A 50-year-old male presents with a growth in the buccal mucosa. Growth measures 3 cm in its greatest dimension. He also has multiple nodes on the ipsilateral side in the submandibular region but none of the nodes is more than 3 cm. Your line of treatment is:
Growth which measures more than 3 cm is classified as T2 Multiple ipsilateral nodes none more than 3 cm is N2 . The growth (T2 N2 ) thus will be stage III.Treatment of stage III is surgical excision of growth with supraomohyoid (levels I, II and III nodes) neck dissection followed by post-operative radiotherapy.
Radiotherapy to the primary and lymph nodes of the neck
Radiotherapy to the primary with supraomohyoid neck dissection
Surgical excision of the primary growth and supraomohyoid neck dissection
Surgical excision of growth, supraomohyoid neck dissection and post-operative radiotherapy
Oral Cavity