This document discusses oral cancer screening in 2 minutes. It identifies smoking, alcohol use, and chewing betel nut or pan masalas as risk factors. It recommends screening through external inspection of the head, neck, and lymph nodes as well as internal inspection of the lips, gingiva, buccal mucosa, tongue, palate, floor of the mouth, and throat. Diagnostic aids include staining abnormalities with toulidine blue, biopsy, and CT or PET-CT scans.

1. Oral Cancer
Screening
in 2 minutes

2. Habit
Smoker (4 times more likely)
Alcohol (3 times more likely)
Smoke + Alcohol (marked increase)
Pan
Areca/Betel Nut
Pan Masalas

3. Precancerous Lesions
Lichen Planus
Leukoplakia
Erythroplakia
White/Red Lesions

4. Occupation
Industrial workers exposed to toxins
Metal Dusts
Solvents
Paints
Lacquers
Varnishes

5. Screening
Inspection and Palpation
External
•Neck
Head •Parotid
Temporal Muscle •Submandibular
TMJ
•Lymph Nodes and
Masseter
•Glands
Mandible

6. Screening - Internal
Colour of Mucosa - RED or WHITE!!! - Any
Abnormal Changes!!!
Lips •Palate
Gingiva •Floor of the Mouth
Buccal Mucosa
•Throat
Tongue
Palpate as well...

7. Diagnostic Aids
Toulidine Blue - Will stain the abnormal
mucosa
Biopsy
CT Scan
PET-CT Scan