all the answers

    What is the main reason why clear pathologic margins are not always an assurance of a good outcome in the surgical treatment of oral cavity cancer?

    <p>The concept of field cancerization and the presence of multiple foci of cancer</p> Signup and view all the answers

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