Hpv head and neck cancer ppt, Congres National ORL - Program Preliminar

Just a warning, some of the pictures of the tumors may be unattractive. But for those of us who are visual learners, this might be helpful. The most common locations are in the mouth and parts of the throat called the oropharynx and larynx.

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Other locations include the sinuses, nasal cavity, salivary glands, and other parts of the throat called the nasopharynx and hypopharynx. While evidence for some of them may not be very strong, the risk of developing an oral, pharyngeal or laryngeal cancer increases linearly with tobacco and alcohol consumption.

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Numerous studies have concluded that tobacco, which contains carcinogens such as poloniumnitrosamines, and aromatic hydrocarbons, is directly linked to development of carcinomas. More than 90 percent of oropharyngeal cancers are associated with smoking.

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Alcohol has a strong association with head and neck cancer as well, especially when hpv head and neck cancer ppt user also smokes or chews tobacco. Although alcohol itself is not a carcinogen, it promotes the carcinogenicity of tobacco. Various chemicals have been associated with head and neck cancer, including asbestos, chromium, nickel, arsenic and formaldehyde.

Whether asbestos is a risk factor for head and neck cancer is controversial. While it is a strong risk factor for lung cancer, some studies have found no increased risk of head and neck cancers among asbestos workers. Plummer-Vinson Syndrome is rare, but these patients definitely have a high incidence of hypopharyngeal cancer.

Though a cause-and-effect relationship has not been established, Human Papilloma Virus DNA has been isolated from head and neck cancer as well as from cancers of the uterine cervix in females.

For example, hoarseness frequently occurs in the very earliest laryngeal glottic cancers.

Tumorile cerebrale.

Up to 80 percent of early oral cancers will demonstrate erythroplasia. Referred otalgia may accompany a cancer of the larynx, pharynx or oral cavity. Epistaxis, nasal obstruction, and serous otitis media can all herald a nasopharyngeal cancer. Early cancer in many sites, e. Although not an early sign, a neck mass may be the first presenting symptom.

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Any high-risk patient with a neck mass should be thoroughly evaluated for a head and neck primary cancer. A non-healing ulcer, dysphagia or a submucosal mass may also hpv head and neck cancer ppt as warning signs of potential carcinomas. Pot fi asimptomatice mult timp!

Within these broad categories are many more individual primary sites. As you can see, there are dozens of primary sites covered by the coding, staging, multiple primary and histology rules for head and neck.

Congres National ORL - Program Preliminar 2018

But many of the sites can be grouped together because of location and behavior. After we get through all of those, we will discuss the location and issues about regional lymph nodes. We are not required to abstract skin tumors of the lip. That includes codes to and in that group are squamous and basal cell carcinomas.

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Basal cell tumors are considered skin cancers and would be site coded to C44 skin and not reportable. Squamous cell cancers can be found on the skin OR the vermilion surface, so you will need to read the operative note carefully to decide if the tumor should be coded C00 vs C Per SEER Inquiry System, review the operative and pathology reports, and the physical exam for mention of "mucosal surface" reportable or "skin" not reportable.

Cancer of the Head and Neck, 4th edition. China and India have much higher frequencies of tongue cancer more than 28,but they also have a larger population more than 1 billion people compared to our million. When you compare the United States to countries our size, the rates seem equivalent.

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France and Hungary have a higher rate; Mexico and Japan have a lower rate for unknown reasons. The base hpv head and neck cancer ppt tongue has a different code and is included in another site group oropharynx.

The tip is the part that comes out of the mouth first. The frenulum neuroendocrine cancer death rate is the mucous membrane on the ventral surface, hpv head and neck cancer ppt, that anchors the tongue to the floor of mouth.

There are other frenulums within the body; they are small folds of tissue that restrict or secure a mobile part and can be found in the lower lip, brain, vulva, and penis.

Usually when we think of frenulum, we are thinking of the one under the tongue. Histology is usually some type of squamous cell including keratinizing squamous cell.

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There can also be other types such as sarcomas, Kaposi, etc. Next, we move into the pharynx. This is a very confusing part of the anatomy. The function of the nasopharynx is to conduct air breathed in hpv head and neck cancer ppt the nose down to the rest of the pharynx and to channel mucus produced by the membranes within the nose down the throat.

Symptoms include a lump in throat, nosebleeds, or earache. The larynx not only serves as an air passage, it aids in phonation creating soundsand also acts as a sphincter to guard the airway.

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Larynx cancers have similar ratios to other head and neck cancers that vary by sex and race: that is, more common in males and in African Americans 1.

Reference: 1. Larynx Cancer: Who is at risk for larynx cancer?

TX: Tumora primară nu poate fi evaluată T0: Nu există dovezi ale tumorii primare T1: Tumora este de 2 cm sau mai puțin T2: Tumora este mai mare de 2 cm, dar nu mai mult de 4 cm T3: Tumora este mai mare de 4 cm N Ganglionii limfatici regionali NX: Nodulii limfatici regionali nu pot fi evaluați N0: Nu există metastaze regionale ale ganglionilor limfatici N1: Metastază într-un singur ganglion limfatic de 3 cm sau mai puțin N2: Metastază într-un singur ganglion limfatic, mai mare de 3 cm dar nu mai mult de 6 cm N3: Metastază la un ganglion limfatic mai mare de 6 cm M Metastaze la distanță MX: Prezența metastazelor îndepărtate nu poate fi evaluată M0: Nu există metastaze îndepărtate M1: Metastază la distanță Obiectivele în tratamentul cancerului buzelor sunt: vindecarea cancerului menținerea aspectului și funcției buzelor prevenirea reapariției cancerului Chirurgia este cel mai frecvent tratat pentru cancerul de buze. În cazul în care cancerul este mai avansat, radioterapia, chimioterapia sau ambele pot fi utilizate pentru a micșora tumora înainte sau după intervenția chirurgicală pentru a reduce riscul de revenire a cancerului. Intervenția chirurgicală Pentru cancerele în stadii incipiente, un chirurg va îndepărta țesutul canceros și o zonă foarte mică de țesut sănătos care înconjoară cancerul. Incizia este închisă cu suturi. Suturile din gură și din buză se vor dizolva.

The paranasal sinuses are air spaces within bone and are lined with squamous epithelium.

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