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P & P II > Ch. 31 Head and Neck Cancer PP > Flashcards

Ch. 31 Head and Neck Cancer PP Flashcards

1
Q

6 most common sites affected

A 
oral cavity
pharynx
paransal sinuses
larynx
thyroid gland
salivary glands
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2
Q

most common histologic type

A

SCC

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3
Q

incidence rate higher in women or men?

A

men

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4
Q

risk factors

A 
tobacco and alcohol use
UV light exposure 
viral infection
occupational exposure 
raidaiton exposure 
diet 
marijuana 
dentures 
genetics
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5
Q

viral infection associated with nasopharynx cancer

A

epstein barr virus

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6
Q

morbidity of treatment ____ and prognosis ____ as the affected area progess ____ from lips to hypopharynx

A

increases
decrease
backward

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7
Q

divisions of the pharynx

A

nasopharynx
oropharynx
laryngopharynx

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8
Q

respiratory tube is located in which portion of the pharynx

A

nasopharynx

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9
Q

gigestive tubes located in which portion (s) of the pharyxn

A

oropharynx and hypopharynx

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10
Q

inferior margin of the nasopharynx

A

C1

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11
Q

oropharynx

A

C2-C3

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12
Q

epiglottis

A

C3

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13
Q

true vocal cords

A

C4

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14
Q

lymphatic drainage is mostly

A

ipsilateral

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15
Q

5 areas where bilateral drainage occurs

A 
soft palate 
tonsils 
base of tongue 
posterior pharyngeal wall
nasopharynx
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16
Q

most common histologic type

A

SCC

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17
Q

salivary glands histology

A

adenocarcinoma

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18
Q

two cells that are nondividing but radiosensitive

A

small lymphocytes and salivary glands

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19
Q

what is located in the oral cavity region

A 
anterior 2/3 of the tongue 
lip 
buccal mucosa
lower alveolar ridge
upper alveolar ridge
retromolar trigone
floor of mouth
hard palate
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20
Q

most common histology in oral cavity

A

SCC

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21
Q

2nd lowest incidence of mets in H&N cancer

A

oral cavity

22
Q

posterior 1/3 portion of the tongue is apart of the

A

oropharynx

23
Q

locatd behind the mouth from soft palate to level of hyoid bone

A

oropharynx

24
Q

what is included in the oropharynx

A

base of tongue
tonsils
soft palate
oropharyngeal walls

25
Q

most common site for oropharynx cancer

26
Q

Located from hyoid bone to termination in the esophagus

A

hypopharynx

27
Q

what is included in the hypopharynx

A

Pyriform sinuses
postcricoid
lower posterior pharyngeal walls below the base of the tongue

28
Q

most common site for cancer in the phyopharynx for men

A

pyriform sinus

29
Q

most common site for cancer in the phyopharynx for women

A

postcricoid

30
Q

Located behind nose, extending from posterior nares to level of soft palate

A

nasopharynx

31
Q

what is included in the nasopharynx

A

Posterosuperior pharyngeal wall and lateral pharyngeal wall
eustachian tub orifice
adenoids

32
Q

what three nodes does nasopharyngeal cancer spread most often

A

retropharyngeal
upper jugular
spinal accessory nodes(posterior cervical)

33
Q

most common distant mets sites of nasopharyngeal cancer

A

bone
lung
liver

34
Q

Contiguous with the lower portion of the pharynx above, connected with trachea below

35
Q

most common head and neck cancer

A

laryngeal cnacer

36
Q

most common laryngeal cancer

A

glottis/true vocal cords

37
Q

3 salivary glands

A

parotid
submandibular
sublingual

38
Q

most common site for salivery gland cancer

39
Q

largest salivary gland

40
Q

most common sinus cancer

41
Q

morbidity is higher with what two treatment types

A

surgery and radiation

42
Q

xerostomia occurs after what dose

43
Q

dimished longterm salivery function occurs at what dose

44
Q

cataracts may develop after what dose

45
Q

servere dry eye syndrome has been reported in 100% of patients recieivng more than

46
Q

taste buds are (radioresisent or radiosensitve)

A

radiosensitive

47
Q

common symptoms of the oral cavity

A

swelling

an ulcer that fails to heal

48
Q

common symptoms of the oporharynx

A

bloody discharge

difficulty hearing

49
Q

common symptoms of the larynx

A

hoarseness and stridor

50
Q

common symptoms of the hypopharynx

A

dsyphagia (difficulity swallowing)

painful neck node

51
Q

common symptoms of the nose/sinuses

A 
obstruction
discharge
facial pain
diplopia (double vision)
local swelling

P & P II (34 decks)

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