Oral malignancies and Cancer Flashcards

1
Q

Name 3 symtoms of oral cancers?

A

Ulceration, bleeding and induration

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2
Q

Describe the epidemiology of Oral cancer

A

Much higher in women than in men (nearly 2 times as much)

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3
Q

What type of oral cancer has the highest 4 year survival rate?

A

Lip

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4
Q

What happens to the prevelance of oral cancer with age

A

An increase as age increases

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5
Q

What age are most oral cancer patients

A

> 50 years old

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6
Q

Name some causes of oral cancer

A
Tobacco
Alcohol
diet and nutrition
HPV 
UVL 
Candida
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7
Q

Why do people think that the water pipe is safer?

Why is it not?

A

Because it is filtered through water

It can be inhaled further into the lungs

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8
Q

What are the guidelines of alcohol per week

A

21 units for males

14 units for females

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9
Q

Give an example of 1 unit

A

Half pint beer
Shot of spirit
Glass of wine

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10
Q

What is the daily maximum alcohol unit recommended for men and women?

A

3-4 in males

1-2 in females

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11
Q

What is a binge drink for men and women?

A

Males - at least 8 units
Females - at least 6 units
i.e. double the maximum amount for 1 day

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12
Q

What are the nutritional risks for Oral Cancer

A

Low Vit. A, C and Iron all increase the risk of Oral cancer

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13
Q

Describe the prognosis for HPV and non HPV with association to oropharyngeal cancer

A

There is a better prognosis for HPV associated oropharyngeal cancer than for non HPV

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14
Q

How do you prevent Oral Cancer?

A

Stop smoking and decrease alcohol intake

Increase fruit and veg increase

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15
Q

What are the common signs for early oral cancer

A

White and red lesions anywhere in the mouth

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16
Q

Where are the high risk sites

A

Soft non keratinizing sites:
Ventral tongue
Floor of mouth
Lateral tongue

17
Q

Where are the rare sites of oral cancer?

A

Dorsal tongue

Hard palate

18
Q

What are the majority of cancers which present in the mouth?

A

Squamous cell carcinoma

19
Q

What colour do melanomas tend to be?

A

Black

20
Q

What are the warning signs for oral cancer?

A
Red/ white / red and white lesion
Ucler (exclude trauma, drug, systemic etc)
Numb feeling eg. lip or face
Unexplained pain in mouth or neck 
Change in voice 
Dysphagia 
Drooping eye lid or facial palsy
Fracture of mandible
Dougle vision
Blocked or bleeding from nose
Facial swelling
21
Q

What are the 4 key questions to ask a patient?

A

How long has the lesion been present for ? (2-3 weeks)
Is it painful? (pain is a usually late manifestation of OC but would be expected if benign ulcer
Does patient smoke? and Drink? how Much ?
What colour is the lesion?

22
Q

Who was John Diamond?

A

A journalist diagnosed with throat and tongue cancer