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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Oral Cavity Cancer, Pain In Mouth, Further Treatment For Malignancy?

My wife was operated for oral cavity cancer in June,2010 on right side of jaw-both lower n upper side. Bone n skin/muscle harvested fr. left leg n grafted. It was followed by RT- 31 sessions with concurrent chemo 4 times. Treatment ended on 31/08/10. Mendible is locked on healing n right side tongue also got partially fused with extremely restricted movement. Mouth hardly opens 2 cms. Biopsy performed on left side of tongue on 28/07/11. Report came clean. However pain in mouth/tongue aggraveted n after examination by ENT surgeon, biopsy was again perfomed with specimen lifted fr same spot -left side of tongue- on 10/02/12. Now malignancy is detected in the biopsy report. What r further treatment options available now? Prompt respont requested. THANKS.
Wed, 13 Nov 2013
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ENT Specialist 's  Response
Hi, a recurrent or residual disease post surgery and CTRT in oral cavity cancer carries a poor prognosis. A restriction in mouth opening is another ominous sign which points to the possibility of involvement of pterygoid muscles and is a sign of inoperability. Any way, please go to your doctor and if the recurrent disease is operable, it should be excised, otherwise she needs palliative care. Regards
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Oral Cavity Cancer, Pain In Mouth, Further Treatment For Malignancy?

Hi, a recurrent or residual disease post surgery and CTRT in oral cavity cancer carries a poor prognosis. A restriction in mouth opening is another ominous sign which points to the possibility of involvement of pterygoid muscles and is a sign of inoperability. Any way, please go to your doctor and if the recurrent disease is operable, it should be excised, otherwise she needs palliative care. Regards