Oral Cancer Flashcards

1
Q

what are the signs that we need to look out for when giving an urgent referral for cancer suspicion

A

persistent unexplained head and neck lumps
unexplained ulceration or swelling of oral mucosa
all unexplained red or white patches
persistent hoarseness
persistent pain in throat or pain on swallowing

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2
Q

how long should the signs of suspicion be lasting for before doing a referral

A

3 weeks

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3
Q

what staging system is used for head and neck cancer

A

TNM

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4
Q

what is T in TNM

A

size of tumour

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5
Q

what is N in TNM

A

regional lymph node involvement

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6
Q

what is M in TNM

A

distant metastasis

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7
Q

what is involved in curative treatment of oral cancer

A

surgery early on
adjuvant chemo and radiotherapy

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8
Q

what is involved in palliative care of oral cancer

A

symptom control (radiotherapy)
immunotherapy for prolongation of survival

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9
Q

what is excised during surgery of cancer

A

complete excision of histopathology and 1cm margin of normal tissue

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10
Q

what can often be performed after excision of cancer

A

lymphadenopathy to remove lymph nodes possibly affected

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11
Q

what can occur after cancer treatment due to vascular depletion or fibrosis

A

ORN
dysphagia
flexion deformity
fractures

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12
Q
A
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