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General Workup Prior to the Treatment Phase of Oral Cancer

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Textbook of Oral Cancer

Part of the book series: Textbooks in Contemporary Dentistry ((TECD))

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Abstract

The workup consists of taking a thorough history and physical examination and assessing the nutritional status and functional status in addition to conducting a dental evaluation, multiple imaging modalities at the primary site and at distant sites, and biopsy of the lesion. A thorough and preoperative medical, anesthetic, and surgical assessment is to be undertaken to identify pathophysiology and determine perioperative risk stratification, anesthetic management, medical management, surgical management, and medical optimization. Based on these assessments, the oncology team would determine if the patient is healthy enough to withstand treatment, and the decision is based on the interplay of existing comorbidities, patient age, functional status, performance status, and frailty. The eventual goal is to integrate all of this information and to clinically stage the patient and develop a treatment plan consistent with the patient’s treatment goals and tolerance for any side effects of treatment.

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Author information

Authors and Affiliations

  1. Weill Cornell Medicine, New York, USA

    Michael Awadallah

  2. Oral and Maxillofacial Surgery and Head and Neck Oncologic and Reconstructive Surgery, North Memorial Medical Center, Minneapolis, MN, USA

    Ketan Patel & Deepak Kademani

Authors
  1. Michael Awadallah
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  2. Ketan Patel
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  3. Deepak Kademani
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Corresponding author

Correspondence to Deepak Kademani .

Editor information

Editors and Affiliations

  1. Faculty of Dentistry, Oral & Craniofacial Sciences,, King’s College London, London, UK

    Saman Warnakulasuriya

  2. Department of Orofacial Sciences, Schools of Dentistry and Medicine, University of California San Francisco, San Francisco, CA, USA

    John S. Greenspan

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Awadallah, M., Patel, K., Kademani, D. (2020). General Workup Prior to the Treatment Phase of Oral Cancer. In: Warnakulasuriya, S., Greenspan, J. (eds) Textbook of Oral Cancer. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-32316-5_19

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  • DOI: https://doi.org/10.1007/978-3-030-32316-5_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-32315-8

  • Online ISBN: 978-3-030-32316-5

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