HealthEnglish7.2/10 · BronzeCSV file availableUpdated 19 Oct 2026

ICMR Standard Treatment Workflow (STW) LIP AND ORAL CANCER - Question and Answer Dataset

Name: ICMR Standard Treatment Workflow (STW) LIP AND ORAL CANCER - Question and Answer Dataset
Creator: icmr.gov.in
Keywords: Health, question-answering, extractive-qa, standard-treatment-workflow, icd-10-c-06-9, tobacco, alcohol, areca-nut, sharp-tooth, ill-fitting-dentures, non-healing-ulcer, oral-premalignant-disorders

#question-answering#extractive-qa#standard-treatment-workflow#icd-10-c-06-9#tobacco#alcohol#areca-nut#sharp-tooth#ill-fitting-dentures#non-healing-ulcer#oral-premalignant-disorders

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About this dataset

14 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) LIP AND ORAL CANCER, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include standard treatment workflow, icd-10-c 06.9, tobacco, alcohol, areca nut, sharp tooth, ill-fitting dentures, non healing ulcer. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 8 list, 3 summary, 2 factual, 1 definition. 12 of the 14 pairs (85.7%) ask explanatory questions; the remaining 2 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.

The story in this dataset

ICMR Standard Treatment Workflow for Lip and Oral Cancer

This dataset contains 14 extractive question-and-answer pairs derived from the ICMR Standard Treatment Workflow for lip and oral cancer. The source material is a single-page publication from icmr.gov.in, focusing on treatment protocols, risk factors, diagnostic methods, and follow-up schedules. Questions include lists, summaries, factual inquiries, and definitions, with answers directly quoted from the source. Topics covered include surgical options, radiation techniques, risk factors like tobacco and alcohol, and diagnostic procedures such as FNAC and biopsies.

Surgical options for T1 T2, N0 oral cancer: Wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction

