Nose and Sinus Cancer Flashcards

(12 cards)

1
Q

what are the early signs of nose and sinus cancer?

A

Persistent nasal congestion
Sinus pressure
Frequent nosebleeds (epistaxis)
Decreased sense of smell
Chronic sinus infections that do not respond to treatment

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2
Q

what are the late signs of nose and sinus cancer?

A

Facial pain or numbness
Swelling around the eyes
Vision changes (blurry vision, double vision)
Difficulty opening the mouth
Persistent headaches
Enlarged lymph nodes (suggests possible metastasis)

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3
Q

what are the risk factors?

A

Industrial chemical exposure (wood dust, nickel, chromium)
HPV infection
Chronic sinus inflammation
Smoking

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4
Q

what do you assess for ?

A

Inspect nasal cavity for masses, persistent congestion, asymmetry, swelling, tenderness
Check for facial numbness
Palpate for enlarged lymph nodes

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5
Q

how is nose and sinus cancer diagnosed?

A

Nasal Endoscopy + Biopsy → Confirms malignancy & determines cancer type.
CT/MRI → Determines tumor size & extent.
PET Scan → Detects metastasis.

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6
Q

what does surgery do to nose and sinus cancer?

A

Tumor removal, often requiring nasal/sinus reconstruction.

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7
Q

what does radiation therapy do to nose and sinus cancer?

A

Used post-surgery to eliminate remaining cancer cells or for inoperable tumors.

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8
Q

what does radiation therapy do to nose and sinus cancer?

A

Often combined with radiation.

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9
Q

what are the chemotherapy drugs used?

A

Cisplatin, carboplatin, 5-FU
Targeted therapy: Cetuximab (Erbitux)

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10
Q

how do you prevent nose and sinus cancer?

A

Avoid occupational exposure to dust/chemicals
Wear protective masks
Avoid smoking
Manage chronic sinus inflammation

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11
Q

what are the long term effects after treatment?

A

Facial disfigurement
Speech/swallowing difficulties
Nasal congestion
Dry mouth

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12
Q

what are the follow-up care you have to do for nose and sinus cancer?

A

Regular ENT exams to monitor for recurrence.
Imaging tests (CT/MRI) for surveillance.
Rehabilitation for speech/swallowing issues if needed

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