Referral of Suspicious Lesions Flashcards
How many cases of Oral Cancer are recorded every year?
9000
How many cases of oral cancer are detected worldwide?
650,000
Prevalence of Oral Cancer?
• Men
• 55 years +
• Tonsils and Tongue
What are the most common symptoms to look out for?
More than 3 weeks:
• ulcers
•red/white patches
•lumps/ swellings
• sore throat
• loss of teeth with no explanation
What are the three types of traumatic ulcers?
- Mechanical
- Chemical
- Thermal
Give an example of a cause of a mechanical ulcer?
• sharp tooth
• wire/ bracket from an orthodontic appliance
Give a example of a Chemical Ulcer?
• Asprin burn
Give an example of a Thermal ulcer?
• hot foods/ drinks
What are the three types of ulcers?
- Traumatic
- Idiopathic
- Malignant
What is a Minor Ulcer?
• 2-5 mm
• Heals in 10-14 days
• grey and red outer ring
• painful
What is a major ulcer?
•6-10mm
• Multiple
• heals in 4-6 weeks
What presents as red patches?
Erythroplakia
What presents as white patches?
Leukoplakia
What is Erythroplakia?
•Red patches
• irregular
• flat/ smooth or granular surface
What is Leukoplakia?
• white patches
• 2 types
- Homogenous
- Non Homegenous
What is Homogenous?
• Leukoplakia=
• low risk
• Uniform and looks the same throughout
What is Non Homogenous?
• Leukoplakia
• High Risk
• variation in appearance
What risk factor is Leukoplakia associated with?
• Tobacco
• Chewing Tobacco
Ref info needed:
• Date
• Orthodontist/Specialist/ GDP contact details
• pt correct contact details
• Pts MH,DH,PH and family history
• Reason- advice/screening
• Details of lesion
• supporting evidence- XRAYS, PHOTOS