Disease Subsites
Oral Cavity (high risk for viral aerosolization)
·       Premalignant disease
            o   Defer with telemedicine visits
            o   Review clinical photographs to help rule out invasive cancer missed by biopsy
·       Early malignant disease
            o   Consider short-term deferral with weekly telemedicine visits10
            o   Proceed with primary surgery
            o   Continue to monitor while stable; proceed to surgery if primary progresses or if there is                   any evidence of cervical node involvement
·       Intermediate malignant disease
            o   Proceed with primary surgery
·       Advanced malignant disease
            o   Consider neoadjuvant systemic therapy (discussion on a case-by-case basis – consider the                   risk of immunosuppression)