oral cancer: L1 - Oral Cancer Screening and Patient Interactions/Aetiology of oral cancer Flashcards

1
Q

prevention of mouth cancer can be classified into primary, secodnary and tertiary programmes.

match the statements to their respected programmes.

  1. to mitigate the morbidity from established disease and to improve quality of life.
  2. prevents a disease from developing
  3. to detect disease while it is localised or ‘early’
A

primary prevention: prevents a disease from developing

secondary prevention: to detect disease while it is localised or ‘early’

tertiary prevention: to mitigate the morbidity from established disease and to improve quality of life.

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2
Q

population screening programmes can be divided into three types what are they?

A

mass screening

selective screening

opportunistic screening

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3
Q

more than 90 percent of cancers that occur in the oral cavity are what?

A

squamous cell carcinoma

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4
Q

name the condition: is a condition in which one or more white patches or spots (lesions) forms inside the mouth

A

Leukoplakia

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5
Q

there are two types of leukoplakia, what are they and which one is more likely to become canerous.

A

homogenous - mostly white, evenly coloured thin patches

non-homogenous - a mainly white or white red irregular shaped patch that may be flat, nodular (protrusions) or verrucous (elevated).

non-homogenous leukoplakia is seven times more likely to become cancerous

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6
Q

name this very rare, aggresive form of oral cancer

A

Proliferative verrucous leukoplakia

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7
Q

What are the causes of leukoplakia?

Leukoplakia is often associated with the following:

A

Heavy smoking.

Use of chewing tobacco or snuff

Chewing areca nut

Heavy use of alcohol

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8
Q

what is idopathic leukplakia

A

cases of leukoplakia, where there is no known causes

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9
Q

What are the symptoms of leukoplakia?

A

symptoms include one or more white patches on tyhe surface of the tongue.

NO PAIN or other symptoms are present.

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10
Q

similar leukplakia, what is the name of this condition

A

erythroplakia

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11
Q

if a lesion has persisted for longer than three weeks what should you do?

A

go get checked by your dentist

lesions lasting over three is a red flag

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12
Q

what is a two week wait referral

A

A ‘Two Week Wait’ referral is a request from your General Practitioner (GP) to ask the hospital for an urgent appointment for you, because you have symptoms that might indicate that you have cancer

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13
Q

Ear, Nose and Throat treat the oropharynx. what do they not treat

A

maxiliofacial

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14
Q

what are the two major risk factors for developing oral cancer

A

tobacco and alcohol

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15
Q

why does alcohol cause oral cancer

A

alcohol is metabolised to acetaldehyde, a known mutagen and carcinogen.

alcohol is metabolised in salivary glands, mucosa, oral bacteria.

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16
Q

which three viruses are responsible for cancers of the head and neck

A

HPV - human papilloma virus

EBV - Epstein-barr virus

HIV - human immunodeficiency virus

17
Q

HPV has circular DNA and is Epitheliotrophic. what does that mean

A

it targets mucosa

18
Q

HPV viruses can be grouped into high-risk (HR) and low-risk (LR) HPV types.

carcinogenesis, 16, 18, 31, 33, 35, 39, 45, and 52.are associated with which HPV group

A

High Risk HPV

19
Q

Epstein-Barr Virus (EBV)

transmitted by contact with saliva, sexual contact, blood transfusions, and organ transplantation. infection is life long.

EBV is a type of herpes virus that can cause what cancers

A

lymphoma

nose and throat cancers

mononucleosis

20
Q
A