Advanced and metastatic buccal mucosa cancer at Stage IVB or Stage IVC presents a distinct clinical challenge. At this stage, the primary goal shifts from curative intent to palliation and preservation of quality of life.
Stage IVB and metastatic Stage IVC buccal mucosa cancer are managed with palliative intent. Treatment planning in this population incorporates chemotherapy and/or radiotherapy alongside best supportive care, with quality of life as the central priority.
Management focuses on palliation and maintenance of quality of life. When the primary tumour or nodal disease is symptomatic, palliative external beam radiotherapy (EBRT) is among the options considered — see the full protocol for specific regimens, sequencing, and decision criteria.
DOI: 10.4103/0971-5851.138953
Stage IV B/metastatic diseases are treated with intent of palliation with chemotherapy and/or RT along with best supportive care.
Aim of treatment in these patients is palliation with maintenance of quality of life.
If the primary with or without nodal disease is symptomatic, consideration should be given to palliative EBRT.
Doses of 30 Gy in 10 fractions over 2 weeks or weekly EBRT of 7-8 Gy/fraction/week for 2-3 weeks may be employed.
View source ↗