Interesting all the different approaches. I tend to think aggressive is best however in my case because I'm stage 1 and a PET scan came back clear, no neck dissection was deemed necessary. I also will not require radiation as I've been told that radiation isn't effective on dysplasia and all the SCC was removed in initial biopsy.

I'm looking forward to reading the pathology report from this weeks partial right lateral gloss with alloderm graft and resection of floor on the right side.

Catherine, SCC floor of mouth DX 2010,unclear margins, PET scan clear, no chemo or rad,biopsy in 9/2010, 2nd excision 10/2010 didn't get all carcinoma in situ; partial gloss & excis. right floor 2/2/2011 margins clear. Part.gloss-10/5/2011 sev dys clean marg. HPV neg. Don't smoke or drink. SCC floor of mouth left side 4/2016. Dysp excis. rt palate 7/2017 Part gloss sev dys lat marg 2/2019 Part gloss free flap rt neck disc 5/2020 Part gloss bilat neck disc 7/2020 33 rad 3 cis.