Oral Cancer Exam


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This presentation takes you through the basic oral cancer exam procedure.

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Oral Cancer Exam

  1. 1. Detecting Oral Cancer A Guide for Health Care Professionals
  2. 2. Oral & Pharyngeal Cancer Deaths 8,000 New Cases 30,000 5 Year Survival Rate = 50%
  3. 3. Early Detection Erythroplakia Saves Leukoplakia Lives
  4. 4. Warning Signs Lump or Soreness or Difficulty thickening of “lump” in chewing or oral soft tissue throat swallowing Difficulty Ear pain Hoarseness moving jaw or tongue Numbness of Swelling of the tongue or jaw mouth
  5. 5. Tobacco Use Alcohol Race Use Risk Factors Sunlight Gender Exposure Age
  6. 6. Examination Preparation • Head & neck exam should be routine • Review history of alcohol and tobacco use • Follow-up on suspicious signs Overview • Proper lighting • Dental mouth mirror • Gauze squares • Disposable gloves Armamentarium • 5 minutes of time
  7. 7. Extraoral Examination Examine Face, head and neck – note asymmetry or changes Lymph nodes – palpated bilaterally
  8. 8. Lips Labial Mucosa
  9. 9. Labial Mucosa Buccal Mucosa
  10. 10. Buccal Mucosa Gingiva
  11. 11. Dorsum of Tongue Left Margin of Tongue
  12. 12. Right Margin of Tongue Ventral Surface of Tongue
  13. 13. Floor of Mouth Hard Palate
  14. 14. Oropharynx Floor of Mouth - Bimanual
  15. 15. Suspicious Oral Lesions Homogenous Leukoplakia Leukoplakia with Early Squamous Cell Carcinoma
  16. 16. Suspicious Oral Lesions Nodular Leukoplakia with Severe Epithelial Dysplasia Erythroleukoplakia with Candida Infection
  17. 17. Points To Remember When Screening for Oral Cancer Most oral cancers are located on the lateral borders of the tongue, floor of the mouth and lips – special attention should be focused in these areas. Tell your patient what you are doing with each procedure and why. Always note any changes in color and texture of all soft tissues or any swelling. If you detect an abnormality, determine the history of the lesion; if the abnormality has been of more than 2 weeks’ duration, take appropriate action to obtain a biopsy.
  18. 18. Points To Remember When Screening for Oral Cancer Follow up to ensure a definitive diagnosis of an abnormality. Teach your patients about the signs and symptoms of oral cancer. If a patient uses tobacco products, provide appropriate counseling or refer patient for counseling. Remove all removable prostheses before starting the examination.
  19. 19. Photographs for this program were provided by: Joseph Konzelman, DDS Jens Jorgen Pindborg, DrOdont Slide series revised by Visual Dynamics www.visualdynamics.us For more information: National Institute of Dental and Craniofacial Research (NIDCR) National Oral Health Information Clearinghouse 1 NOHIC Way Bethesda MD 20892-3500 nohic@nidcr.nih.gov www.nidcr.nih.gov