Oral cancer physical examination: Difference between revisions
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{{CMG}}{{AE}}{{SSW}} | {{CMG}}{{AE}}{{SSW}} | ||
==Overview== | ==Overview== | ||
Common physical examination findings of oral cancer include a lump or thickening in the | 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 | ===Appearance of the patient=== | ||
* The | * The patient may appear ill and [[cachexic]] | ||
=== HEENT === | === HEENT === | ||
* Dental practitioners and dental care professionals should | * 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. | ||
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*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
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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]
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 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.
- Difficulty in moving tongue may be present.
- Numbness of the tongue may be present.
- Swelling of the jaw may be present.
References
- ↑ Scully C (2013). "Rule for cancer diagnosis". Br Dent J. 215 (6): 265–6. doi:10.1038/sj.bdj.2013.884. PMID 24072273.