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What is head and neck cancer?
location can affect?
tumors that grow in the mouth, throat, voice box or neck
breathing, eating, voice, speaking, and appearance
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How common is it?
approx ____ new cases in US every year?
___ % have very advanced cancers by the time they 1st see a doctor?
___ is the 2nd in the US in deaths from head and neck cancer?
40,000
50
South Carolina- Charleston County
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Risk factors?
- Tobacco (90%)
- alcohol
- viruses-HPV
- overexposure to the sun
- other possible factors: chronic irritation, genetics
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Risks:
____ increases your risk by 15 times compares to a non smoker
___ increases your risk of head and neck cancer 4 times?
____ is very addictive has as much nictone as 3 cigarettes?
cigarette smoking
chew/dip/smoke-less tobacco
dip/chew
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Human Papilloma Virus (HPV)- associated H&N cancers
Increasing __?
Cause ?
___?
___?
___?
- incidence
- >50% of tonsil and tongue base cancers
- young, non-smokers
- high risk strains often sexually transmitted (>95% due to HPV 16)
- very aggressive so prevention is key
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Where do the cancers begin?
areas where tobacco and alcohol have the most contact.
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As the cancer grows cells can ___ and travel to ___ in ?
- break off
- Lymph nodes
- neck
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How do the cancers grow?
Pre-cancerous lesions?
- white patches
- will not rub off
- 4-18% will develop into cancer
- red patches
- persisten without obvious cause
- removal recommended because- 20-30% will develop into cancer
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Symptoms of head and neck cancer:
Oral cavity?
- non-healing ulcer**
- bleeding
- loose tooth, poor fitting denture
- diff speaking
- diff swallowing
- pain
- weight loss
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Symptoms of head and neck cancer:
Throat?
- Ear pain (from nerves that go to noth throat and ear)
- painful/difficulty swallowing
- muffled voice
- diff mouth-opening
- weight loss
- lump in neck
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Symptoms of head and neck cancer:
Voice Box?
- hoarseness/voice change
- painful/diff swallowing
- ear pain
- weight loss
- neck mass/lump
- breathing diff
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If breathing diff people may need a ___ to breathe?
Tracheotomy
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Treatment team
Tx decisions are made by a team of professionals along with__?
Professionals?
pt and family
head and neck surgeons (ENT), radiation and chemo doctors
nurses, speech/swallowing experts, dentistry experts
nutritionists, phyical therapists and more
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Chemo ___ the cancer
results?
Radiation ___ the cancer
results?
- poisons
- hair loss
- nausea
- fatigue (tired)
- burns:
- peeling painful mouth tissue (mucositis)
- very dry mouth
- scarring
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