Preview

First 10 of 14 rows

Sample rows from ICMR Standard Treatment Workflow (STW) LIP AND ORAL CANCER - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What are the surgical options for T1 T2, N0 oral cancer with curative intent?	wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction	BASE/ INTERNAL CAROTID ARTERY INVOLVEMENT T1 T2, N0 CANCER OPTIONS WITH CURATIVE INTENT Initial surgery preferred (wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction OR Radical radiation therapy OPTIONS WITH CURATIVE INTENT Initial surgery: wide excision with 1 cm margins + comprehensive neck dissection and reconstruction OR Chemoradiation OR Neo-adjuvant CT followed by surgery INDICATIONS FOR ADJUVANT RT Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade INDICATIONS FOR ADJUVANT CT-RT: Metastatic nodes with extracapsular extension, involved margins	115	summary	0.970	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	BASE/ INTERNAL CAROTID ARTERY INVOLVEMENT T1 T2, N0 CANCER OPTIONS WITH CURATIVE INTENT Initial surgery preferred (wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction OR Radical radiation therapy OPTIONS WITH CURATIVE INTENT Initial surgery: wide excision with 1 cm margins + comprehensive neck dissection and reconstruction OR Chemoradiation OR Neo-adjuvant CT followed by surgery INDICATIONS FOR ADJUVANT RT Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade INDICATIONS FOR ADJUVANT CT-RT: Metastatic nodes	1	page=1,block=26	0.700	valid
What is a potential benefit of screening for oral premalignant disorders and invasive cancer?	detect OPMD and invasive cancer early and improve outcome	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	353	summary	0.970	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	1	page=1,block=3	0.700	valid
What can screening for oral cancer achieve?	detect OPMD and invasive cancer early and improve outcome	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	353	summary	0.930	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	1	page=1,block=3	0.700	valid
What does the abbreviation FNAC stand for?	Fine needle aspiration cytology	Adjuvant radiation The minimum post-operative radiation dose is 60 Gy/ 6 weeks/ 30# or equivalent to the primary and nodal areas using conventional treatment planning, 3DCRT or IMRT Radical radiation 66-70 Gy is delivered using conventional planning / 3DCRT/IMRT through a telecobalt machine or a LINAC at 1.8 to 2 Gy per fraction over 7-8 weeks (or a biologically equivalent dose) with adequate margins all around the lesion and including level I, II and III nodes CBC: Complete blood count CT: Chemotherapy EUA: Examination under anaesthesia FNAC: Fine needle aspiration cytology IMRT: Intensity-modulated radiation therapy LFT: Liver function tests LVI: Lymphovascular invasion MDT: Multidisciplinary team OPMD: Oculopharyngeal muscular dystrophy PNI: Perineural invasion PTA: Pure tone audiometry RFT: Renal function tests RT: Radiotherapy USG: Ultrasound sonography test July/ 2020	550	definition	0.900	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	Adjuvant radiation The minimum post-operative radiation dose is 60 Gy/ 6 weeks/ 30# or equivalent to the primary and nodal areas using conventional treatment planning, 3DCRT or IMRT Radical radiation 66-70 Gy is delivered using conventional planning / 3DCRT/IMRT through a telecobalt machine or a LINAC at 1.8 to 2 Gy per fraction over 7-8 weeks (or a biologically equivalent dose) with adequate margins all around the lesion and including level I, II and III nodes CBC: Complete blood count CT: Chemotherapy EUA: Examination under anaesthesia FNAC: Fine needle aspiration cytology IMRT:
What are some oral premalignant disorders associated with tobacco use?	leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	183	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	1	page=1,block=3	0.700	valid
What are some risk factors for oral cancer?	Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	2	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	1	page=1,block=3	0.700	valid
What are some techniques used for delivering post-operative or radical radiation?	