Oral cancer physical examination: Difference between revisions

Jump to navigation Jump to search
Line 3: Line 3:
{{CMG}}{{AE}}{{SSW}}
{{CMG}}{{AE}}{{SSW}}
==Overview==
==Overview==
Common physical examination findings of oral cancer include a lump or thickening in the oral soft tissues, soreness, difficulty chewing or [[swallowing]], ear [[pain]], difficulty moving the jaw or [[tongue]], [[hoarseness]], [[numbness]] of the tongue or [[swelling]] of the jaw that causes dentures to fit poorly.
Common [[physical examination]] findings of oral cancer include a lump or thickening in the [[Soft tissue|soft tissues]] of the [[oral cavity]], soreness, difficulty chewing or [[swallowing]], ear [[pain]], difficulty moving the [[jaw]] or [[tongue]], [[hoarseness]], [[numbness]] of the [[tongue]] or [[swelling]] of the [[jaw]] that causes dentures to fit poorly.
==Physical Examination==
==Physical Examination==
* A thorough head and neck examination should be a routine part of each patient's dental visit and general medical examination.
* A thorough [[Head and neck anatomy|head and neck]] examination should be a routine part of each patient's dental visit and general medical examination.


===Appearance of the Patient===
===Appearance of the patient===
* The general appearance of the patient is ill appearing, cachectic.
* The patient may appear ill and [[cachexic]]


=== HEENT ===
=== HEENT ===
* Dental practitioners and dental care professionals should examine the teeth and entire oral mucosa.  
* Dental practitioners and dental care professionals should examin the teeth and entire [[oral mucosa]].  
* Most common involved sites in the oral cavity include:
* Most common involved sites in the [[oral cavity]] include:
** Tongue
** [[Tongue]]
** Lateral and ventrolateral aspects of mouth
** Lateral and ventrolateral aspects of mouth
** Floor of mouth
** Floor of mouth
* Lesions such as ulcers, red or white patches may be visible
* Lesions such as [[ulcers]], red or white patches may be visible
* Any ulcer with induration that persists for more than 3 weeks then it should be biopsied.<ref name="pmid24072273">{{cite journal |vauthors=Scully C |title=Rule for cancer diagnosis |journal=Br Dent J |volume=215 |issue=6 |pages=265–6 |year=2013 |pmid=24072273 |doi=10.1038/sj.bdj.2013.884 |url=}}</ref>  
* Any [[ulcer]] with induration that persists for more than 3 weeks then it should be [[Biopsy|biopsied]].<ref name="pmid24072273">{{cite journal |vauthors=Scully C |title=Rule for cancer diagnosis |journal=Br Dent J |volume=215 |issue=6 |pages=265–6 |year=2013 |pmid=24072273 |doi=10.1038/sj.bdj.2013.884 |url=}}</ref>  


*Ear [[pain]] may be present.
*Ear [[pain]] may be present.
Line 23: Line 23:
*Soreness of the throat may be present.
*Soreness of the throat may be present.


*Difficulty in moving tongue may be present.
*Difficulty in moving [[tongue]] may be present.
*[[Numbness]] of the tongue may be present.
*[[Numbness]] of the [[tongue]] may be present.
*[[Swelling]] of the jaw may be present.
*[[Swelling]] of the [[jaw]] may be present.


==References==
==References==

Revision as of 16:21, 22 February 2018

Oral cancer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Oral cancer from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Staging

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Oral cancer physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Oral cancer physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Oral cancer physical examination

CDC on Oral cancer physical examination

Oral cancer physical examination in the news

Blogs on Oral cancer physical examination

Directions to Hospitals Treating Oral cancer

Risk calculators and risk factors for Oral cancer physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]

Overview

Common physical examination findings of oral cancer include a lump or thickening in the soft tissues of the oral cavity, soreness, difficulty chewing or swallowing, ear pain, difficulty moving the jaw or tongue, hoarseness, numbness of the tongue or swelling of the jaw that causes dentures to fit poorly.

Physical Examination

  • A thorough head and neck examination should be a routine part of each patient's dental visit and general medical examination.

Appearance of the patient

HEENT

  • Dental practitioners and dental care professionals should examin the teeth and entire oral mucosa.
  • Most common involved sites in the oral cavity include:
    • Tongue
    • Lateral and ventrolateral aspects of mouth
    • Floor of mouth
  • Lesions such as ulcers, red or white patches may be visible
  • Any ulcer with induration that persists for more than 3 weeks then it should be biopsied.[1]
  • Ear pain may be present.
  • Soreness of the throat may be present.

References

  1. Scully C (2013). "Rule for cancer diagnosis". Br Dent J. 215 (6): 265–6. doi:10.1038/sj.bdj.2013.884. PMID 24072273.

Template:WH Template:WS