Tobacco kills! Oral cancer screening

1,859 views

Published on

PPT is for primary care physicians and oral health specialist. Gives information about gravity of Tobacco addiction problem, oral cancer and its prevention.

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,859
On SlideShare
0
From Embeds
0
Number of Embeds
4
Actions
Shares
0
Downloads
72
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide
  • Children of smokers have higher cholesterol levels, more prone to heart disease, more susceptible to respiratory infections, asthma, ear infections, and anemia
  • Tobacco kills! Oral cancer screening

    1. 1. Dr Madhu Oswal Thakkar Muktaa Charitable Foundation 02/12/14 www.mcf.org.in 1
    2. 2. Ramesh, 35 years , plumber, breadwinner, only son of his old mother. Eating Khaini since he was 12 years Died after fighting cancer for 2 years 02/12/14 www.mcf.org.in 2
    3. 3. How will I live now? 02/12/14 www.mcf.org.in 3
    4. 4. •Renu , 30 years old, mother of 3 teenagers, housemaid. •Eating mishri since childhood •Non healing ulcer in mouth •When she presented at TMH, case was inoperable •Died within 3 months of diagnosis 02/12/14 www.mcf.org.in 4
    5. 5. Who will look after these innocents? 02/12/14 www.mcf.org.in 5
    6. 6. •Vinod, farmer from Nagar, worked day and night to see his sister get married •Ate 15 pouches of “Manikchand” everyday •Today he can have just liquid. •Condition is untreatable 02/12/14 www.mcf.org.in 6
    7. 7. 02/12/14 www.mcf.org.in 7
    8. 8. Tobacco truly kills  Tobacco kills 900,000 people every year  In india one people die every 40 seconds because of tobacco related problems  By 2020, 12 lakh people are estimated to die every year due to tobacco use  Tobacco users loose an average of 20-25 years of non-tobacco life expectancy  Out of 100 teenage smokers in India today, 50 out of them will eventually die of tobacco- related disease. 02/12/14 www.mcf.org.in 8
    9. 9. Tobacco Use In India  India is the third largest producer and consumer of tobacco in the world.  275million active tobacco users in India. i. e 35% of Indians consume some form of tobacco  Smokeless tobacco use in India is the highest in the world.  25.9 percent of the adults( 32.9 percent of men and 18.4 percent women) use smokeless tobacco.  Among smoking forms of tobacco, bidis are the most prevalent form (9.2 percent) followed by cigarettes (5.7 percent).  Exposure to second-hand smoke remains high with 52.3 percent and 29.0 percent of the population exposed to second-hand smoke at home and at public places (mainly in public transport and restaurants) respectively. 02/12/14 www.mcf.org.in 9
    10. 10. 02/12/14 www.mcf.org.in 10
    11. 11. 02/12/14 www.mcf.org.in 11
    12. 12. Misleading Advertising 02/12/14 www.mcf.org.in 12
    13. 13. 02/12/14 www.mcf.org.in 13
    14. 14. 14 MINUTES OF LIFE IS LOST FOR EACH CIGARETTE SMOKED 02/12/14 www.mcf.org.in 17
    15. 15. Hazards of Tobacco 1. Chronic bronchitis 2. Emphysema 3. Cardiovascular disease 02/12/14 www.mcf.org.in 18
    16. 16. 4. Lung and other cancers 5. Tuberculosis 6. Increases the risk of heart stroke 02/12/14 www.mcf.org.in 19
    17. 17. 7. Increasing vulnerability of sexual and reproductive health 8. Babies born with lower birth weight from habitual smoker parent (s). 9. Kidney and liver diseases . 10. Blood pressure, exacerbates asthma and causes impotence, infertility 02/12/14 www.mcf.org.in 20
    18. 18. Pregnancy & Secondhand Smoke Pregnant women exposed to ETS 6 hours a day pass carcinogens to the blood of unborn ETS for 2 hours a day causes 2 times risk of low birth weight 02/12/14 Miscarriage Sudden Infant Death Syndrome (SIDS) www.mcf.org.in Prematurity Low birth weight 21 21
    19. 19. 02/12/14 www.mcf.org.in 22
