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preventive dentistry
chapter 7 oral cancer from power point
38
Dentistry
Undergraduate 3
09/23/2013

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Cards

Term
what are some cell alterations?
Definition

cell regulation

 

differentiation

 

replicative sequence

Term
neoplasm
Definition
new growth
Term
mitosis
Definition
cell division
Term
proliferation
Definition
a bunch of new cells produced rapidly
Term
carcinomas
Definition
malignant neoplasms look and act abnormal
Term

true or false

men are 2x as likely as women to get oral cancer.

Definition
true
Term
what type of cell carcinoma is responsible for 90% of oral cancer?
Definition
squamous cell carcinoma
Term
who is most likely to die of oral cancer?
Definition
african american males
Term
what is the % of oral cancer patients who excessively use alcohol?
Definition
70%
Term
8/10 people with oral cancer do what ?
Definition
use tobacco
Term
what are some risk factors for oral cancer?
Definition

-tobacco use

-alcohol use

-aging

-HPV

-low intake of fruits and veg

-excessive sun exposure

Term
leukoplakia
Definition
white lesions 15.7% cancer
Term
erythroplakia
Definition

red lesions

greater threat 36.4% of all cancer

Term
erythroleukoplakia
Definition
red and white speckled lesions
Term
what is the % of sexually active men and women who will get HPV?
Definition
70%
Term
how many types of HPV are identified
Definition
8
Term
what is the cause for nearly all cases of cervical cancer?
Definition
HPV
Term
what are the strains of HPV that are linked to oral cancer and 95% of cervical cancer?
Definition
HPV 16 & HPV 18
Term
what should we know about HPV 16 & 18?
Definition

-do not produce wart like lesions

 

-produce epithelial cell changes

Term
what strains of HPV are sexually transmitted?
Definition

HPV 16

HPV 18

HPV 31

HPV 45

Term
oral lichen planus
Definition
chronic and should be regularly checked and biopsied it may be a pre malignant condition
Term
what are 5 signs and symptoms of oral cancer?
Definition

-change in voice

-mucosal ulcerations that do not go away in 2 weeks

-red or white patcy lesions

-pain in mouth

-numbness

Term
more signs of oral cancer
Definition

-swelling of jaw

loosening of teeth

ear pain with no hearing loss

trismus (difficulty opening mouth)

neck mass

Term
what do we do to screen for oral cancer in office?
Definition

assess tobacco/ alcohol use

oral cancer screeing 

(look for absence of symmetry, enlargements, swellings, dry crusty areas)

Term
what are some biopsys used for diagnostic purpose?
Definition

-scalpel

-punch

-fine needle

Term
a biopsy that removes small pieces of lesion includes incisional and excisional (removal of whole lesion)
Definition
scalpel biopsy
Term
a biopsy that requires a special instrument and takes a larger tissue sample than fine needle biopsy and may go deeper but does not excessively damage surgical site is?
Definition
punch biopsy
Term
needle biopsy
Definition
differentiates malignant from benign lesions involving lymph nodes or salivary gland
Term
what are 3 types of tissue dysplasia screening?
Definition

cytology brush

toluidine blue (stain)

chemilumincescence(light detection)

Term
what are some treatment options for oral cancer?
Definition

-surgury-

-chemotherapy-IV and oral drugs to kill growth

-radiation to shrink tumor

Term
what do treatment options for oral cancer depend upon?
Definition

-type of cancer

-grading-how closely cells resemble normal tissue

-stage of cancer

Term
if cancer was a grade 1 would it closely resemble normal tissue or not
Definition
grade 1 would closely resemble normal tissue
Term
would grade 3 resemble normal tissue?
Definition
not much
Term
what is the stage based upon?
Definition

size

metastatic spread of lesion

Term
TNM staging means?
Definition

T-  tumor size in mm

 

N- involvement of local lymph nodes

 

M- presence of distant metastasis (spread)

Term
if someone is stage 1 is that good?
Definition
it is the best possible stage
Term
is stage IV good
Definition
no poor prognosis
Term
what are some side effects of chemotherapy
Definition

-loss of hair

-alopecia (loss of hair on body)

-vomitting

-poor appetite

-mucositis ( inflammation of tissue)

-xerostomia

-candidiasis (fungal infection)

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