conventional treatment planning, 3DCRT or IMRT	Adjuvant radiation The minimum post-operative radiation dose is 60 Gy/ 6 weeks/ 30# or equivalent to the primary and nodal areas using conventional treatment planning, 3DCRT or IMRT Radical radiation 66-70 Gy is delivered using conventional planning / 3DCRT/IMRT through a telecobalt machine or a LINAC at 1.8 to 2 Gy per fraction over 7-8 weeks (or a biologically equivalent dose) with adequate margins all around the lesion and including level I, II and III nodes CBC: Complete blood count CT: Chemotherapy EUA: Examination under anaesthesia FNAC: Fine needle aspiration cytology IMRT: Intensity-modulated radiation therapy LFT: Liver function tests LVI: Lymphovascular invasion MDT: Multidisciplinary team OPMD: Oculopharyngeal muscular dystrophy PNI: Perineural invasion PTA: Pure tone audiometry RFT: Renal function tests RT: Radiotherapy USG: Ultrasound sonography test July/ 2020	135	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	Adjuvant radiation The minimum post-operative radiation dose is 60 Gy/ 6 weeks/ 30# or equivalent to the primary and nodal areas using conventional treatment planning, 3DCRT or IMRT Radical radiation 66-70 Gy is delivered using conventional planning / 3DCRT/IMRT through a telecobalt machine or a LINAC at 1.8 to 2 Gy per fraction over 7-8 weeks (or a biologically equivalent dose) with adequate margins all around the lesion and including level I, II and III nodes CBC: Complete blood count CT: Chemotherapy EUA: Examination under anaesthesia FNAC: Fine needle aspiration cytology IMRT:
What are the indications for adjuvant radiation therapy in oral cancer treatment?	Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade	BASE/ INTERNAL CAROTID ARTERY INVOLVEMENT T1 T2, N0 CANCER OPTIONS WITH CURATIVE INTENT Initial surgery preferred (wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction OR Radical radiation therapy OPTIONS WITH CURATIVE INTENT Initial surgery: wide excision with 1 cm margins + comprehensive neck dissection and reconstruction OR Chemoradiation OR Neo-adjuvant CT followed by surgery INDICATIONS FOR ADJUVANT RT Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade INDICATIONS FOR ADJUVANT CT-RT: Metastatic nodes with extracapsular extension, involved margins	459	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	BASE/ INTERNAL CAROTID ARTERY INVOLVEMENT T1 T2, N0 CANCER OPTIONS WITH CURATIVE INTENT Initial surgery preferred (wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction OR Radical radiation therapy OPTIONS WITH CURATIVE INTENT Initial surgery: wide excision with 1 cm margins + comprehensive neck dissection and reconstruction OR Chemoradiation OR Neo-adjuvant CT followed by surgery INDICATIONS FOR ADJUVANT RT Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade INDICATIONS FOR ADJUVANT CT-RT: Metastatic nodes
What assessments are conducted to evaluate the impact of oral cancer on communication and nutrition?	Pure tone audiometry (PTA) • Speech and swallowing assessment	Treatment of oral cancer is ideally delivered by a multidisciplinary team(MDT) • Clinical examination, +/- examination under anaesthesia (EUA), assess pain, nutritional status, & oro-dental hygiene • USG neck / CT scan head & neck • Evaluate upper aerodigestive tract for second primary • Biopsy from primary site, FNAC from neck node • CBC, LFT, RFT, blood sugar, chest X-ray, ECG • Tobacco cessation for patient and care givers • Pure tone audiometry (PTA) • Speech and swallowing assessment • Define clinical and radiological staging, goals of treatment	432	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	Treatment of oral cancer is ideally delivered by a multidisciplinary team(MDT) • Clinical examination, +/- examination under anaesthesia (EUA), assess pain, nutritional status, & oro-dental hygiene • USG neck / CT scan head & neck • Evaluate upper aerodigestive tract for second primary • Biopsy from primary site, FNAC from neck node • CBC, LFT, RFT, blood sugar, chest X-ray, ECG • Tobacco cessation for patient and care givers • Pure tone audiometry (PTA) • Speech and swallowing assessment • Define clinical and radiological staging, goals of treatment
What diagnostic procedures are performed to evaluate oral cancer?	Biopsy from primary site, FNAC from neck node	Treatment of oral cancer is ideally delivered by a multidisciplinary team(MDT) • Clinical examination, +/- examination under anaesthesia (EUA), assess pain, nutritional status, & oro-dental hygiene • USG neck / CT scan head & neck • Evaluate upper aerodigestive tract for second primary • Biopsy from primary site, FNAC from neck node • CBC, LFT, RFT, blood sugar, chest X-ray, ECG • Tobacco cessation for patient and care givers • Pure tone audiometry (PTA) • Speech and swallowing assessment • Define clinical and radiological staging, goals of treatment	289	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	Treatment of oral cancer is ideally delivered by a multidisciplinary team(MDT) • Clinical examination, +/- examination under anaesthesia (EUA), assess pain, nutritional status, & oro-dental hygiene • USG neck / CT scan head & neck • Evaluate upper aerodigestive tract for second primary • Biopsy from primary site, FNAC from neck node • CBC, LFT, RFT, blood sugar, chest X-ray, ECG • Tobacco cessation for patient and care givers • Pure tone audiometry (PTA) • Speech and swallowing assessment • Define clinical and radiological staging, goals of treatment

