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Oral Squamous Cell Carcinoma Treatment in London

As a general rule those OSCC (Oral Squamous Cell Carcinoma) less than 2 cm (T1) are usually best treated by surgery only, often utilizing a laser. Those tumours 2-5 cm (T2) are usually treated by surgery.
Often patients with T2 OSCC will have an elective neck dissection (removal of the lymph nodes from one side of the neck into which cancer cells may have migrated).

Often the patient may be best reconstructed with a vascularised soft tissue flap (with skin and fat from the arm or leg) that will require access to the neck vessels for anastomoses (joining vessels from the donor tissues to those of the neck), and at the same time an elective neck dissection can be carried out.

Tumours greater than 5 cm (T3) and tumours involving deeper structures such as extrinsic tongue muscle (extrinsic muscles attach the tongue to other structures) (T4) will usually be treated by surgery and reconstruction followed by radiotherapy.

However, large tonsillar tumours can often be treated with radiotherapy alone and T4 tumours of the posterior tongue and oropharynx may often be best treated by combined chemo-radiotherapy.