When is tumour removal surgery recommended for mouth cancer?

The team reviews the tumour’s position in the tongue, gums, cheek, floor of the mouth or palate, as well as its depth and relationship to the jaw. The operation may remove the tumour with a border of healthy-looking tissue. Neck lymph nodes may be examined or removed when the cancer’s features make spread through those nodes a concern.

Scans and examination help show whether the tumour can be removed in one operation. Some people need reconstruction to restore the shape of the mouth or support swallowing. Radiotherapy, chemotherapy or other treatment may be planned before or after surgery, depending on the findings.

Ask for a clear outline of the proposed removal and any reconstruction. A speech and swallowing assessment may help establish a baseline and prepare for recovery. Tell the team about dental problems, medicines, tobacco or alcohol use, and difficulty eating. Planning with surgery, dental, nutrition and rehabilitation specialists can make the recovery needs clearer.

Book a medical assessment for a mouth ulcer that does not heal, a persistent lump, unexplained bleeding, loose teeth, ongoing pain or difficulty chewing or swallowing. Following surgery, seek urgent advice for bleeding, swelling that affects breathing, fever, worsening pain, or inability to drink. Emergency services are appropriate for severe breathing trouble.

Where exactly is the tumour and what would be removed? Could the jaw or neck lymph nodes be involved? Will I need reconstruction, a feeding plan or speech therapy? Which treatment is expected before or after surgery?