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{{Oral cancer}}
{{Oral cancer}}
{{CMG}}{{AE}}{{Simrat}}
{{CMG}}; {{AE}} {{SSW}}; {{GRR}} {{Nat}}
==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.
This exam is abstracted from the standardized oral examination method recommended by the World Health Organization. The method is consistent with those followed by the Centers for Disease Control and Prevention and the National Institutes of Health. It requires adequate lighting, a dental mouth mirror, two 2" x 2" gauze squares, and gloves; it should take no longer than 5 minutes.
 
Possible signs of oral cancer include:
===Appearance of the patient===
*a lump or thickening in the oral soft tissues,
* The patient may appear ill and [[cachexic]].
*soreness
 
*difficulty chewing or swallowing
=== HEENT ===
*ear pain
* Dental practitioners and dental care professionals should examine the teeth and entire [[oral mucosa]].  
*difficulty moving the jaw or tongue
* Most common involved sites in the [[oral cavity]] include:
*hoarseness
** [[Tongue]]
*numbness of the tongue or other areas of the mouth,
** Lateral and ventrolateral aspects of mouth
*swelling of the jaw that causes dentures to fit poorly or become uncomfortable
** Floor of mouth
===Appearance of the Patient===
* Lesions such as [[ulcers]], red or white patches may be visible.
The general appearance of the patient is ill appearing, cachectic.
* Any [[ulcer]] with a duration 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>
===Ears===
 
*Ear pain may be present
*Ear [[pain]] may be present.
===Throat===
 
*Soreness of the throat may be present
*Soreness of the throat may be present.
===Oral Cavity===
 
*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==
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[[Category:Mature chapter]]
[[Category:Mature chapter]]
[[Category:Needs content]]


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[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Otolaryngology]]
[[Category:Gastroenterology]]
[[Category:Surgery]]

Latest revision as of 12:51, 11 April 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]; Grammar Reviewer: Natalie Harpenau, B.S.[3]

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

  • The patient may appear ill and cachexic.

HEENT

  • Dental practitioners and dental care professionals should examine 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 a duration 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.

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