Treatment FAQ

what type of treatment is used for oral cancer

by Antoinette Gutkowski Published 2 years ago Updated 2 years ago
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Commonly used treatments for oral cancer

  • Surgery. Most people with oral cancer have surgery first. There are many types of surgery that can be done. The kind...
  • Radiation treatment. This is the use of strong rays of energy to kill cancer cells and shrink tumors. In external beam...
  • Chemotherapy. This is the use of strong drugs to treat cancer. You may get one or more...

Oral cancer is usually treated with surgery first. Surgery may be followed with radiation therapy or sometimes radiation therapy and chemotherapy. Reconstruction may be needed to repair structures in the mouth and jaw or to help with speech and swallowing.

Full Answer

What is the best diet for someone with oral cancer?

Getting two or more treatment types is called combination treatment or combination modality treatment. Sometimes new treatments are available in a clinical trial. Ask your doctor about them. Some people use complementary therapies. That means they get standard cancer treatment, such as surgery, along with other supportive ones, such as yoga.

What is the estimated treatment cost for oral cancer?

The main treatment options for people with oral cavity and oropharyngeal cancers are: Surgery for Oral Cavity and Oropharyngeal Cancer. Radiation Therapy for Oral Cavity and Oropharyngeal Cancer. Chemotherapy for Oral Cavity and Oropharyngeal Cancer. Targeted Therapy for Oral Cavity and Oropharyngeal Cancer.

How to treat oral cancer with home remedies?

Mar 09, 2022 · In general, surgery is the first-line treatment for oral cancer that is caught early. Other treatment options typically include chemotherapy, radiation therapy and targeted therapy. Oral cancer is typically treated by: Otolaryngologist, a surgeon who treats head and neck cancer and other diseases. Oral and maxillofacial surgeon, who treats cancer and other diseases of …

Are there alternative treatments for oral cancer?

Jun 24, 2021 · Radiation therapy uses high energy waves to destroy cancer cells. It may be used alone, as the primary treatment for oral cancer, or it may be used before or after surgery (with or without chemotherapy). It can also be used to reduce symptoms related to advanced cancers. In general, radiation alone is an option as the primary treatment only for smaller oral cancers.

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What is the most common treatment for oral cancer?

Stages I and II oral cavity cancer

Most patients with stage I or II oral cavity cancers do well when treated with surgery and/or radiation therapy. Chemotherapy (chemo) given along with radiation (called chemoradiation) is another option. Both surgery and radiation work equally well in treating these cancers.
Mar 23, 2021

Is surgery only option for oral cancer?

Surgery is often the first treatment used for these cancers. Several types of operations can be done to treat oral cavity and oropharyngeal cancers, depending on where the cancer is located and its stage. It's most commonly used for small, early-stage cancers that haven't spread.Mar 23, 2021

How do they remove oral cancer?

Surgery for mouth cancer may include: Surgery to remove the tumor. Your surgeon may cut away the tumor and a margin of healthy tissue that surrounds it to ensure all of the cancer cells have been removed. Smaller cancers may be removed through minor surgery.Oct 20, 2020

How is oral cancer treated without surgery?

Pembrolizumab. Pembrolizumab is a medicine used to treat mouth cancer that has spread or cannot be removed through surgery. It's a type of immunotherapy medicine called a checkpoint inhibitor. Immunotherapy helps your immune system find and kill cancer cells.

What's the survival rate of mouth cancer?

Survival rates can give you an idea of what percentage of people with the same type and stage of cancer are still alive a certain amount of time (usually 5 years) after they were diagnosed.
...
Floor of the mouth.
SEER Stage5-Year Relative Survival Rate
Localized73%
Regional41%
Distant23%
All SEER stages combined52%
Mar 2, 2022

How long is treatment for oral cancer?

This involves a doctor aiming radiation beams at the tumor once or twice a day, five days a week, for two to eight weeks. Treatment for advanced stages will usually involve a combination of chemotherapy and radiation therapy.

How long does it take to recover from mouth cancer surgery?

Most people can go home within several days after surgery for oral cancer. It will most likely take you a few weeks to feel better. Once you've left the hospital, you'll probably still need some special care as you recover from surgery. Here are some of the things you can expect during your recovery.

Can you talk after oral cancer surgery?

The way you talk might change. It depends on the size and location of your cancer and how much tissue doctors had to remove. Cancer on your tongue, for example, can make it harder to make “l” and “r” sounds. If you have a growth on the roof of your mouth, your voice may sound different.Oct 31, 2021

Can you survive stage 4 oral cancer?

