Carcinoma of the upper lip tends to be more aggressive and metastatic. Other ancillary measures include speech and swallowing rehabilitation as indicated, monitoring of thyroid stimulating hormone levels if the neck been treated with radiation therapy, and regular dental evaluation. The oral cavity extends from the vermilion border of the lips to the circumvallate papillae of the tongue inferiorly and the junction of the hard and soft palate superiorly. Epidemiology and prevention of oral cancer. Ficarra G, Eversole LE.
Although early diagnosis is relatively easy, presentation with advanced disease is not uncommon.
Unfortunately, there is no effective chemoprevention and close follow up remains the most important tool in secondary prevention Second primary tumors in patients with head and neck squamous cell carcinoma. Grading of the invasive front of the tumor is a very important prognostic parameter. But the precursor tissue changes can be noticed by doctors. This is a progressive lesion in which the opening of the mouth becomes progressively limited, and later on even normal eating becomes difficult.