The Goals of Treatment of Cancer of the Oral Cavity

Rodrigo Arrangoiz MS, MD, FACS, FSSO

– The goals of treatment of cancer of the oral cavity are:

  • Cure of the cancer

  • Preservation or restoration of:

    • Speech, mastication, swallowing, and external appearance

  • Minimization of the sequelae of treatment such as:

    • Dental decay, osteonecrosis of the mandible, and trismus

  • Awareness of the risk of subsequent primary tumors and their management

– Surgery and radiotherapy can be used as a single modality or in combination for the treatment of cancer of the oral cavity

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– Treatment Approaches:

  • In general, early-stage (stage I or II) head and neck tumors:

    • May be treated using a single modality (surgery or radiotherapy):

      • Whereas advanced disease (stage III or IV) frequently benefits from multimodality therapy

    • The best therapeutic approach for the primary tumor depends on the anatomic site

    • Most neck disease can be treated equally well with surgery or radiation:

      • Thus the modality chosen to treat the neck is based on which modality is selected for the primary

    • When the primary tumor is treated with irradiation:

      • The regional lymphatics “at-risk” are incorporated into the treatment fields

    • Neck dissections should remain standardized (ie, complete anatomic dissections, as opposed to “berry picking” or random biopsy) in these settings to avoid incomplete surgery

Rodrigo ArrangoizSinai Medical Center in Miami, Florida:

He is first author on some publications on oral cavity cancer:

Training:

• General surgery:

• Michigan State University:

• 2004 al 2010

• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

• Fox Chase Cancer Center (Filadelfia):

• 2010 al 2012

• Masters in Science (Clinical research for health professionals):

• Drexel University (Filadelfia):

• 2010 al 2012

• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

• IFHNOS / Memorial Sloan Kettering Cancer Center:

• 2014 al 2016

#Arrangoiz

#Doctor #Surgeon #ComplexSurgicalOncologist

#HeadandNeckSurgeon

#CancerSurgeon

#BramanComprehensiveCancerCenter #BCCC

#MountSinaiMedicalCenter #MSMC

#Miami #Mexico

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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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