Survival at 5 years

Survival can vary from 95% at five years for stage 1 mouth cancer to 5% at five years for some cancers at stage 4 disease, depending on the location of the lesion. Stage of diagnosis affects survival, and people diagnosed with mouth cancer at stage 3 and 4 have a significantly reduced prognosis.

How many chemo treatments are used for oral cancer?

You usually have chemotherapy every 3 weeks. Each 3 week period is called a cycle. You may have between 2 and 6 cycles of chemotherapy.

Is oral cancer curable?

If oral cancer is discovered early, the cure rate is nearly 90%. If, however, the cancer has already spread before diagnosis, the survival rate is 60% after five years of treatment. The best outcome for oral cancer is always early diagnosis and treatment.

What do the early stages of mouth cancer look like?

Early stages of mouth cancer may look like: Sore in the mouth that doesn't heal (the most common symptom) White or red patch on the gums, tongue, tonsils, or lining of the mouth. Loose teeth.Dec 28, 2020

What are the treatments for oral cancer?

There are 3 main treatment options for oral and oropharyngeal cancer: surgery, radiation therapy, and therapies using medication. These types of treatment are described below. Your care plan may also include treatment for symptoms and side effects, an important part of cancer care.

How many operations do you need to remove oral cancer?

Depending on the location, stage, grade, and other features of the cancer, some people may need more than 1 operation to remove the cancer and to help restore the appearance and function of the affected tissues. The most common surgical procedures for the removal of oral or oropharyngeal cancer include:

Can oropharyngeal cancer be cured?

Oral and oropharyngeal cancers can often be cured, especially if the cancer is found at an early stage. Although curing the cancer is the primary goal of treatment, preserving the function of the nearby nerves, organs, and tissues is also very important.

What is the primary goal of cancer treatment?

Although curing the cancer is the primary goal of treatment, preserving the function of the nearby nerves, organs, and tissues is also very important. When doctors plan treatment, they consider how treatment might affect a person’s quality of life, such as how the person feels, looks, talks, eats, and breathes.

What is the name of the doctor who treats cancer?

Surgical oncologist: A doctor who treats cancer using surgery. Otolaryngologist: A doctor who specializes in the ear, nose, and throat. Reconstructive/plastic surgeon: A doctor who specializes in reconstructive surgery, which is done to help repair damage caused by cancer treatment.

How is medication used to treat cancer?

Medication may be given through the bloodstream to reach cancer cells throughout the body. When a drug is given this way, it is called systemic therapy . Medication may also be given locally, which is when the medication is applied directly to the cancer or kept in a single part of the body.

What is immunotherapy for cancer?

Immunotherapy, also called biologic therapy, is designed to boost the body's natural defenses to fight the cancer. It uses materials made either by the body or in a laboratory to improve, target, or restore immune system function. Pembrolizumab (Keytruda) and nivolumab (Opdivo) are 2 immunotherapy drugs approved by the U.S. Food and Drug Administration (FDA) for the treatment of people with recurrent or metastatic head and neck squamous cell carcinoma (HNSCC) that has not been stopped by platinum-based chemotherapy (see below for information on recurrent cancer and metastatic cancer). Both are immune checkpoint inhibitors that are also approved for the treatment of some people with advanced lung cancer or melanoma.

How do targeted drugs treat mouth cancer?

Targeted drugs treat mouth cancer by altering specific aspects of cancer cells that fuel their growth. Targeted drugs can be used alone or in combination with chemotherapy or radiation therapy.

Can you take alternative medicine for mouth cancer?

Alternative medicine. No complementary or alternative medicine treatments can cure mouth cancer. But complementary and alternative medicine treatments may help you cope with mouth cancer and the side effects of cancer treatment, such as fatigue. Many people undergoing cancer treatment experience fatigue.

What causes mouth cancer?

It has a number of possible causes, including repeated injury or irritation. It can also be a sign of precancerous changes in the mouth or mouth cancer. Once mouth cancer is diagnosed, your doctor works to determine the extent (stage) of your cancer. Mouth cancer staging tests may include:

How to check if throat cancer is spreading?

During a procedure called endoscopy, your doctor may pass a small, flexible camera equipped with a light down your throat to look for signs that cancer has spread beyond your mouth. Imaging tests.

What does it mean when you have a lower stage of cancer?