    20. 20. Tobacco and Oral Cancer  India has the highest number of oral cancer cases in the world  Of 7-8 lakh registered cancer cases every year, 40% are of oral cancer  Annually 130,000 people succumb to oral cancer in India 1  60 to 80 % present in advanced stage 14 deaths per hour 1: http://ocf.org.in 02/12/14 www.mcf.org.in 23
    21. 21. How will the patient present? Leukoplakia, Erythroleukoplakia or Erythroplakia Difficulty in opening mouth Non healing ulcer or nodule Bleeding in the mouth. Loose teeth Dysphagia Difficulty wearing dentures. Lump in the neck. Earache Hoarseness Most are asymptomatic 02/12/14 www.mcf.org.in 24
    22. 22. 02/12/14 25
    23. 23. Leukoplakia White painless, bright white and sharply defined, slightly raised plaque Cannot be scraped Malignant transformation: 3-33% over 10 years Speckled or verrucous leukoplakias are more likely to be premalignant Clinical, not histological
    24. 24. Leukoplakia :3 Stages Stage 1: Nonpalpable, translucent white Stage 2 : Localized or diffuse, slightly elevated plaques, irregular outline, opaque white ,fine, granular texture. Stage 3: Thickened, white lesions, showing induration, fissuring, and ulcer formation.
    25. 25. Leukoplakia: When to worry? Verrucous leukoplakia Erosion or ulceration within the lesion Nodule in lesion Hard in its periphery Anterior floor of the mouth and undersurface of the tongue
    26. 26. Erythroplakia •Asymptomatic red, smooth, soft, velvety texture macule/s or patch/s •In level with or depressed below the surrounding mucosa. •Less than 1.5 cm well-demarcated •Floor of mouth, tongue and palate •High chance of frank malignancy or severe dysplasia.
    27. 27. Erythroleukoplakia
    28. 28. Erythroplakia 02/12/14 www.mcf.org.in 31
    29. 29. Oral Sub Mucous Fibrosis Areca nut (Arecoline, copper): Incresae production of collagen ? Chilli Genetic factor Deficiencies of Iron, B complex Progress : Unpredictable No treatment
    30. 30. This patient of SMF has so much of limitation in opening of mouth that it is difficult to put even 2 fingers in the mouth 02/12/14 www.mcf.org.in 33
    31. 31. Diffential Diagnosis 02/12/14 www.mcf.org.in 34
    32. 32. Common sites of oral cancer Tongue –middle of lateral 1/3 rd Floor of the mouth Buccal vestibule and mucosa Gingiva, hard and soft palate Bucco-pharyngeal mucosa in smokers. You tube: http://www.youtube.com/watch?v=q-W_RqQmnlk (Uni of Michigan School of Dentistry)
    33. 33. 02/12/14 www.mcf.org.in 36
    34. 34. Cancer of Tongue 90% SCC
    35. 35. Dr Suwas Darvekar
    36. 36. Cancer of Tongue 90% SCC
    37. 37. Dr Suwas Darvekar
    38. 38. Common sites of oral cancer Tongue –middle of lateral 1/3 rd Floor of the mouth Buccal vestibule and mucosa Gingiva, hard and soft palate Bucco-pharyngeal mucosa in smokers. You tube: http://www.youtube.com/watch?v=q-W_RqQmnlk (Uni of Michigan School of Dentistry)
    39. 39. 02/12/14 www.mcf.org.in 43
    40. 40. 02/12/14 www.mcf.org.in 44
    41. 41. 02/12/14 www.mcf.org.in 45
    42. 42. Steps to quit-tobacco 1. Deep Breathing 2. Drink lots of water and fluids 3. Stay away from alcohol, sugar and coffee and avoid fatty foods 4. After dinner, instead of a cigarette, treat yourself to a cup of mint tea or a peppermint candy 02/12/14 www.mcf.org.in 46
    43. 43. 5. Go to a gym and jog around the block or park for to change your normal routine. 6. Ask friends and family members not to smoke in your presence. 7. On your quit day, hide all ashtrays and destroy all your cigarettes. 8. Write down ten good and bad things about being a nonsmoker and smoker. 02/12/14 www.mcf.org.in 47
    44. 44. Children & Secondhand Smoke Coughing and wheezing Asthma Ear infection Sore throats and colds Eye irritation Hoarseness 02/12/14 www.mcf.org.in 48 48
    45. 45. 02/12/14 www.mcf.org.in 49
    46. 46. Acknowledgement Many clinical slides from Dr Pankaj Chaturvedi’s slide-set 02/12/14 www.mcf.org.in 50
    47. 47. 02/12/14 www.mcf.org.in 51

    ×