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ENT Oral Cavity e6c15f11

A 50-year-old male presents with a growth in the buccal mucosa. Growth measures 3 cm in its greatest dimension. He also has multiple nodes on the ipsilateral side in the submandibular region but none of the nodes is more than 3 cm. Your line of treatment is:

A
Radiotherapy to the primary and lymph nodes of the neck
B
Radiotherapy to the primary with supraomohyoid neck dissection
C
Surgical excision of the primary growth and supraomohyoid neck dissection
D
Surgical excision of growth, supraomohyoid neck dissection and post-operative radiotherapy
High-Yield Explanation
Growth which measures more than 3 cm is classified as T2 Multiple ipsilateral nodes none more than 3 cm is N2 . The growth (T2 N2 ) thus will be stage III.Treatment of stage III is surgical excision of growth with supraomohyoid (levels I, II and III nodes) neck dissection followed by post-operative radiotherapy.

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