Soft Tissue Lesions

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Soft Tissue Lesions

  1. 1. Soft Tissue Lesions Module 8
  2. 2. <ul><li>Reduce deaths from skin, oral, and pharyngeal cancers: </li></ul><ul><li>Early detection </li></ul><ul><li>Appropriate treatment </li></ul><ul><li>Referral </li></ul>
  3. 3. Skin Cancer Facts <ul><li>Most common of all cancer types </li></ul><ul><li>Over 1,000,000 diagnosed yearly in the United States </li></ul><ul><li>2 main types: </li></ul><ul><ul><li>Melanoma </li></ul></ul><ul><ul><li>Nonmelanoma </li></ul></ul>
  4. 4. Melanoma <ul><li>Account for over 60% of skin cancer deaths </li></ul><ul><li>Always treatable if caught soon enough </li></ul>
  5. 5. Nonmelanoma <ul><li>Basal cell </li></ul><ul><li>Squamous cell </li></ul><ul><li>Rarely spread to other parts of the body </li></ul><ul><li>Less likely than melanoma to be fatal </li></ul>
  6. 6. Oral and Pharyngeal Cancer Facts <ul><li>30,000 diagnosed yearly in the United States </li></ul><ul><li>More than 25% with oral cancer will die </li></ul><ul><li>Claims almost as many lives as melanoma </li></ul>
  7. 7. Soft Tissue Lesion <ul><li>Area of abnormal-appearing skin or mucosa </li></ul><ul><li>Vary in color, texture, and form </li></ul><ul><ul><li>Present at birth—Birthmark </li></ul></ul><ul><ul><li>Infection—Wart or acne </li></ul></ul><ul><ul><li>Allergic reaction—Hives </li></ul></ul><ul><ul><li>Injury—Blister or scar </li></ul></ul>
  8. 8. Lesion Border Traits
  9. 9. Regular Border
  10. 10. Irregular Border
  11. 11. Lesion Margin Traits
  12. 12. Smooth Margin
  13. 13. Raised Margin
  14. 14. Lesion Color
  15. 15. Red and White Lesion
  16. 16. White Lesion
  17. 17. Yellow Lesion
  18. 18. Blue Lesion
  19. 19. Common Configurations
  20. 20. Discrete Configuration
  21. 21. Grouped Configuration
  22. 22. Confluent Configuration
  23. 23. Linear Configuration
  24. 24. Flat Lesions
  25. 25. Macule
  26. 27. Patch
  27. 28. Elevated Lesions
  28. 29. Papule
  29. 30. Plaque
  30. 31. Nodule
  31. 32. Wheal
  32. 33. Fluid- Filled Lesions
  33. 34. Vesicle
  34. 35. Bulla
  35. 36. Pustule
  36. 37. Depressed Lesion
  37. 38. Superficial Ulcer
  38. 39. Deep Ulcer
  39. 40. Linear Cracks
  40. 41. Crack
  41. 42. Fissure
  42. 43. Lesion Descriptions <ul><li>Characteristics </li></ul><ul><ul><li>Anatomic location </li></ul></ul><ul><ul><li>Border traits </li></ul></ul><ul><ul><li>Color </li></ul></ul><ul><ul><li>Configuration </li></ul></ul><ul><ul><li>Dimensions </li></ul></ul>
  43. 44. Descriptions (Cont’d) <ul><li>Primary types </li></ul><ul><ul><li>Flat </li></ul></ul><ul><ul><li>Elevated </li></ul></ul><ul><ul><li>Fluid-filled </li></ul></ul><ul><ul><li>Depressed </li></ul></ul>
  44. 45. Formula for Describing <ul><li>A—Anatomic location </li></ul><ul><li>B—Border </li></ul><ul><li>C—Color and configuration </li></ul><ul><li>D—Dimension </li></ul><ul><li>T—Type </li></ul>ABCD-T
  45. 46. Tools for Oral Cancer Detection <ul><li>Head and neck examination </li></ul><ul><li>Oral examination </li></ul><ul><li>Patient history </li></ul><ul><li>Alcohol and tobacco use </li></ul>
  46. 47. Dental Professional’s Role for Patients Who Use Tobacco and Alcohol <ul><li>Examine </li></ul><ul><li>Ensure </li></ul><ul><li>Educate </li></ul><ul><li>Identify </li></ul><ul><li>Refer </li></ul><ul><li>Follow up </li></ul>
  47. 48. Smoking Cessation Counseling <ul><li>Ask </li></ul><ul><li>Advise </li></ul><ul><li>Refer </li></ul><ul><li>Quit lines </li></ul><ul><ul><li>1-800-QUIT- NOW (US Dept of Health and Human Services) </li></ul></ul><ul><ul><li>1-877-44U-QUIT (National Cancer Institute) </li></ul></ul>

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