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
                       ƒ          RIWHQ DVVRFLDWHG ZLWK VPRNHOHVV WREDFFR XVH
                 o  (U\WKURSODNLD  UHG OHVLRQ SUHVHQW IRU DW OHDVW WZR ZHHNV WKDW FDQQRW EH UHPRYHG
                    ZLWK UXEELQJ WKH PXFRVDO VXUIDFH
                       ƒ      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\



















                                         [ 198 ]
   194   195   196   197   198   199   200   201   202   203   204