Head and Neck Cancers Flashcards

1
Q

what type of tissue do H&N cancers originate

A

squamous cells lining mucosal surfaces

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2
Q

which areas are classified as H&N cancers

A
oral cavity 
pharynx 
larynx
nasal cavity/paranasal cavity 
salivary glands
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3
Q

what are the risk factors for developing H&N cancers

A
tobacco
alcohol 
specific viruses 
betel nut 
poor oral health 
hardwood
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4
Q

which virus is associated with oropharyngeal cancers

A

HPV type 16

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5
Q

HPV associated oropharyngeal cancers have a better prognosis true/false

A

true

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6
Q

EBV is associated with which head and neck cancer

A

nasopharyngeal cancers

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7
Q

what is a typical presentation of nasopharyngeal cancer

A

unilateral otalgia – blockage of eustachian tube and blocked nose

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8
Q

what is the presentation of oral cavity cancers

A

white/red patches on gums/tongue

swelling of the jaw bleeding in the mouth

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9
Q

what is the presentation of pharyngeal cancers

A

difficulty breathing/speaking
dysphagia
pain/lump in neck
ringing in ears or hearing loss

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10
Q

what is the presentation of paranasal/nasal cancers

A

epistaxis
blocked sinuses
frequent unexplained headaches
pain around eyes/upper teeth

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11
Q

what investigations are required for potential head and neck cancers

A

radiology - ultrasound for lymph nodes and MRI for soft tissues
fine needle aspiration
endoscopy and biopsy

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12
Q

lymph node metastases are painful/painless

A

painless

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