Hi. If that lesion turns out to be cancer, the extent of surgery (whether a hole needs to be cut in your cheek) will depend on how extensive (how big and how deep) that cancer is. If the surgeons do decide to "cut a hole", I'm sure reconstructive surgery is part of the treatment plan as well, so any hole would not be left gaping. There may also be an option to do chemotherapy and radiation treatment prior to the surgery, so that the tumor may be reduced in size and the surgery less extensive.
Oral cancers, when diagnosed at the earlier stages, have a good chance for a cure with proper treatment.
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