Oral Cancer Overview and Facts
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Questions and Answers

Which of the following lifestyle choices can help prevent oral cancer?

  • Eating a diet high in processed sugars
  • Receiving a vaccination for human papillomavirus (correct)
  • Using a water pipe
  • Regular consumption of alcohol

What is the recommended frequency for oral cancer screenings for individuals between the ages of 20 and 40?

  • Only when symptoms arise
  • Every three years (correct)
  • Every year
  • Every five years

For a patient with oral cancer, how often should regular dental visits be scheduled?

  • Every month
  • Every 6-12 months
  • Every 3-6 months (correct)
  • Only when pain occurs

What should a dentist do when encountering a 5 cm non-painful neck swelling in a patient with a history of smoking?

<p>Refer to a medical doctor for further evaluation (D)</p> Signup and view all the answers

Which of the following is NOT recommended for the prevention of oral cancer?

<p>Smoking tobacco products (A)</p> Signup and view all the answers

What is the most common form of oral mucosal cancer?

<p>Squamous cell carcinoma (A)</p> Signup and view all the answers

Which of the following is a significant risk factor for developing oral cancer?

<p>Tobacco consumption (C)</p> Signup and view all the answers

What is the tumor characteristic corresponding to stage T1 in oral cavity cancer staging?

<p>Tumor measures 2 centimeters or less (A)</p> Signup and view all the answers

Which diagnostic method is primarily used to assess the extent of a tumor in oral cancer?

<p>Panendoscopy (D)</p> Signup and view all the answers

Which of the following symptoms is NOT commonly associated with oral cancer?

<p>Fatigue (D)</p> Signup and view all the answers

Which treatment is typically recommended for localized oral tumors?

<p>Surgical resection (C)</p> Signup and view all the answers

What complication is associated with radiation therapy in oral cancer treatment?

<p>Xerostomia (C)</p> Signup and view all the answers

Which type of cancer is most commonly found in the tonsils?

<p>Squamous cell carcinoma (A)</p> Signup and view all the answers

Study Notes

Oral Cancer Definition

  • Refers to malignant tumors in:
    • Oral mucosa
    • Tonsils
    • Salivary glands

Oral Cancer Epidemiology

  • Peak incidence: 55-60 years
  • Sex: More common in males (2:1 ratio)
  • Most common form of head and neck cancer

Oral Cancer Aetiology

  • Oral mucosal cancer: Squamous cell carcinoma (most common), presenting as ulcerative or verrucous growth.
  • Salivary gland cancer: Usually mucoepidermoid carcinoma
  • Tonsillar cancer: Squamous cell carcinoma (most common, over 70%), lymphoma

Oral Cancer Risk Factors

  • Tobacco consumption
  • Alcohol
  • Chronic mechanical irritation (e.g., poorly fitted dentures)
  • Human papillomavirus
  • Precancerous lesions (leukoplakia, erythroplakia, erythroleukoplakia)

Oral Cancer Clinical Manifestations

  • Halitosis
  • Pain
  • Dysphagia
  • Non-healing ulcer
  • Unusual bleeding in the mouth
  • Facial swelling
  • Lymphadenopathy

Oral Cancer Diagnostic Tools

  • Biopsy and histopathology of the lesion
  • Panendoscopy: To assess tumor extent
  • HPV testing
  • Chest x-ray, axial CT: To assess tumor spread
  • PET-CT
  • Tumor markers

Oral Cancer Stages

  • T1: Tumor in the mouth measures 2 centimeters or less.
  • T2: Tumor is 2 centimeters or more but not larger than 4 centimeters.
  • T3: Tumor is larger than 4 centimeters.

Oral Cancer Management

  • Localized tumor: Surgical resection
  • Tumors with local spread: Surgery (usually with neck dissection) + radiation therapy, with or without chemotherapy
  • Inoperable tumors: Radiation therapy with adjuvant chemotherapy
  • Surgical procedures:
    • Maxillectomy, mandibulectomy
    • Glossectomy, laryngectomy
    • Neck dissection

Oral Cancer Complications of Treatment

  • Altered oral flora
  • Dysphagia
  • Candida infection
  • Lymphedema
  • Mucositis
  • Radiation caries
  • Stomatitis
  • Trismus
  • Xerostomia

Oral Cancer Prognosis

  • Early diagnosis and treatment usually result in a good curative rate.
  • HPV-positive tumors have a good prognosis as they respond better to chemo- and/or radiotherapy.

Oral Cancer Prevention

  • Stop smoking, chewing tobacco, or using water pipes
  • Stop drinking alcohol
  • Use UV-AB-blocking sunscreen on the face and sunblock
  • Vaccination for human papillomavirus
  • Eat a well-balanced diet
  • Have regular dental check-ups.
    • Individuals aged 20-40 should have an oral cancer screening every three years
    • Annual exams after age 40

Oral Cancer Dental Care

  • Regular recall visits (3-6 months)
    • Monitor for:
      • Recurrence
      • Progression
    • Recognize complications of treatment

Practice Question

  • A 60-year-old man with a history of smoking presents with a non-painful 5 cm neck swelling unnoticed before.
  • Best course of action: Referral to a medical doctor for further evaluation.

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Related Documents

Oral Cancer PDF

Description

Test your knowledge on oral cancer, including its definition, epidemiology, aetiology, risk factors, clinical manifestations, and diagnostic tools. This quiz covers essential information pertinent to understanding this common form of head and neck cancer.

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