Term
| what percent of all cancers is oral caner |
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Definition
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Term
| what are the three top risk factors for oral cancer |
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Definition
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Term
| what are non top risks for oral cancer(9) |
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Definition
age
UV light
poor hygeine
betel nut chewing
Fe deficiency anemia
genetic
immune deficiency
chemical exposure
multiple sex partners |
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Term
| what is pyogenic granuloma and its tx |
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Definition
reaction to chronic irritation (like biting side of tongue)
inject steroids or take it off |
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Term
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Definition
| thyroid at base of tongue, it never descended |
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Term
| what is palatine/mandibular tours and its tx |
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Definition
| bony outgrowth, common dont do anything about it |
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Term
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Definition
| sublingual cyst that can go deep |
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Term
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Definition
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Term
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Definition
| seap off spit gland causes swelling |
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Term
| what is a geographic tongue |
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Definition
| benign moving lesions on the tongue |
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Term
| what is the most common oral lesion |
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Definition
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Term
| what is a leukoplakia, what do you do when you find it |
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Definition
white lesion
biopsy it until they die or it becomes cancer |
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Term
| what is lichen planus and its tx |
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Definition
possibly errosive red burn like looking lesions
steroids calm it down |
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Term
| what is erythroplakia and its tx |
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Definition
red lesion 3x more likley to be cancerous than white lesion
get biopsy |
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Term
| what does a herpatic infection look like |
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Definition
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Term
| what is a extragenital infection |
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Definition
| STD lesion in the mouth: papilloma, syphilis |
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Term
| what is apothous stomatitis |
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Definition
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Term
| what is the most common cause of head and neck cancer |
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Definition
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Term
| what is the most common cause of oral malignancy |
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Definition
| 90% squamous cell carcinoma |
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Term
| what are the types of scc, describe them |
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Definition
exophytic: stick out
ulcerative: crater
infiltrative: deeper than you think
verrucous: wart looking |
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Term
| what are the most common places for oral scc and where do they metastazise |
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Definition
lip -> cervical
hard palate -> cervical
tongue -> bilateral cervical |
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Term
| what are the non-epidermal (non scc) malignant oral cancers |
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Definition
lymphoma
melanoma
sarcoma
minor salivary gland tumors
major salivary gland tumors |
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Term
| what is the probability a major and minor salivary gland tumor will be malignant |
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Definition
minor: 80-90% malignant
major; 80-90% benign |
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Term
| what is the CC of someone with a oral malignancy |
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Definition
persistant sore
painful ulcer
loose teeth
jae/dental pain
dysphagia
masses
weight loss: bad sigh
sore throat
otalgia
hot potato voice
foreign body sensation
trismus
hemoptysis
cervical LAD
dysphonic |
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Term
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Definition
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Term
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Definition
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Term
| what do you do on a oral physical exam |
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Definition
inspection
bimanual paplation
pharyngoscopy/laryngoscopy |
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Term
| what are 8 tests that can be done on possible malignancies and what for |
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Definition
x-ray: mandible and hard palate
CT: soft tissue and bone
PET/CT: staging tumors, nodes
MRI: better for tumors, esp cartiladge
contrast sialgropathy: parotid
bone scan: ro bone invasion
selective angiography: ro carotid A
biopsy |
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Term
| how should a biopsy be done |
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Definition
dont take chunk from the middle of the ulcer it will be debris
get a little normal and a little disease tissue |
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Term
| what are the three symbols for staging cancer and what do they mean |
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Definition
T = size
N = nodes
M = metastasis |
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Term
| what are the 4 stages of cancer |
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Definition
T1 N0M0
T2 N0M0
T3 N0M0 or T1-2 N1M0
T4 N0M0 or T1-3 N1M0 or anything M1 |
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Term
| what is the treatment for the 4 stages of cancer |
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Definition
1: radiation or surgery
2: radiation (better cause its pretty big) or surgery
3 or 4: chemo (pallative/adjunctive), radiation, surgery |
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Term
| what are the early complications of cancer tx |
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Definition
mucositis - radiation effect
nutrition deficits |
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Term
| what are the post op complications of cancer tx |
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Definition
wound infection
fistula- hole in neck draining spit
flap necrosis
rupture of carotid A
shoulder dystocia
deglutition - no swallowing
aspiration
speech difficulities |
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Term
| what are the later complications of cancer tx |
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Definition
chronic exerostomia - dry mouth
caries
osteoardionecrosis - bone dies |
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