Disease Subsites
Oral Cavity (high risk for viral aerosolization)
· Premalignant disease
o Defer with telemedicine visits
o Review clinical photographs to help rule out invasive cancer missed by biopsy
· Early malignant disease
o Consider short-term deferral with weekly telemedicine visits10
o Proceed with primary surgery
o Continue to monitor while stable; proceed to surgery if primary progresses or if there is any evidence of cervical node involvement
· Intermediate malignant disease
o Proceed with primary surgery
· Advanced malignant disease
o Consider neoadjuvant systemic therapy (discussion on a case-by-case basis – consider the risk of immunosuppression)