Soft Tissue Lesions

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Copyright © 2007 Lippincott Williams & Wilkins.

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)