Are you concious about Oral Cancer....!!!!!




 Oral Cancer

carcinoma


Oral cancer in medical term most commonly recognized as oral carcinoma. In Asian countries like India, Sri Lanka and Bangladesh cancer of the mouth accounts for approximately 40% or more. And it also accounts for only about 25 of all malignant tumours in such countries as the UK and the USA. Over 70% of oral cancers arised from on the lateral borders of the tongue and asjacent alveolar region and floor of the mouth. 95% cases are well or moderately well-differentiated squamous cell carcinoma.

Oral cancer is a age-related disease and more frequenty seen in those aged 30-50.

Probable Causes are Tobacco chewing, alcohol consumption, betel quid habit.

Infections like Shyphilis, Candidosis and other viral infections are sometimes responsible.

Other mucosal dieseases like Oral epithelial dysplasia, Lichen planus, Oral submucous fibrosis can cause oral cancer.

 Clinical features

In earky stage it appears as white or red paches or ulcers, sometimes may be painless or sligthly sore. later it become large and painful. It may spreads by diresct invasion by surrounding tissue and by lymphatic metastasis. The submandibular and jugolodigastric lymphnode are most commonly involved.

Investigation

  • Investigation is done by Biopsy  

  • Imaging for oral cavity cancers and FNAC

Treatment

Hemi-mandibulectomyreconstruction plate

In practice most cases are trested by surgery combined wuth radiotherapy. surgery alone is preffered for small carcinomas of the tongue thet may be easily excised. And if it involed bones then it depend upon surrounding region. Sometimes partial mandibulectomy( removal of a part of mandible) or hemi-mandibulectomy(removal of half portion of lower jaw in figure) is done. Partial parts of removed jaw is retained by re-construction plate(Radiographic figure).

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