A lower stage, such as stage I, indicates a smaller cancer confined to one area. A higher stage, such as stage IV, indicates a larger cancer, or that cancer has spread to other areas of the head or neck or to other areas of the body. Your cancer's stage helps your doctor determine your treatment options.

How to rebuild your mouth after cancer removal?

Surgery to reconstruct the mouth. After an operation to remove your cancer, your surgeon may recommend reconstructive surgery to rebuild your mouth to help you regain the ability to talk and eat. Your surgeon may transplant grafts of skin, muscle or bone from other parts of your body to reconstruct your mouth.

What to do after a cancer removal surgery?

After an operation to remove your cancer, your surgeon may recommend reconstructive surgery to rebuild your mouth to help you regain the ability to talk and eat . Your surgeon may transplant grafts of skin, muscle or bone from other parts of your body to reconstruct your mouth.

How to treat oral cancer?

Each treatment for oral cancer has these goals: 1 Remove or kill the cancer cells as quickly as possible 2 Kill any cells that may have spread 3 Control further spread of cancer cell

What are the goals of oral cancer treatment?

Each treatment for oral cancer has these goals: Remove or kill the cancer cells as quickly as possible. Kill any cells that may have spread. Control further spread of cancer cell.

Is oral cancer curable?

Oral cancer is often curable. Treatment can also help control oral cancer, meaning it may help control symptoms or reduce its spread. Once you know the type and stage of oral cancer you have, it's time to decide on a treatment plan. This section will help you understand your treatment options and what's best for you.

Can you have more than one type of surgery for a tumor?

Depending on the location of the tumor, you may need reconstructive surgery as well as surgery to remove the tumor. Your doctor may suggest that you get more than one type of treatment. Getting two or more treatment types is called combination treatment or combination modality treatment.

Can you get more than one treatment?

Your doctor may suggest that you get more than one type of treatment. Getting two or more treatment types is called combination treatment or combination modality treatment. Sometimes new treatments are available in a clinical trial. Ask your doctor about them. Some people use complementary therapies.

What is the treatment for oral cancer?

Different treatments might be used either alone or in combination, depending on the stage and location of the tumor. In general, surgery is the first treatment for cancers of the oral cavity and may be followed by radiation or combined chemotherapy and radiation. Oropharyngeal cancers are usually treated with a combination ...

Who treats oropharyngeal cancer?

These doctors may include: An otolaryngologist (al so known as an ear, nose, and throat, or ENT doctor): a surgeon who treats certain diseases of the head and neck.

What to consider when choosing a cancer treatment plan?

When you choose a treatment plan, consider your overall health, the type and stage of the cancer, the chances of curing the disease, and the possible impact of the treatment on important functions like speech, chewing, and swallowing. If time permits, it is often a good idea to seek a second opinion.

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

Why is communicating with your cancer team important?

Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life. Different types of programs and support services may be helpful, and can be an important part of your care. These might include nursing or social work services, financial aid, ...

What are the services that the American Cancer Society provides?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, ...

What are the services offered by the American Cancer Society?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment.

What is the first line of treatment for oral cancer?

In general, surgery is the first-line treatment for oral cancer that is caught early.

What is oral cancer?

Oral cancer that is detected at an early stage, before the cancer cells have spread to other areas of the body, is generally treated with surgery. Surgery also may be used to treat patients with advanced-stage and recurrent cancers, often in combination with radiation therapy, chemotherapy or targeted therapy.

How does oral cancer affect the quality of life?

Developing a treatment plan for oral cancer generally takes into account quality of life issues, because oral cancer and its treatments may affect a patient’s ability to perform everyday functions like breathing and eating.

What are some examples of oral cancer?

Two examples of oral cancer EBRT include: Accelerated and hyperfractionated radiation therapy: This type of radiation therapy is typically given twice a day, and at a higher frequency than normal EBRT.

What is brachytherapy for oral cancer?

Brachytherapy (internal radiation): Delivers high or low doses of radiation from implants placed close to, or inside, the tumor (s) in the body. Brachytherapy may be an alternative to surgery for some oral cancer patients. Because it requires no incision and leaves no surgical wound to heal, recovery from the procedure is generally rapid.

Can oral cancer patients have reconstructive surgery?

Many oral cancer surgery patients are often concerned about disfigurement; but recent advances in reconstructive surgery help patients restore their appearance, sometimes with little or no sign of change . Your doctor will work closely with you to ensure that your treatment is appropriate for your health and well-being.

