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Flashcards in ENT Neoplasms Deck (65)
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1

Which gender is at greater risk for H&N CA?

Men

2

Risk Factors for H&N CA

Smoking
Alcohol
Viral Infection (EBV, HIV)
Occupational exposure
HPV
Radiation
Poor oral hygiene
Periodontal disease

3

Mucosal Oral Tumors

Leukoplakia
Erythroplakia
Oral lichen Plans
Oral carcinoma

4

Salivary Gland Oral Tumors

Parotid
Warthlin's tumor
Pleomorphic adenoma

5

What is Leukoplakia?

Precancerous lesion that presents as white patches or plaques on oral mucosa that cannot be removed by rubbing
Common in smokeless tobacco users

6

What is Erythroplakia?

Precancerous lesion that presents asa red erythematous component on oral mucosa that can't be removed by rubbing

7

Risk Factors & Diagnostics of Erythroplakia

Alcohol/tobacco use
Need biopsy

8

What is Oral Lichen Planus?

Chronic inflammatory autoimmune disease

9

Presentation of Oral Lichen Planus

Lace-like white patches on buccal mucosa
Erosions on gingival margin

10

Diagnostics & Therapy for Oral Lichen Planus

Exfoliative cytology or biopsy
Therapy: Corticosteroids

11

Most Common Locations of Oral Cancer

Tongue
Tonsils
Gums
Floor of Mouth

12

Signs & Symptoms of Oral Cancer

Sore in the mouth that doesn't heal
Red/white patch in mouth
Persistent sore throat
Hoarseness or change in voice

13

Oral Cancer Diagnostics

Hx for risk factors
Exam
Endoscopy
Biopsy
CT
MRI
US

14

Oral Cancer Treatment

Surgery
Radiation
Possible Chemo

15

Which is the most common salivary gland tumor?

Pleomorphic adenoma- Parotid

16

Risk Factors for Salivary Glands

Radiation exposure
Smoking (Warthin's tumor)
Virus infection
Industrial exposure

17

Presentation of Salivary Gland tumors

Painless mass of salivary gland
Sub-mucosal mass/ulcerations (minor)
Nasal obstruction
Congestion
Vision changes
Trismus

18

Workup for Salivary Gland Tumors

Good history & PE
CT
MRI
US
Biopsy

19

Treatment of Salivary Gland Tumor

Surgery
Radiation
Combo
Total Parotidectomy
Conservative Parotidectomy
Superficial Parotidectomy

20

Conservative Parotidectomy

Partial parotidectomy without facial nerve

21

Superficial Parotidectomy

Parotidectomy of entire superficial lobe & dissection along facial nerve

22

Total Parotidectomy

Removal of entire lobe and surrounding tissue with preservation of facial nerve

23

Reason for Superficial Resection

Pleomorphic adenomas

24

Reason for Conservative Resection

Warthin's tumors

25

Treatment for Submandibular Glands

Submandibular sialoadenectomy
Resection of submandibular gland

26

Treatment of Sublingual Glands

Resection of floor of mouth and involved sublingual gland as well as ipsilateral submandibular gland

27

Treatment of Minor Salivary Glands

Surgical resection
Radiation preferred

28

Characteristics of Pleomorphic Adenoma

Slowly growing
Painless
Solitary
Firm
Smooth
Moveable mass without nerve involvement

29

Diagnostics of Pleomorphic Adenoma

CT
MRI
FNA

30

Treatment of Pleomorphic Adenoma

Superficial parotidectomy