TAILIEUCHUNG - ORAL CANCER AND ITS DETECTION - HISTORY-TAKING AND THE DIAGNOSTIC PHASE OF MANAGEMENT

Tobacco smoke is highly addictive and has been linked to 20 percent of all deaths in the United States. It contains many cancer- causing chemicals, and almost one third of all cancer deaths are related to tobacco use. Tobacco smoking has generally been considered to have little or no association with breast cancer risk. Newer studies have challenged this conclusion and suggested a connection between smoking and an increased risk of breast cancer, but more investigation is needed to resolve this issue. Passive smoking has been linked with an increased risk of lung cancer and heart disease. Studies have also indicated. | Oral cancer and its detection History-taking and the diagnostic phase of management JAMES J. SCIUBBA . . Oral squamous cell carcinoma the most common oral malignancy often presents a clinical diagnostic challenge to the dental practitioner particularly in its early stages of development. While the majority of such cancers are associated with a long history of smoking and alcohol abuse there is an increasing awareness of oral cancers developing in those who do not engage in either of these risk behaviors. Therefore the dentist must consider all patients at risk and act accordingly in the history-taking and examination phases of the dental visit. By recognizing and establishing a diagnosis of oral cancer development in its early phase the clinician can help the patient greatly increase his or her chances for a cure and a normal full life. On the other hand a much poorer outcome results when presentation and diagnosis are established at a later more advanced stage. As clinicians we can greatly influence disease outcome and quality of life when we confront oral mucosal alterations representing early squamous cell carcinoma in our patients. The diagnosis of oral precancer and cancer remains a challenge to the dental profession particularly in the detection evaluation and management of early-phase alterations or frank disease. THE IMPORTANCE OF THE INITIAL INTERVIEW The diagnostic phase of patient management begins with an assessment of the medical history and its potential impact on the dental history and overall management of any oral disease or condition. Health history questionnaires must include pertinent questions relative not only to general health but also to Background. Comprehensive patient evaluation begins with an accurate analysis of all factors of the patient s history before the physical examination is performed. Risk factor identification is particularly important in most cases of oral mucosal dysplasia and carcinoma as it alerts the clinician to

• Y học thường thức
• Bone metastases
• Behavioral and Psychosocial
• Obesity and Quality
• Psychological Impact
• Chronic Renal Failure
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• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu y khoa
• Harrisons Internal Medicine
• soft Tissue
• soft Bone Sarcomas
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• BMC Musculoskeletal Disorders
• Prostate cancer
• Bone scintigraphy
• Spinal osteoarthritis
• Quantitative SPECT
• Prostate cancer metastases
• BMC Cancer
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• Physical exercise
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• Spinal bone metastases
• Stereotactic body radiotherapy
• Spinal metastases
• Highly conformal manner
• Pulmonary metastasectomy
• Bone sarcoma
• Lung metastases
• Institutional experience
• Metastatic sarcomas
• Bone targeting agents
• Patient reported pain
• Bone pain related quality of life
• Non interventional
• Patterns of care
• Thyroid cancer
• Osteonecrosis of the femoral head
• Subchondral bone metastases
• Randomized controlled trial
• Prognostic factors
• Scoring system
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• Receive radiotherapy
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• Sex disparity
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• Multivariable logistic regression
• Radium 223
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• Baseline symptomatic disease
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