Can EGFR be used to treat oral cancer?

Treating oral cancer with a drug that targets EGFR may help kill cancer cells without harming normal tissues. Your oncologist may recommend an EGFR-targeted drug in combination with chemotherapy or radiation therapy to treat oral cancer.

What is the treatment for oral cancer?

Radiation Therapy. Radiation therapy uses high energy waves to destroy cancer cells. It may be used alone, as the primary treatment for oral cancer, or it may be used before or after surgery (with or without chemotherapy). It can also be used to reduce symptoms related to advanced cancers.

What type of surgery is needed for oral cancer?

These may include bone, muscle, or skin grafts, or flap procedures. Dental implants may also be needed. Recent advances in reconstructive surgery now allow many people who have had even major oral cancer surgery to achieve a cosmetically acceptable result.

What are the different types of chemo?

There are many different types of chemotherapy drugs that work on different parts of the cell cycle (the stages a cell goes through in the process of dividing into two cells instead of one). These drugs may be used alone or in combination, and are usually given in cycles every few weeks. Drugs commonly used for oral cancer include: 1 Platinol (cisplatin) 2 Paraplatin (carboplatin) 3 5-FU (5-fluorouracil) 4 Taxol (paclitaxel) 5 Taxotere (docetaxel) 6 Trexall (methotrexate) 7 Keytruda (pembrolizumab)

Is radiation the first step in cancer treatment?

When surgery is used, it is not always the first step. Chemotherapy (with radiation) may be given either before surgery, to reduce the size of the tumor, or after surgery, to clean up any cancer cells that may have been left behind. 1  If there is a chance that a cancer has spread to lymph nodes, a lymph node dissection is often done.

Can you have bone grafts for oral cancer?

Reconstructive surgery with skin, muscle, and/or bone grafts may be needed . There is also one targeted therapy that can be used for some people with oral cancer, as well as clinical trials looking at newer treatments such as immunotherapy. Most people with oral cancer will have a team of physicians they work with.

What kind of doctor treats oral cancer?

Most people with oral cancer will have a team of physicians they work with. This can include an otolaryngologist (ear, nose, and throat specialist or ENT), different types of oncologists such as a medical oncologist and radiation oncologist, a plastic and reconstructive surgery specialist, and dentists.

Is oral cancer surgery the first step?

Surgery is the mainstay of treatment for oral cancer, but is not always the first step in care. Since these surgeries can sometimes be complicated and disfiguring, choosing a surgeon who performs a large number of such surgeries is wise. Experience can make a big difference not only in successfully removing an oral cancer, but doing so with the least amount of damage to healthy tissue. 2 

Learning about your treatment options

Once you know the type and stage of oral cancer you have, you and your doctor will decide on a treatment plan. Talking about your treatment choices will be one of the most important discussions you'll have with your doctor.

Understanding the goals of treatment

Treatment may control or cure the oral cancer. It can also improve your quality of life by helping to control the symptoms of the disease. The goal of treatment for oral cancer is to do 1 or more of these things:

Commonly used treatments for oral cancer

Most people with oral cancer have surgery first. There are many types of surgery that can be done. The kind you have depends on where the tumor is. The goal is to take out the tumor along with an edge of healthy tissue around it. In some cases, this may cure the cancer.

Combining treatments

Your doctor may suggest that you get more than 1 type of treatment. Getting 2 or more treatment types is called combination treatment or combination modality treatment.

Clinical trials for new treatments

Research is ongoing to find new and better ways to treat oral cancer. These new methods are tested in clinical trials. Taking part in a clinical trial means you get the best treatment available today, and you might also get new treatments that are thought to be even better.

What is the treatment for cancer?

There are also other drugs that are used to treat cancer in different ways, including targeted therapy, hormone therapy, and immunotherapy.

Can you get chemo by mouth?

Getting Oral or Topical Chemotherapy. While many chemotherapy ( chemo) drugs are given by infusion or injection, there are also oral chemo drugs (taken by mouth) or and topical chemo drugs (rubbed on the skin). The information below describes traditional or standard chemotherapy that might be given by mouth or applied to the skin.

Can chemo be given by injection?

While many chemotherapy (chemo) drugs are given by infusion or injection, there are also oral chemo drugs (taken by mouth) or and topical chemo drugs (rubbed on the skin). The information below describes traditional or standard chemotherapy that might be given by mouth or applied to the skin. There are also other drugs that are used ...

Can you take chemo at home?

