Clinical Presentation of Floor of the Mouth Tumors

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Since the floor of mouth is a relatively small anatomical area:
    • Tumors frequently extend into adjacent sites notably the tongue or mandible
  • Patients may present with a:
    • Sore lesion
    • Ulceration
    • Obstructive submandibular gland symptoms
  • Leukoplakia of the floor of mouth:
    • May be considered a pre-malignant condition with an annual transformation rate of 1% to 2.9%:
      • The demonstration of carcinoma within an excised leukoplakia not being uncommon
  • Stage at presentation varies considerably between institutions:
    • Although approximately 50% present with advanced disease
  • Cervical lymphadenopathy is present in 17% to 45% of patients on presentation:
    • Up to 22% of those clinically N0 at presentation having occult metastasis
    • Depending on the location of the tumor:
      • Up to 28.6% of patients may have bilateral nodal involvement
  • Many tumors of the floor of mouth are well or moderately differentiated
#Arrangoiz #MountSinaiMedicalCenter #CancerSurgeon #SurgicalOncologist #HeadandNeckSurgeon #Miami #Mexico

Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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