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Initial Detection and Evaluation: Intraoral Neoplasms

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Book cover Head and Neck Management of the Cancer Patient

Part of the book series: Developments in Oncology ((DION,volume 36))

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Abstract

This chapter reviews the principles and techniques used to detect and evaluate intraoral cancer. These concepts have direct clinical importance; survival rates, which vary with site, can be improved with early detection (figure 10–1) [1–7]. In addition, many people see their dentist routinely, thereby providing the opportunity for early detection. These clinicians should thus carefully and regularly examine all intraoral structures and palpate the neck in their patients, particularly those individuals at risk. By virtue of their training, dentists are the individuals most integrally involved with oral health and disease. Thus, the responsibility for early recognition of oral pathologic changes is frequently theirs.

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References

  1. Hahn W: Clinical signs for the early recognition of cancer of the oral cavity. Int Dent J 27:165–71, 1977.

    PubMed  CAS  Google Scholar 

  2. Mashberg A, Garfinkel L: Early diagnosis of oral cancer: the erythroplastic lesion in high risk sites. CA 28:297–303, 1978.

    Article  PubMed  CAS  Google Scholar 

  3. Johnson JT, Edwards PA: The asymptomatic smooth palatal mass: a dangerously deceptive growth. Postgrad Med 68:96–104, 1980.

    PubMed  CAS  Google Scholar 

  4. Silverman S: Diagnosis. In: Silverman S (ed) Oral cancer. New York, American Cancer Society, 1981, pp 36–47.

    Google Scholar 

  5. Williams RG: The early diagnosis of carcinoma of the mouth. Ann R Coll Surg Engl 63:423–425, 1981.

    PubMed  CAS  Google Scholar 

  6. Ildstad ST, Bigelow ME, Remensnyder JP: Intra-oral cancer at the Massachusetts General Hospital. Ann Surg 197:34–41, 1983.

    PubMed  CAS  Google Scholar 

  7. Sonis ST, Fasio RC, Fang L: Squamous cell carcinoma of the head and neck. In: Principles and practice of oral medicine. Philadelphia, WB Saunders, 1984, pp 483–497.

    Google Scholar 

  8. Batsakis JG: Squamous cell carcinomas of the oral cavity and the oropharynx. In: Tumors of the head and neck: clinical and pathological considerations, 2nd edn. Baltimore, Williams and Wilkins, 1979, pp 144–176.

    Google Scholar 

  9. Silverman S, Shillitoes EJ: Etiology and predisposing factors. In: Silverman S (ed) Oral cancer. New York, Am Cancer Society, 1981, pp 6–35.

    Google Scholar 

  10. Poulson TC, Lindenmuth JE. Greer RO: A comparison of the use of smokeless tobacco in rural and urban teenagers. CA 34:248–261, 1984.

    PubMed  CAS  Google Scholar 

  11. Birt BD, From L, Main JH: The diagnosis of melanotic and other pigmented lesions of the lips and oral mucosa (dark spots in the mouth). J Otolaryngol 7:203–210, 1978.

    PubMed  CAS  Google Scholar 

  12. Powell JP, Cummings CW: Melanoma and the differential diagnosis of oral pigmented lesions. Laryngoscope 88:1252–1265, 1978.

    Article  PubMed  CAS  Google Scholar 

  13. Maffrey TV, Neel HB, Gaffey TA: Malignant melanoma of the oral cavity: review of 10 cases. Laryngoscope 90:1329–1335, 1980.

    Google Scholar 

  14. Gad A, Willen H, Willen R, Thorstensson S, Ekman L: Necrotizing sialometaplasia of the lip simulating squamous cell carcinoma. Histopathology 4:111–121, 1980.

    Article  PubMed  CAS  Google Scholar 

  15. Shafer WG, Hine MK, Levy BM: A textbook of oral pathology. Philadelphia, WB Saunders, 1983, pp 92–93.

    Google Scholar 

  16. Mashberg A: Erythroplasia vs. leukoplakia in the diagnosis of early asymptomatic oral squamous carcinoma [editorial]. N Engl J Med 297:109–110, 1977.

    Article  PubMed  CAS  Google Scholar 

  17. Cherry CQ, Glass RT: Large cell carcinoma metastatic to the jaw. Oral Surg 44:358–361, 1977.

    Article  Google Scholar 

  18. Peterson DE, Gerad H, Williams LT: An unusual instance of leukemic infiltrate: diagnosis and management of periapical tooth involvement. Cancer 51:1716–1719, 1983.

    Article  PubMed  CAS  Google Scholar 

  19. Nier BL, Mighe AH, Snow JF, Czako RG, Leavitt RD, Blanchard CL: Acquired immune deficiency syndrome presenting as oral pharyngeal and cutaneous Kaposi’s sarcoma. Laryngoscope 93:1466–1469, 1983.

