Oral malignancies and Cancer Flashcards Preview

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Flashcards in Oral malignancies and Cancer Deck (22):
1

Name 3 symtoms of oral cancers?

Ulceration, bleeding and induration

2

Describe the epidemiology of Oral cancer

Much higher in women than in men (nearly 2 times as much)

3

What type of oral cancer has the highest 4 year survival rate?

Lip

4

What happens to the prevelance of oral cancer with age

An increase as age increases

5

What age are most oral cancer patients

>50 years old

6

Name some causes of oral cancer

Tobacco
Alcohol
diet and nutrition
HPV
UVL
Candida

7

Why do people think that the water pipe is safer?
Why is it not?

Because it is filtered through water
It can be inhaled further into the lungs

8

What are the guidelines of alcohol per week

21 units for males
14 units for females

9

Give an example of 1 unit

Half pint beer
Shot of spirit
Glass of wine

10

What is the daily maximum alcohol unit recommended for men and women?

3-4 in males
1-2 in females

11

What is a binge drink for men and women?

Males - at least 8 units
Females - at least 6 units
i.e. double the maximum amount for 1 day

12

What are the nutritional risks for Oral Cancer

Low Vit. A, C and Iron all increase the risk of Oral cancer

13

Describe the prognosis for HPV and non HPV with association to oropharyngeal cancer

There is a better prognosis for HPV associated oropharyngeal cancer than for non HPV

14

How do you prevent Oral Cancer?

Stop smoking and decrease alcohol intake
Increase fruit and veg increase

15

What are the common signs for early oral cancer

White and red lesions anywhere in the mouth

16

Where are the high risk sites

Soft non keratinizing sites:
Ventral tongue
Floor of mouth
Lateral tongue

17

Where are the rare sites of oral cancer?

Dorsal tongue
Hard palate

18

What are the majority of cancers which present in the mouth?

Squamous cell carcinoma

19

What colour do melanomas tend to be?

Black

20

What are the warning signs for oral cancer?

Red/ white / red and white lesion
Ucler (exclude trauma, drug, systemic etc)
Numb feeling eg. lip or face
Unexplained pain in mouth or neck
Change in voice
Dysphagia
Drooping eye lid or facial palsy
Fracture of mandible
Dougle vision
Blocked or bleeding from nose
Facial swelling

21

What are the 4 key questions to ask a patient?

How long has the lesion been present for ? (2-3 weeks)
Is it painful? (pain is a usually late manifestation of OC but would be expected if benign ulcer
Does patient smoke? and Drink? how Much ?
What colour is the lesion?

22

Who was John Diamond?

A journalist diagnosed with throat and tongue cancer

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