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Radical surgical intervention for the treatment of intra-oral carcinoma and cervical metastasis from these lesions has become feasible and safe in recent years. Both primary and metastatic lesions can be removed during the same operation as a combined procedure. If necessary, en bloc excision should be performed and even hemimandibulectomy carried out if indicated. Dissection of the neck for metastatic lesions always should be radical.
This exhibit presents (1) the clinical appearance and salient pathologic features of various types of malignant intra-oral and cervical metastatic lesions, with the aid of illustrative cases, (2) the surgical anatomic features of the oral cavity and the neck, (3) indications for surgical procedures and (4) results of treatment.
Neck Dissection For Metastatic Lesions And Removal of the Primary Lesion
Dissection of Neck and Treatment of Primary Lesion Should be a Combined Procedure
In treating labial, oral or laryngeal carcinoma, dissection of the neck, when
Beahrs OH, Devine KD, Foss EL, Henson SW, Bulbulian AH. Combined Operations For Intra-oral Carcinoma And Cervical MetastasisMayo Clinic and Mayo Foundation. AMA Arch Surg. 1956;73(3):539-546. doi:10.1001/archsurg.1956.01280030165021