CANCER LAAAA

Question 1

principles for mx of SCC (4 Rs)

Answer 1

• resection
• reconstruction
• rehabilitation
• review

Question 2

what is the ddx for multiloculated lesions on radiograph

Answer 2

MACHO mnemonic

myxoma
ameloblastoma
CGCG
hemangioma
OKC

Question 3

oral complications of cancer therapies

Answer 3

RADIOTHERAPY
- hyposalivation
- mucositis
- radiation caries
- taste loss/ change
- trismus
- disturbed tooth development/ eruption
- ORN (doses > 60 Gray)
- secondary malignancies

CHEMOTHERAPY
- immunosuppression
- bleeding
- mucositis
- taste loss/ change
- disturbed tooth development/ eruption

BONE MARROW THERAPY
- immunosuppression
- bleeding
- GVHD
- secondary malignancies

BISPHOS THERAPY
- MRONJ

Question 4

presentation of mucositis & mx

Answer 4

• appears 3-15 days after chemo/radio
• usually on non keratinized mucosa

MX:
- good OH
- frequent use of bland, non medicated, non alcoholic mouthrinses (eg saline, bicarb mouthrinse! chx not recommended)
- soft, bland diet
- oral cooling with ice water, ice chips in mouth
- stop denture use until mucositis resolves