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  1. 1. CANCER
  2. 2. <ul><li>The most common in the oral and maxillofacial cancer SCC : 90% </li></ul><ul><li>Flowed by salivary gland, lymphoma, sarcoma </li></ul>
  3. 3. classification <ul><li>Histogenetics:- </li></ul><ul><li>Epthelial tissue. </li></ul><ul><li>connective tissue. </li></ul><ul><li>Histological :- </li></ul><ul><li>Degree of differentiation </li></ul><ul><li>Well differentiated. </li></ul><ul><li>Moderate differentiated. </li></ul><ul><li>Poorly differentiated. </li></ul><ul><li>Prognosis : stage ( I , II , III , IV ) </li></ul>
  4. 4. Factor that affected cancer management :- <ul><li>Related to cancer. </li></ul><ul><li>Related to patient. </li></ul><ul><li>Related to care give ( doctor factor ). </li></ul>
  5. 5. Related to cancer. <ul><li>Type of cancer histologically ( SCC, Lymphoma ,Sarcoma) </li></ul><ul><li>Site . </li></ul><ul><li>Size ( T stage). </li></ul><ul><li>Differentiation ( well, moderate ,poor). </li></ul><ul><li>Responsive to surgery or radiation . </li></ul><ul><li>Location (ant versus post). </li></ul><ul><li>Proximity to bone ( mandible , maxilla) </li></ul><ul><li>State of cervical lymph node. </li></ul><ul><li>Previous treatment . </li></ul><ul><li>Histologically ( type , grade and depth of invasion) </li></ul>
  6. 6. Related to patient. <ul><li>Age . </li></ul><ul><li>General condition. </li></ul><ul><li>Tolerance of treatment. </li></ul><ul><li>Occupation of the patient. </li></ul><ul><li>Acceptance and compliance by the patient. </li></ul><ul><li>Lifestyle (smoking , drinking). </li></ul><ul><li>Other socioeconomic consideration. </li></ul><ul><li>Nutrition , oral hygiene. </li></ul>
  7. 7. Related to care give ( doctor factor ). <ul><li>Skills and knowledge of management . </li></ul><ul><li>Expertise in various descriptions. </li></ul>
  8. 8. Treatment <ul><li>Surgery . </li></ul><ul><li>Radiotherapy. </li></ul><ul><li>Chemotherapy. </li></ul>
  9. 9. + <ul><li>T.N.M & stage from Other PDF (TNM Staging of Head and Neck Cancer-Neck Dissection Classification) </li></ul>