Page 199 - 2021 IDMT Digital
P. 199
ORAL CANCER
Introduction:
• 0RXWK FDQFHU FDQ FDXVH VRUHV RU JURZWKV LQVLGH WKH PRXWK OLSV WRQJXH DQG RURSKDU\Q[
• 0RXWK FDQFHU PD\ PDQLIHVW DV ZKLWH UHG DQG SDOH RU GDUN FRORUHG OHVLRQV
• (DUO\ OHVLRQV PD\ DSSHDU DV OHXNRSODNLD ZKLWH RU HU\WKURSODNLD UHG
o /HXNRSODNLD ZKLWH OHVLRQ SUHVHQW IRU DW OHDVW WZR ZHHNV WKDW FDQQRW EH UHPRYHG
ZLWK UXEELQJ WKH PXFRVDO VXUIDFH
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o (U\WKURSODNLD UHG OHVLRQ SUHVHQW IRU DW OHDVW WZR ZHHNV WKDW FDQQRW EH UHPRYHG
ZLWK UXEELQJ WKH PXFRVDO VXUIDFH
DUH DVVRFLDWHG ZLWK VTXDPRXV FHOO FDUFLQRPD
• $GYDQFHG OHVLRQV PD\ DSSHDU DV HURVLRQV RU DV PDVVHV
• 6TXDPRXV FHOO FDUFLQRPD LV WKH PRVW SUHYDOHQW RUDO FDQFHU DQG XVXDOO\ RFFXUV DIWHU DJH
o (WLRORJLF ULVN IDFWRUV DUH VPRNLQJ DOFRKRO XVH DQG FRPELQHG VPRNLQJ DQG
DOFRKRO XVH
• 0DOHV KDYH RUDO FDQFHU WZLFH DV RIWHQ DV IHPDOHV
Subjective:
• )RFXVHG +LVWRU\
o (W2+ WREDFFR XVH DUH SULPDU\ ULVN IDFWRUV
o 8VH RI GHQWDO DSSOLDQFHV GHQWXUHV ± UHSHDWHG RU FKURQLF PHFKDQLFDO WUDXPD
o &KHPLFDO LUULWDWLRQ
o 6\VWHPLF GLVHDVH GLDEHWHV +,9 +39 LQIHFWLRQ RUDO ± JHQLWDO FRQWDFW &DQGLGD
DOELFDQV V\SKLOLV (%9
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH 96
o 3DLQ VFDOH ±
o 2UDO H[DP ZLWK SDOSDWLRQ RI DOO JODQGV
o &RPSOHWH +((17 H[DP
o ,QFOXGH QHFN IRU O\PSK QRGH LQYROYHPHQW
Assessment:
• 'LIIHUHQWLDO
o ,I DQ\ UHG RU ZKLWH OHVLRQV H[LVW LQ PRXWK WKDW DUH FOHDUO\ QRW WUDQVLHQW DSKWKRXV
XOFHUV RU KHUSHWLF YHVLFOHV RYHU WZR ZHHNV LQ GXUDWLRQ VKRXOG UHFHLYH FRQVXOW
ZLWK RUDO PHGLFLQH IRU ELRSV\
o (9$& RU D GHQWDO FRQVXOW IRU ELRSV\
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