Despite all treatment efforts the incidence of recurrences in oral squamous cell carcinoma (OSCC) has not decreased considerably in the past two decades. The current rate of local and loco-regional recurrences is 10–30% in all OSCC patients, and the mean overall 5 year tumor-free survival rate does not exceed 50% [1]. This is partly due to the presence of (pre)malignant cells in the remaining tissue after resection, that may lead to the development of a new tumor in time. These relapses can be subdivided as follows, i.e.
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