From: Subject: Name of speciality Date: Fri, 1 Sep 2006 12:36:11 +0530 MIME-Version: 1.0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: file://C:\WINNT\Profiles\Administrator\Desktop\1sep\ent\oralcancer.htm X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2314.1300 Name of = speciality

Name of speciality           =20 :           =20 General Surgery

Name of case=20            =20 :           =20 Oral Cancer

Name of expert :           =20 Dr. John C. Muthusami

Name of Hospital           =20 :           =20 Christian Medical = College,=20 Vellore

 

 

  1. History: The duration and=20 progress  of the lesion = particular=20 attention to be paid to the etiological factors well-accepted one as = well as=20 recent trends in this.=20
  2. Clinical Examination: A = detailed=20 description of the ulcers / lesion and examination of the nek lymph = node with=20 the abitlity to give TNM classification of the disease.=20
  3. Investigations: The role of = histopathological examination, FNAC, relevant imaging including CT = scan, MRI,=20 PET scan, the role of Oral Pantomogram(OPD), assessment of nutritional = status=20 and metastasis work up.=20
  4. Differential diagnosis: = Non-specific=20 ulcer, chronic ulcer, metastatic salivary gland tumour, lymphoma and = rarer=20 conditions such as langhan=92s histiocytoma.=20
  5. Non-Surgical Management: = The role of=20 single modality of treatment and contraindications for surgery, = combined=20 modality treatment, chemo radiation, external beam radiotherapy and = brachi=20 therapy.=20
  6. Surgical Management: Wide = local=20 excision, composite resection, MRND I, II, III and the role of = selective neck=20 dissection.