Detecting Oral Cancer: A Guide For Health Care Professionals
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lippincott2011Detecting Oral Cancer: A Guide For Health Care Professionals
Uploaded by
lippincott2011Detecting
Oral
Cancer
A Guide for Health Care
Professionals
Oral & Pharyngeal Cancer
Deaths; 21%
New Cases; 79%
5 Year Survival Rate = 50%
Early
Detection
Erythroplakia
Leukoplakia
Saves
Lives
Warning Signs
Numbness
Lump
Soreness
Ear
Difficulty
Hoarseness
Swelling
pain
or thickening
of
chewing
moving
orof
the
lump
tongue
jaw
jaw
orof
inswallowing
or
or
oral
throat
mouth
tongue
soft tissue
Examination Preparation
Overview
Extraoral Examination
Examine
Face, head and neck
note asymmetry or
changes
Lymph nodes palpated
bilaterally
Perioral & Intraoral Soft Tissue
Exam
Lips
Labial Mucosa
Perioral & Intraoral Soft
Tissue Exam
Labial Mucosa
Buccal Mucosa
Perioral & Intraoral Soft Tissue
Exam
Buccal Mucosa
Gingiva
Perioral & Intraoral Soft Tissue
Exam
Dorsum of
Tongue
Left Margin of
Tongue
Perioral & Intraoral Soft
Tissue Exam
Right Margin of
Tongue
Ventral Surface
of Tongue
Perioral & Intraoral Soft Tissue
Exam
Floor of Mouth
Hard Palate
Perioral & Intraoral Soft Tissue
Exam
Oropharynx
Floor of Mouth Bimanual
Suspicious Oral
Lesions
Homogenou
s
Leukoplakia
Leukoplakia
with Early
Squamous
Cell
Carcinoma
Suspicious Oral
Lesions
Nodular
Leukoplakia
with Severe
Epithelial
Dysplasia
Erythroleukoplak
ia with Candida
Infection
Points To Remember When Screening for
Oral Cancer
Most oral cancers are located on the lateral borders of the
tongue, floor of the mouth and lips special attention should
be focused in these areas.
Tell your patient what you are doing with each procedure
and why.
Always note any changes in color and texture of all soft
tissues or any swelling. If you detect an abnormality,
determine the history of the lesion; if the abnormality has
been of more than 2 weeks duration, take appropriate action
to obtain a biopsy.
Points To Remember When Screening for
Oral Cancer
Follow up to ensure a definitive diagnosis of an abnormality.
Teach your patients about the signs and symptoms of oral
cancer.
If a patient uses tobacco products, provide appropriate
counseling or refer patient for counseling.
Remove all removable prostheses before starting the
examination.
Photographs for this program were provided by:
Joseph Konzelman, DDS
Jens Jorgen Pindborg, DrOdont
Slide series revised by Visual Dynamics
[Link]
For more information:
National Institute of Dental and Craniofacial Research (NIDCR)
National Oral Health Information Clearinghouse
1 NOHIC Way
Bethesda MD 20892-3500
nohic@[Link]
[Link]
