Simini Boards Cast

Chapter 87 - Part B: Margins, Depth, and Deception: Why Oral Tumors Are Harder Than They Look

Simini Podcasts Season 1 Episode 72

In this BoardsCast episode, we move deeper into Tobias Chapter 87 – Soft Tissues of the Oral Cavity and focus on one of the most deceptively challenging areas of surgical oncology:
oral tumors.

Oral neoplasms defy visual judgment. They look smaller than they are, they invade deeper than expected, and they require wider, more aggressive margins than almost any other soft-tissue lesion. This episode explains why.

You’ll learn:

  • Why oral tumors extend far beyond what you see on exam
  • How mucosa, submucosa, and bone interact in tumor spread
  • Why “depth” matters more than width in oral oncology
  • High-yield distinctions between melanoma, SCC, fibrosarcoma & acanthomatous ameloblastoma
  • When imaging changes your surgical plan
  • Why the boards emphasize margin width, bone involvement & recurrence risk
  • How to communicate realistic expectations when “clean margins” are unlikely

If you’ve ever underestimated an oral tumor, this episode will change the way you plan, image, and excise disease in the oral cavity.

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