    Google Scholar 

  20. Pleasants JE: Role of the oral surgeon in the diagnosis of head and neck cancer. In: Proceedings of annual clinical conference on cancer: neoplasia of head and neck. Chicago, Year Book, 1974, pp 221–223.

    Google Scholar 

  21. Safour IM, Wood NK, Tsiklakis K, Doemling DB, Joseph G: Incisional biopsy and seeding in hamster cheek pouch carcinoma. J Dent Res 63:1116–1120, 1984.

    Article  PubMed  CAS  Google Scholar 

  22. Qin D, Yang Z, Hu Y, Gu X, Zhang R: Multiple-hole needle for puncture biopsy. Cancer 53:1011–1015, 1984.

    Article  PubMed  CAS  Google Scholar 

  23. Mashberg A: Tolonium (toluidine blue) rinse: a screening method for recognition of squamous carcinoma. Continuing study of oral cancer. IV. JAMA 245:2408–2410, 1981.

    Article  PubMed  CAS  Google Scholar 

  24. Mashberg A: Reevaluation of toluidine blue application as a diagnostic adjunct in the detection of asymptomatic oral squamous carcinoma: a continuing prospective study of oral cancer. III. Cancer 46:758–763, 1980.

    Article  PubMed  CAS  Google Scholar 

  25. Mashberg A: Final evaluation of tolonium chloride rinse for screening of high-risk patients with asymptomatic squamous carcinoma. J Am Dent Assoc 106:319–323, 1983.

    PubMed  CAS  Google Scholar 

  26. Mashberg A, Barsa P: Screening for oral and oropharyngeal squamous carcinoma. CA 34: 262–268, 1984.

    PubMed  CAS  Google Scholar 

  27. Silverman S, Migliorati C, Barbosa J: Toluidine blue staining in the detection of oral precancerous and malignant lesions. Oral Surg 57:379–382, 1984.

    Article  PubMed  Google Scholar 

  28. Gluckman JL: Synchronous multiple primary lesions of the upper aerodigestive system. Arch Otolaryngol 105:597–598, 1979.

    PubMed  CAS  Google Scholar 

  29. Dabelsteen E, Graem N, Hakomori S, Young WW Jr: Monoclonal antibodies in the diagnosis of epithelial premalignant lesions. Bull Cancer 70:127–131, 1983.

    PubMed  CAS  Google Scholar 

  30. Shillitoe EJ, Greenspan D, Greenspan JS, Silverman S: Immunoglobulin class of antibody to herpes simplex virus in patients with oral cancer. Cancer 51:65–71, 1983.

    Article  PubMed  CAS  Google Scholar 

  31. Shillitoe EJ, Greenspan D, Greenspan JS, Hansen LS, Silverman S: Neutralizing antibody to herpes simplex virus type I in patients with oral cancer. Cancer 49:2315–2320, 1982.

    Article  PubMed  CAS  Google Scholar 

  32. Klavins JV: Advances in biological markers for cancer. Ann Clin Lab Sci 13:275–280, 1983.

    PubMed  CAS  Google Scholar 

  33. Lingeman RE, Singer MI: Evaluation of the patient with head and neck cancer. In: Suen JY, Myers EN (eds) Cancer of the head and neck. New York, Churchill Livingstone, 1981, pp 12–24.

    Google Scholar 

  34. Wortzman G, Holgate RC: Computerized tomography in otolaryngology. Laryngoscope 86:1552–1561, 1976.

    Article  PubMed  CAS  Google Scholar 

  35. Nakawaga H, Wolf B: Delineation of lesions of the base of the skull by computer tomography. Radiology 124:75–80, 1977.

    Google Scholar 

  36. Lipuma JP, El Yousef SJ, Haaga JR, Alfidi RJ, Bryan PJ, Resnick MI: Introduction to renal nuclear magnetic resonance imaging. In: Javadpour N (ed) Principles and management of urologie cancer. Baltimore, Williams and Wilkins, 1983, pp 265–271.

    Google Scholar 

  37. Smith NJ, Teates CD, El-Mahdi AM, et al.: The value of gallium-67 scanning in the evaluation of head and neck malignancy. Laryngoscope 85: 778–786, 1975.

    Article  PubMed  CAS  Google Scholar 

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© 1986 Martinus Nijhoff Publishing, Boston

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Peterson, D.E., Overholser, C.D., Bergman, S.A., Beckerman, T. (1986). Initial Detection and Evaluation: Intraoral Neoplasms. In: Peterson, D.E., Elias, E.G., Sonis, S.T. (eds) Head and Neck Management of the Cancer Patient. Developments in Oncology, vol 36. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2289-4_10

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  • DOI: https://doi.org/10.1007/978-1-4613-2289-4_10

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9411-5

  • Online ISBN: 978-1-4613-2289-4

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