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Preview

First 10 of 14 rows

Sample rows from ICMR Standard Treatment Workflow (STW) LIP AND ORAL CANCER - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What are the surgical options for T1 T2, N0 oral cancer with curative intent?	wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction	BASE/ INTERNAL CAROTID ARTERY INVOLVEMENT T1 T2, N0 CANCER OPTIONS WITH CURATIVE INTENT Initial surgery preferred (wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction OR Radical radiation therapy OPTIONS WITH CURATIVE INTENT Initial surgery: wide excision with 1 cm margins + comprehensive neck dissection and reconstruction OR Chemoradiation OR Neo-adjuvant CT followed by surgery INDICATIONS FOR ADJUVANT RT Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade INDICATIONS FOR ADJUVANT CT-RT: Metastatic nodes with extracapsular extension, involved margins	115	summary	0.970	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	BASE/ INTERNAL CAROTID ARTERY INVOLVEMENT T1 T2, N0 CANCER OPTIONS WITH CURATIVE INTENT Initial surgery preferred (wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction OR Radical radiation therapy OPTIONS WITH CURATIVE INTENT Initial surgery: wide excision with 1 cm margins + comprehensive neck dissection and reconstruction OR Chemoradiation OR Neo-adjuvant CT followed by surgery INDICATIONS FOR ADJUVANT RT Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade INDICATIONS FOR ADJUVANT CT-RT: Metastatic nodes	1	page=1,block=26	0.700	valid
What is a potential benefit of screening for oral premalignant disorders and invasive cancer?	detect OPMD and invasive cancer early and improve outcome	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	353	summary	0.970	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	1	page=1,block=3	0.700	valid
What can screening for oral cancer achieve?	detect OPMD and invasive cancer early and improve outcome	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	353	summary	0.930	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	1	page=1,block=3	0.700	valid
What does the abbreviation FNAC stand for?	Fine needle aspiration cytology	Adjuvant radiation The minimum post-operative radiation dose is 60 Gy/ 6 weeks/ 30# or equivalent to the primary and nodal areas using conventional treatment planning, 3DCRT or IMRT Radical radiation 66-70 Gy is delivered using conventional planning / 3DCRT/IMRT through a telecobalt machine or a LINAC at 1.8 to 2 Gy per fraction over 7-8 weeks (or a biologically equivalent dose) with adequate margins all around the lesion and including level I, II and III nodes CBC: Complete blood count CT: Chemotherapy EUA: Examination under anaesthesia FNAC: Fine needle aspiration cytology IMRT: Intensity-modulated radiation therapy LFT: Liver function tests LVI: Lymphovascular invasion MDT: Multidisciplinary team OPMD: Oculopharyngeal muscular dystrophy PNI: Perineural invasion PTA: Pure tone audiometry RFT: Renal function tests RT: Radiotherapy USG: Ultrasound sonography test July/ 2020	550	definition	0.900	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	Adjuvant radiation The minimum post-operative radiation dose is 60 Gy/ 6 weeks/ 30# or equivalent to the primary and nodal areas using conventional treatment planning, 3DCRT or IMRT Radical radiation 66-70 Gy is delivered using conventional planning / 3DCRT/IMRT through a telecobalt machine or a LINAC at 1.8 to 2 Gy per fraction over 7-8 weeks (or a biologically equivalent dose) with adequate margins all around the lesion and including level I, II and III nodes CBC: Complete blood count CT: Chemotherapy EUA: Examination under anaesthesia FNAC: Fine needle aspiration cytology IMRT:
What are some oral premalignant disorders associated with tobacco use?	leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	183	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	1	page=1,block=3	0.700	valid
What are some risk factors for oral cancer?	Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	2	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	• Tobacco • Alcohol • Areca nut • Sharp tooth • Ill-fitting dentures Non healing ulcer/ sore in the mouth especially in a tobacco chewer or smoker Oral premalignant disorders (OPMD): leukoplakia/ erythroplakia/sub mucous fibrosis, lichen planus Neck mass Difficulty in opening mouth Difficulty in protrusion of tongue Pain referred to ear Screening can detect OPMD and invasive cancer early and improve outcome.	1	page=1,block=3	0.700	valid
