A sublingual cancer in a 65 year old tobacco chew er has involved the mandible. The commando surgery has been planned. All of the following in removed in commando operation except –
**Core Concept**
The commando operation is a surgical procedure for oral cancers, particularly those affecting the jaw, where a segment of the jawbone is removed along with the tumor. This approach is often used when the cancer has invaded the mandible, making it necessary to resect a portion of the jaw to remove the tumor completely.
**Why the Correct Answer is Right**
The commando operation involves the removal of the tumor, surrounding tissues, and a portion of the mandible to ensure complete resection of the cancer. This procedure is typically performed under the guidance of a multidisciplinary team, including surgeons, oncologists, and radiologists. The goal of the commando operation is to achieve clear surgical margins, which are essential for preventing recurrence and improving survival rates.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because the bone tissue surrounding the tumor is often removed during the commando operation to ensure complete resection of the cancer.
* **Option B:** This option is incorrect because lymph nodes in the neck are typically removed during the commando operation to assess for metastasis and prevent recurrence.
* **Option C:** This option is incorrect because the surrounding soft tissues, such as muscles and skin, are often removed during the commando operation to ensure complete resection of the cancer.
**Clinical Pearl / High-Yield Fact**
The commando operation is a complex procedure that requires careful planning and execution. It is essential to involve a multidisciplinary team and to use advanced imaging techniques, such as CT and MRI, to ensure accurate preoperative planning and to minimize the risk of complications.
**Correct Answer: B. Lymph nodes in the neck are typically removed during the commando operation to assess for metastasis and prevent recurrence.**