oral cancer

Question 1

what is the incidence or new cases per annum.

Answer 1

we are quite low compared to average EU (greater than 20 for men, 5 women)

gradual increace in incidence over the year.

Question 2

oral cancer mortality rates.

Answer 2

Question 3

genisis of oral malignancy.
what two types of patches are there.

Answer 3

keratosis –> dysplasia–> carcinoma

Leukoplakia (5% become malignant) or Erythroplakia (80% –> malignant) (floor of mouth)

biopsy early and look for dysplasia.

Question 4

risk factors for oral carcinoma.

discuss mortality

Answer 4

% of alcohol present in drinks important.

alcohol + tobacco work synergistically.

high mortality- 70% present late.

Question 5

screening stratagies for oral cancer

Answer 5

Visual inspection (dentist etc)

Toludine blue dye
cy-scope (like dermatoscope)
fluorescence imaging
brush bopsy

Question 6

treatment options

Answer 6

as with any cancer
surgery- main rx these days.
radio
chemo