What are some techniques used for delivering post-operative or radical radiation?	conventional treatment planning, 3DCRT or IMRT	Adjuvant radiation The minimum post-operative radiation dose is 60 Gy/ 6 weeks/ 30# or equivalent to the primary and nodal areas using conventional treatment planning, 3DCRT or IMRT Radical radiation 66-70 Gy is delivered using conventional planning / 3DCRT/IMRT through a telecobalt machine or a LINAC at 1.8 to 2 Gy per fraction over 7-8 weeks (or a biologically equivalent dose) with adequate margins all around the lesion and including level I, II and III nodes CBC: Complete blood count CT: Chemotherapy EUA: Examination under anaesthesia FNAC: Fine needle aspiration cytology IMRT: Intensity-modulated radiation therapy LFT: Liver function tests LVI: Lymphovascular invasion MDT: Multidisciplinary team OPMD: Oculopharyngeal muscular dystrophy PNI: Perineural invasion PTA: Pure tone audiometry RFT: Renal function tests RT: Radiotherapy USG: Ultrasound sonography test July/ 2020	135	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	Adjuvant radiation The minimum post-operative radiation dose is 60 Gy/ 6 weeks/ 30# or equivalent to the primary and nodal areas using conventional treatment planning, 3DCRT or IMRT Radical radiation 66-70 Gy is delivered using conventional planning / 3DCRT/IMRT through a telecobalt machine or a LINAC at 1.8 to 2 Gy per fraction over 7-8 weeks (or a biologically equivalent dose) with adequate margins all around the lesion and including level I, II and III nodes CBC: Complete blood count CT: Chemotherapy EUA: Examination under anaesthesia FNAC: Fine needle aspiration cytology IMRT:
What are the indications for adjuvant radiation therapy in oral cancer treatment?	Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade	BASE/ INTERNAL CAROTID ARTERY INVOLVEMENT T1 T2, N0 CANCER OPTIONS WITH CURATIVE INTENT Initial surgery preferred (wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction OR Radical radiation therapy OPTIONS WITH CURATIVE INTENT Initial surgery: wide excision with 1 cm margins + comprehensive neck dissection and reconstruction OR Chemoradiation OR Neo-adjuvant CT followed by surgery INDICATIONS FOR ADJUVANT RT Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade INDICATIONS FOR ADJUVANT CT-RT: Metastatic nodes with extracapsular extension, involved margins	459	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	BASE/ INTERNAL CAROTID ARTERY INVOLVEMENT T1 T2, N0 CANCER OPTIONS WITH CURATIVE INTENT Initial surgery preferred (wide excision with 1 cm margins & supra-omohyoid neck dissection (Level I – III) with reconstruction OR Radical radiation therapy OPTIONS WITH CURATIVE INTENT Initial surgery: wide excision with 1 cm margins + comprehensive neck dissection and reconstruction OR Chemoradiation OR Neo-adjuvant CT followed by surgery INDICATIONS FOR ADJUVANT RT Close margin, positive node(s), or presence of any two of following: LVI, PNI, high grade INDICATIONS FOR ADJUVANT CT-RT: Metastatic nodes
What assessments are conducted to evaluate the impact of oral cancer on communication and nutrition?	Pure tone audiometry (PTA) • Speech and swallowing assessment	Treatment of oral cancer is ideally delivered by a multidisciplinary team(MDT) • Clinical examination, +/- examination under anaesthesia (EUA), assess pain, nutritional status, & oro-dental hygiene • USG neck / CT scan head & neck • Evaluate upper aerodigestive tract for second primary • Biopsy from primary site, FNAC from neck node • CBC, LFT, RFT, blood sugar, chest X-ray, ECG • Tobacco cessation for patient and care givers • Pure tone audiometry (PTA) • Speech and swallowing assessment • Define clinical and radiological staging, goals of treatment	432	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	Treatment of oral cancer is ideally delivered by a multidisciplinary team(MDT) • Clinical examination, +/- examination under anaesthesia (EUA), assess pain, nutritional status, & oro-dental hygiene • USG neck / CT scan head & neck • Evaluate upper aerodigestive tract for second primary • Biopsy from primary site, FNAC from neck node • CBC, LFT, RFT, blood sugar, chest X-ray, ECG • Tobacco cessation for patient and care givers • Pure tone audiometry (PTA) • Speech and swallowing assessment • Define clinical and radiological staging, goals of treatment
What diagnostic procedures are performed to evaluate oral cancer?	Biopsy from primary site, FNAC from neck node	Treatment of oral cancer is ideally delivered by a multidisciplinary team(MDT) • Clinical examination, +/- examination under anaesthesia (EUA), assess pain, nutritional status, & oro-dental hygiene • USG neck / CT scan head & neck • Evaluate upper aerodigestive tract for second primary • Biopsy from primary site, FNAC from neck node • CBC, LFT, RFT, blood sugar, chest X-ray, ECG • Tobacco cessation for patient and care givers • Pure tone audiometry (PTA) • Speech and swallowing assessment • Define clinical and radiological staging, goals of treatment	289	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568903_lip_and_oral_cancer.pdf	Treatment of oral cancer is ideally delivered by a multidisciplinary team(MDT) • Clinical examination, +/- examination under anaesthesia (EUA), assess pain, nutritional status, & oro-dental hygiene • USG neck / CT scan head & neck • Evaluate upper aerodigestive tract for second primary • Biopsy from primary site, FNAC from neck node • CBC, LFT, RFT, blood sugar, chest X-ray, ECG • Tobacco cessation for patient and care givers • Pure tone audiometry (PTA) • Speech and swallowing assessment • Define clinical and radiological staging, goals of treatment

Read straight from the file — download or use the API URL for the full dataset.

ICMR Standard Treatment Workflow (STW) LIP AND ORAL CANCER - Question and Answer Dataset

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ICMR Standard Treatment Workflow for Lip and Oral Cancer

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