1 detecting oral cancer a guide for health care professionals
TRANSCRIPT
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Detecting Oral CancerA guide for health care professionals
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Incidence and Survivalof Oral or Pharyngeal Cancer
• 30,000 new cases diagnosed yearly
• 8,000 deaths each year
• 5 year survival rate: 50%
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Early Detection Saves Lives
• 5-year survival for localized disease is 76%
• 5-year survival for metastatic disease is 19%
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Early Detection is Often Possible
• Tissue changes in the mouth that may signal cancer can often be seen and felt easily
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Warning Signs
• Leukoplakia
• Erythroplakia
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Other Possible Warning Signs
• Lump or thickening of oral soft tissue
• Soreness or “lump” in throat
• Difficulty chewing or swallowing
• Ear pain
• Difficulty moving jaw or tongue
• Hoarseness
• Numbness of tongue or mouth
• Swelling of the jaw
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Risk Factors
• Tobacco use
• Alcohol use
• Exposure to sunlight
• Age
• Gender
• Race
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Examination Overview
• Head and neck exam should be a routine part of dental and medical check-ups.
• Take a history of alcohol and tobacco use.
• Follow up on suspicious signs.
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Tools and Time
• Proper lighting
• Dental mouth mirror
• Gauze squares
• Gloves
• 5 minutes
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Extraoral Examination
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Perioral and Intraoral Soft Tissue Examination: Lips
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Perioral and Intraoral Soft Tissue Examination: Labial Mucosa
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Perioral and Intraoral Soft Tissue Examination: Labial Mucosa
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Perioral and Intraoral Soft Tissue Examination: Buccal Mucosa
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Perioral and Intraoral Soft Tissue Examination: Buccal Mucosa
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Perioral and Intraoral Soft Tissue Examination: Gingiva
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Perioral and Intraoral Soft Tissue Examination: Dorsum of the Tongue
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Perioral and Intraoral Soft Tissue Examination: Left Margin of the Tongue
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Perioral and Intraoral Soft Tissue Examination: Right Margin of the Tongue
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Perioral and Intraoral Soft Tissue Examination: Ventral Surface of the Tongue
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Perioral and Intraoral Soft Tissue Examination: Floor of the Mouth
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Perioral and Intraoral Soft Tissue Examination: Hard Palate
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Perioral and Intraoral Soft Tissue Examination: Oropharynx
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Perioral and Intraoral Soft Tissue Examination
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Oral Lesions Suspiciousfor Oral Cancer
• Homogenous leukoplakia
• Leukoplakia with early squamous cell carcinoma
• Nodular leukoplakia with severe epithelial dysplasia
• Erythroleukoplakia with candida infection
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Homogenous Leukoplakia
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Leukoplakia with early squamouscell carcinoma
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Nodular leukoplakia with severeepithelial dysplasia
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Erythroleukoplakia withcandida infection