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PREVENTION
OF
ORAL CANCER
Any abnormal mass/lump that grows in
the mouth, throat, voice box, thyroid, ear,
These masses/lumps can cause problems
with breathing, eating, talking, and can
even change the way you look FOREVER
WHAT IS ORAL CANCER???
HOW DOES IT LOOK LIKE???
HOW CAN YOU KNOW ???
1. Non-Healing Ulcer
2. Unknown source of
bleeding
3. Loose Tooth
4. Loose Fitting Dentures
5. Difficulty in Speaking
6. Difficulty in Swallowing
7. Unexplained Pain
8. Weight Loss
Signs of Throat Cancer
1. Ear Pain
2. Painful /Difficulty
Swallowing
3. Muffled Voice
4. Difficultly
Opening Mouth
5. Weight Loss
6. Lump in Neck
Large tonsil
tumor Normal tonsilUvula
Signs of Voice Box Cancer
1. Hoarseness
2. Voice Change
3. Painful/Difficulty
Swallowing
4. Ear Pain
5. Weight Loss
6. Neck Mass/Lump
7. Breathing Difficulty
TUMOR
WHAT ARE THE CAUSES ???
1. Tobacco Products
Tobacco companies would like you to
believe that using tobacco is cool and
attractive, BUT the reality is far from
cool
… It is DEADLY
&
DISFIGURING!
You Could Be Next….
13 years old – Tried dip for the first time on
a camping trip
17 years old - Got diagnosed with oral
cancer
35 – Number of surgeries he has had since
then
2. Excessive Alcohol Use
***When used with Tobacco you
have an even GREATER risk!
Other Causes…
1. Gender – Men 2-3x’s > than women
2. Race – African Americans at greatest risk
3. Age - > 40 years
4. Sun Exposure
5. Poor Oral Hygiene
6. Poorly Fitting Dentures
7. Poor Nutrition (low in vitamins A & B)
8. Environmental/Occupational Hazards
9. Epstein-Barr Virus
10.Exposure to Secondhand Smoke!!!!!
Passive smoking…
WHERE CAN YOU FIND???
1. In areas where tobacco/alcohol have the most
contact…..
2. Where the dip sits in your mouth
3. Where the smoke blows….in your throat or voice box
4. As the cancer grows, it can travel to your lymph
nodes
It might look like you have a “lump” in your neck.
HOW CAN IT START???
How Does ORAL Cancer
Grow????
Normal Tissue  Pre-Cancerous Lesion  Cancer
What are Pre-Cancerous Lesions?
White Patches that will not rub off
4-18% turn into cancer!
RED PATCHES that do not go away (> 2 weeks)
***Recommend Removal
20-30% will develop into cancer!
Pre-Cancerous  Cancer
These white or red patches can turn into cancer, which can GROW
and GROW and GROW!
CAN BE PREVENTED
JUST BY
AVOIDING TOBACCO
AND ALCOHOL!
Most ORAL Cancers
HOW CAN YOU BE SAFE???
1.Stop smoking
2.Stop alcohol
3.Good oral hygiene
4.Eat fresh vegetables, fruits and balanced food
5.Use a cap when working under sun
6. Wear facemasks/ cover your mouth when working
with dusts and chemicals
What If CANCER is
Discovered???
Head and Neck Cancer
Treatment Team
Your doctor should refer you to an ENT/Oral
surgeons who specializes in Head and Neck Cancer.
A team of healthcare professionals will determine the
best plan of care for you.
Head and Neck Surgeons, Radiation and
Chemotherapy Doctors, Speech/Swallowing Experts,
Cancer Dentist, Nurse, Nutritionist, Physical
Therapy………….
What Can Be The
Treatment Options???
1. Chemotherapy poisons the cancer
– Hair loss
– Nausea
– Fatigue (tired)
2. Radiation burns the cancer
– Peeling painful mouth tissue (“mucositis”)
– VERY dry mouth
– Scarring
Side Effects from Chemo
and Radiation
Head and Neck Cancer
Surgery
A Head and Neck Surgeon will REMOVE
the CANCER and the SURROUNDING
TISSUE where the cancer may have
spread.
A Head and Neck Reconstructive
Surgeon will reconstruct the area
removed.
Large tumor of tongue/jaw/chin has been removed
Head and Neck Cancer
RECONSTRUCTIVE Surgery
Cancerous tongue, jaw bone and chin/neck skin
removed … and then all is REBUILT
Lip Cancer
Lip/chin rebuilt
Tongue Surgery
Remove ½ of cancerous tongue and rebuild it
Arm tissue to
make ‘new’
tongue
Tongue cancer removed
Throat Surgery
Removal of cancerous throat and voice box
chest
chest
Patient After Throat Surgery
(after voice box has been removed)
What has changed for this patient?
Changes After Throat
Surgery
New Way of Talking Can NEVERSwim Again
SO What have you
DECIDED…???
QUIT the habit OR
CONTINUE to risk
your life
Thank You for listening...

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Prevention of oral cancer

  • 2. Any abnormal mass/lump that grows in the mouth, throat, voice box, thyroid, ear, These masses/lumps can cause problems with breathing, eating, talking, and can even change the way you look FOREVER WHAT IS ORAL CANCER???
