It is also, however, very doubtful whether mass screening is feasible in developing democracies with their large populations, poor economy and paucity of trained personnel. The primary method of treatment of oral cancers is by radiotherapy or surgery or by a combination of both. In T3 and T4 cancers, the combination of both is mandatory. It is, however, essential that a good head and neck reconstructive surgeon is part of the team, and that a good maxillo-facial prosthetic facility is available. The benefit with concomitant chemotherapy is marginal, but is prejudiced, to a greater as lesser extent, by normal tissue morbidity.
Radical surgery is the treatment of choice of operable metastatic neck nodes.
R.T. is only palliative, chemotherapy has no benefit.