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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Related Experiment Video

Updated: Mar 8, 2026

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
04:45

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Start Making Sense: Addressing Reported Ambiguity of Final Margin Status for Oral Cavity Cancer.

Justin K Joseph1,2,3, Pranati P Borkhetaria1,2, Sabrina R Comess1,2

  • 1THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York, USA.

Head & Neck
|March 7, 2026
PubMed
Summary

Surgical pathology reports for oral cancer often lack clear margin status, hindering postoperative care. Improving these reports is crucial for accurate patient management and treatment.

Keywords:
head and neck neoplasmsoncologic careoncologic clearancesurgical marginssurgical pathology

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Area of Science:

  • Oncology
  • Pathology
  • Surgical Reporting

Background:

  • Surgical pathology reports are essential for guiding postoperative care.
  • Current oral cancer pathology reports frequently lack critical details on final resection margin status.
  • This ambiguity poses risks for downstream providers and patient management.

Purpose of the Study:

  • To quantify the interpretability of oral cancer surgical pathology reports at our institution.
  • To assess the clarity and consistency of final resection margin status reporting.

Main Methods:

  • Retrospective review of 149 oral cancer pathology reports by head and neck surgeons, pathologists, and oncologists.
  • Classification of margin status as "ambiguous" or "unambiguous."
  • Further classification of unambiguous margins into negative, positive, or at risk (<5 mm).

Main Results:

  • Inter-reviewer agreement on margin status varied significantly.
  • Reported ambiguous margin status ranged from 15.4% to 40.9%.
  • Approximately two-thirds of reports were considered ambiguous by at least one reviewer.

Conclusions:

  • Significant ambiguity in margin status reporting and low interrater agreement were identified.
  • Current surgical pathology reporting practices have limitations impacting clarity and communication.
  • Standardized reporting is necessary to enhance multidisciplinary communication and optimize postoperative care.