  • 3. HOW DOES IT LOOK LIKE???
  • 4.
  • 5. HOW CAN YOU KNOW ???
  • 6. 1. Non-Healing Ulcer 2. Unknown source of bleeding 3. Loose Tooth 4. Loose Fitting Dentures
  • 7. 5. Difficulty in Speaking 6. Difficulty in Swallowing 7. Unexplained Pain 8. Weight Loss
  • 8. Signs of Throat Cancer 1. Ear Pain 2. Painful /Difficulty Swallowing 3. Muffled Voice 4. Difficultly Opening Mouth 5. Weight Loss 6. Lump in Neck Large tonsil tumor Normal tonsilUvula
  • 9. Signs of Voice Box Cancer 1. Hoarseness 2. Voice Change 3. Painful/Difficulty Swallowing 4. Ear Pain 5. Weight Loss 6. Neck Mass/Lump 7. Breathing Difficulty TUMOR
  • 10. WHAT ARE THE CAUSES ??? 1. Tobacco Products
  • 11. Tobacco companies would like you to believe that using tobacco is cool and attractive, BUT the reality is far from cool
  • 12.
  • 13. … It is DEADLY & DISFIGURING!
  • 14. You Could Be Next…. 13 years old – Tried dip for the first time on a camping trip 17 years old - Got diagnosed with oral cancer 35 – Number of surgeries he has had since then
  • 15. 2. Excessive Alcohol Use ***When used with Tobacco you have an even GREATER risk!
  • 16.
  • 17.
  • 18. Other Causes… 1. Gender – Men 2-3x’s > than women 2. Race – African Americans at greatest risk 3. Age - > 40 years 4. Sun Exposure 5. Poor Oral Hygiene 6. Poorly Fitting Dentures 7. Poor Nutrition (low in vitamins A & B) 8. Environmental/Occupational Hazards 9. Epstein-Barr Virus 10.Exposure to Secondhand Smoke!!!!!
  • 20. WHERE CAN YOU FIND???
  • 21. 1. In areas where tobacco/alcohol have the most contact….. 2. Where the dip sits in your mouth
  • 22. 3. Where the smoke blows….in your throat or voice box 4. As the cancer grows, it can travel to your lymph nodes It might look like you have a “lump” in your neck.
  • 23.
  • 24. HOW CAN IT START???
  • 25. How Does ORAL Cancer Grow????
  • 26. Normal Tissue  Pre-Cancerous Lesion  Cancer
  • 27. What are Pre-Cancerous Lesions? White Patches that will not rub off 4-18% turn into cancer!
  • 28. RED PATCHES that do not go away (> 2 weeks) ***Recommend Removal 20-30% will develop into cancer!
  • 29. Pre-Cancerous  Cancer These white or red patches can turn into cancer, which can GROW and GROW and GROW!
  • 30. CAN BE PREVENTED JUST BY AVOIDING TOBACCO AND ALCOHOL! Most ORAL Cancers
  • 31. HOW CAN YOU BE SAFE???
  • 32. 1.Stop smoking 2.Stop alcohol 3.Good oral hygiene 4.Eat fresh vegetables, fruits and balanced food 5.Use a cap when working under sun 6. Wear facemasks/ cover your mouth when working with dusts and chemicals
  • 33.
  • 34. What If CANCER is Discovered???
  • 35. Head and Neck Cancer Treatment Team Your doctor should refer you to an ENT/Oral surgeons who specializes in Head and Neck Cancer. A team of healthcare professionals will determine the best plan of care for you. Head and Neck Surgeons, Radiation and Chemotherapy Doctors, Speech/Swallowing Experts, Cancer Dentist, Nurse, Nutritionist, Physical Therapy………….
  • 36. What Can Be The Treatment Options??? 1. Chemotherapy poisons the cancer – Hair loss – Nausea – Fatigue (tired) 2. Radiation burns the cancer – Peeling painful mouth tissue (“mucositis”) – VERY dry mouth – Scarring
  • 37. Side Effects from Chemo and Radiation
  • 38. Head and Neck Cancer Surgery A Head and Neck Surgeon will REMOVE the CANCER and the SURROUNDING TISSUE where the cancer may have spread. A Head and Neck Reconstructive Surgeon will reconstruct the area removed.
  • 39. Large tumor of tongue/jaw/chin has been removed
  • 40. Head and Neck Cancer RECONSTRUCTIVE Surgery Cancerous tongue, jaw bone and chin/neck skin removed … and then all is REBUILT
  • 42. Tongue Surgery Remove ½ of cancerous tongue and rebuild it Arm tissue to make ‘new’ tongue Tongue cancer removed
  • 43. Throat Surgery Removal of cancerous throat and voice box chest chest
  • 44. Patient After Throat Surgery (after voice box has been removed) What has changed for this patient?
  • 45. Changes After Throat Surgery New Way of Talking Can NEVERSwim Again
  • 46. SO What have you DECIDED…??? QUIT the habit OR CONTINUE to risk your life
  • 47.
  • 48. Thank You for listening...