This cuts down on the harm to healthy cells and allows the chemo to kill more cancer cells. Oral chemo is usually taken at home . Because of this, it’s very important to make sure you know exactly how it should be taken.

Is chemo a strong drug?

Chemo you swallow is as strong as other forms of chemo. Many are also considered hazardous. There are usually special precautions for storing and handling chemo drugs. You might be told to be careful not to let others come into contact with it or your body fluids while taking it and for a time after taking it.

Can you use chemo pills with gloves?

You might be told to be careful not to let others come into contact with it or your body fluids while taking it and for a time after taking it. Sometimes you need to wear gloves when touching the pills or capsules.

Does insurance cover chemo?

Depending on the type of drug, some insurances don't cover the full cost, or may not cover it at all. Sometimes you can get assistance but many people have to pay more of their own money for them than what they would pay for chemo that’s given with a needle in the hospital or clinic.

What is the first treatment for oral cancer?

Surgery is often the first treatment used for these cancers. Several types of operations can be done to treat oral cavity and oropharyngeal cancers, depending on where the cancer is located and its stage. It's most commonly used for small, early-stage cancers that haven't spread. After the cancer is removed, reconstructive surgery might be done ...

How to remove cancer from the lip?

Some cancers of the lip, such as those at the very edge of the lip, may be removed by Mohs surgery, also known as micrographic surgery. The tumor is removed in very thin slices. Each slice is looked at right away under the microscope to see if it has cancer cells.

How to improve chances of survival after cancer surgery?

Quit smoking. If you smoke, quitting for good (before treatment starts, if possible) is the best way to improve your chances for survival. Smoking during cancer treatment can increase the risk of side effects after surgery and is linked to poor wound healing and worse outcomes.

Can you smoke after cancer treatment?

If you smoke, quitting for good (before treatment starts, if possible) is the best way to improve your chances for survival. Smoking during cancer treatment can increase the risk of side effects after surgery and is linked to poor wound healing and worse outcomes. Smoking after treatment can also increase the risk of the cancer coming back as well ...

What is the procedure to remove cancer from the back of the throat?

Robotic surgery. More and more, trans-oral robotic surgery (TORS) is being used to remove cancers of the back of the throat and mouth that might otherwise need a mandibulectomy for the surgeon to reach the tumor.

Is it too late to quit smoking after cancer treatment?

Smoking after treatment can also increase the risk of the cancer coming back as well as the risk of getting a new cancer. It is never too late to quit .

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Diagnosis

Treatment

  • Treatment for mouth cancer depends on your cancer's location and stage, as well as your overall health and personal preferences. You may have just one type of treatment, or you may undergo a combination of cancer treatments. Treatment options include surgery, radiation and chemotherapy. Discuss your options with your doctor.
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • Quit using tobacco
    Mouth cancers are closely linked to tobacco use, including cigarettes, cigars, pipes, chewing tobacco and snuff, among others. Not everyone who is diagnosed with mouth cancer uses tobacco. But if you do, now is the time to stop because: 1. Tobacco use makes treatment less ef…
  • Quit drinking alcohol
    Alcohol, particularly when combined with tobacco use, greatly increases the risk of mouth cancer. If you drink alcohol, stop drinking all types of alcohol. This may help reduce your risk of a second cancer.
See more on mayoclinic.org

Alternative Medicine

  • No complementary or alternative medicine treatments can cure mouth cancer. But complementary and alternative medicine treatments may help you cope with mouth cancer and the side effects of cancer treatment, such as fatigue. Many people undergoing cancer treatment experience fatigue. Your doctor can treat underlying causes of fatigue, but the feeling of being u…
See more on mayoclinic.org

Coping and Support

  • As you discuss your mouth cancer treatment options with your doctor, you may feel overwhelmed. It can be a confusing time, as you're trying to come to terms with your new diagnosis, and also being pressed to make treatment decisions. Cope with this uncertainty by taking control of what you can. For instance, try to: 1. Learn enough about mouth cancer to make treatment decisions.…
See more on mayoclinic.org

Preparing For Your Appointment

  • Make an appointment with your doctor or dentist if you have signs or symptoms that worry you. If your doctor or dentist feels you may have mouth cancer, you may be referred to a dentist who specializes in diseases of the gums and related tissue in the mouth (periodontist) or to a doctor who specializes in diseases that affect the ears, nose and throat (otolaryngologist). Because ap…
See more on mayoclinic.org

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