Soft Tissue Lesions

Soft Tissue Lesions Module 8

Reduce deaths from skin, oral, and pharyngeal cancers:
Early detection
Appropriate treatment
Referral

Skin Cancer Facts
Most common of all cancer types
Over 1,000,000 diagnosed yearly in the United States
2 main types:
Melanoma
Nonmelanoma

Melanoma
Account for over 60% of skin cancer deaths
Always treatable if caught soon enough

Nonmelanoma
Basal cell
Squamous cell
Rarely spread to other parts of the body
Less likely than melanoma to be fatal

Oral and Pharyngeal Cancer Facts
30,000 diagnosed yearly in the United States
More than 25% with oral cancer will die
Claims almost as many lives as melanoma

Soft Tissue Lesion
Area of abnormal-appearing skin or mucosa
Vary in color, texture, and form
Present at birth—Birthmark
Infection—Wart or acne
Allergic reaction—Hives
Injury—Blister or scar

Lesion Border Traits

Regular Border

Irregular Border

Lesion Margin Traits

Smooth Margin

Raised Margin

Lesion Color

Red and White Lesion

White Lesion

Yellow Lesion

Blue Lesion

Common Configurations

Discrete Configuration

Grouped Configuration

Confluent Configuration

Linear Configuration

Flat Lesions

Macule

Elevated Lesions

Papule

Plaque

Nodule

Fluid- Filled Lesions

Vesicle

Pustule

Depressed Lesion

Superficial Ulcer

Deep Ulcer

Linear Cracks

Fissure

Lesion Descriptions
Characteristics
Anatomic location
Border traits
Color
Configuration
Dimensions

Descriptions (Cont’d)
Primary types
Flat
Elevated
Fluid-filled
Depressed

Formula for Describing
A—Anatomic location
B—Border
C—Color and configuration
D—Dimension
T—Type
ABCD-T

Tools for Oral Cancer Detection
Head and neck examination
Oral examination
Patient history
Alcohol and tobacco use

Dental Professional’s Role for Patients Who Use Tobacco and Alcohol
Examine
Ensure
Educate
Identify
Refer
Follow up

Smoking Cessation Counseling
Ask
Advise
Refer
Quit lines
1-800-QUIT- NOW (US Dept of Health and Human Services)
1-877-44U-QUIT (National Cancer Institute)

Soft Tissue Lesions

by Oxfordlibrary on Jan 15, 2008

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