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Soft Tissue Lesions
Module 8
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Reduce deaths from skin, oral, and pharyngeal cancers:
•Early detection
•Appropriate treatment
•Referral
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Skin Cancer FactsSkin Cancer Facts
• Most common of all cancer types
• Over 1,000,000 diagnosed yearly in the United States
• 2 main types:
– Melanoma
– Nonmelanoma
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MelanomaMelanoma
• Account for over 60% of skin cancer deaths
• Always treatable if caught soon enough
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NonmelanomaNonmelanoma
• Basal cell
• Squamous cell
• Rarely spread to other parts of the body
• Less likely than melanoma to be fatal
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Oral and Pharyngeal Cancer FactsOral and Pharyngeal Cancer Facts
• 30,000 diagnosed yearly in the United States
• More than 25% with oral cancer will die
• Claims almost as many lives as melanoma
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Soft Tissue LesionSoft Tissue Lesion
• Area of abnormal-appearing skin or mucosa
• Vary in color, texture, and form
– Present at birth—Birthmark
– Infection—Wart or acne
– Allergic reaction—Hives
– Injury—Blister or scar
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Regular BorderRegular Border
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Irregular BorderIrregular Border
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Smooth MarginSmooth Margin
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Raised MarginRaised Margin
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Red and White LesionRed and White Lesion
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White LesionWhite Lesion
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Yellow LesionYellow Lesion
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Blue LesionBlue Lesion
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Discrete ConfigurationDiscrete Configuration
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Grouped ConfigurationGrouped Configuration
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Confluent ConfigurationConfluent Configuration
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Linear ConfigurationLinear Configuration
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MaculeMacule
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PatchPatch
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PapulePapule
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PlaquePlaque
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NoduleNodule
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WhealWheal
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VesicleVesicle
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BullaBulla
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PustulePustule
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Superficial UlcerSuperficial Ulcer
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Deep UlcerDeep Ulcer
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CrackCrack
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FissureFissure
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Lesion DescriptionsLesion Descriptions
• Characteristics
– Anatomic location
– Border traits
– Color
– Configuration
– Dimensions
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Descriptions (Cont’d)Descriptions (Cont’d)
• Primary types
– Flat
– Elevated
– Fluid-filled
– Depressed
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Formula for DescribingFormula for Describing
A—Anatomic location
B—Border
C—Color and configuration
D—Dimension
T—Type
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Tools for Oral Cancer DetectionTools for Oral Cancer Detection
• Head and neck examination
• Oral examination
• Patient history
• Alcohol and tobacco use
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Dental Professional’s Role for Patients Who Use Tobacco and AlcoholDental Professional’s Role for Patients Who Use Tobacco and Alcohol
• Examine
• Ensure
• Educate
• Identify
• Refer
• Follow up
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Smoking Cessation CounselingSmoking Cessation Counseling
• Ask
• Advise
• Refer
• Quit lines
– 1-800-QUIT- NOW (US Dept of Health and Human Services)
– 1-877-44U-QUIT (National Cancer Institute)