CMI - Fall 2011
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| 90% of head and neck CA is? | show 🗑
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| NL mucosa cells are what type of cells? | show 🗑
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| show | Adenocarcinomas
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| If an asymptomatic mass is found on the head or neck of someone over 40..what is the general rule? | show 🗑
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| show | BCC (least likely to develop metastases)
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| show | To lymph>Lungs, liver, bones
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| show | Acoustic neuroma (Vestibular schwannoma)
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| show | -Gradual UNILATERAL SNHL w/tinnitus (HL can be sudden for ~10%)
-May see vertigo, unsteadiness
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| What to do during PE to test for acoustic neuroma? | show 🗑
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| show | CT w/contrast, MRI of brain
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| TX for acoustic neuroma? | show 🗑
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| A CT w/ contrast can help you see what things that may otherwise be missed? | show 🗑
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| show | Facial nerve (facial drooping, sxs)
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| show | 85% of the auricle
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| show | 2/3 SCC; 1/3 BCC
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| TYpe of CA of middle ear? | show 🗑
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| What are some possible causes for nasal/sinus CA? | show 🗑
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| show | SCC
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| Risks for nasopharyngeal CA? | show 🗑
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| show | Nasophar tumor
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| An adenocarcinoma of the nose/sinus is usually found where? | show 🗑
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| show | Initially think is sinus infex..if not responding to abx -- do XR series, CT
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| What is the rare CA that can be found in the mid-20s and is in the roof of the nose, is slow-growing? | show 🗑
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| Sxs of esthesioneuroblastoma? | show 🗑
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| What kind of CA is benign and found solely in males age 7-19 and can invade the base of skull and be fatal...sxs of obstruction and epistaxis? | show 🗑
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| show | Smoking and drinking
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| show | Usually will not see....unless very late stge = BAD!
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| Most of laryngeal CA is of where? | show 🗑
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| show | 1. Palpate cervical soft tiss
2. Indir laryngoscopy w/mirror
3. Direct laryngoscopy w/ BX
4. XR of neck and chest
5. CT/MRI of larynx
6. Other contrast studies (Swallow study, upper GI)
USually ENT will do 3,4,5,6
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| 15% of those with laryngeal CA also have? | show 🗑
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| show | True VCs
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| Sxs of glottic CA? | show 🗑
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| To look for subglottic CA, what can you have to pt do, to see below the VCs? | show 🗑
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| show | Aryepiglottic folds
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| Most to least common types of larygeal CA? | show 🗑
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| show | Oral and pharyngeal CA (probably d/t chewing betel nut)
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| show | Tobacco use = #1!!
-Heavy alc, Chewing betel nut, nutritional fxs, genetics, sun exposure (lip CA)
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| show | Fair-skinned, exposre to sun and pipe smoking
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| show | Lower lip at Vermillion border; mets late
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| BCC of the lip is usually found where? mets? | show 🗑
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| WHat does a CA of mouth/buccal mucosa look like? | show 🗑
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| show | Ant 2/3 of tongue --most often assoc w/ mets and usually presents at advanced stage
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| What is the white plaque-like lesion that involves the tongue or floor of mouth and tends to be malig or pre-malig? | show 🗑
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| What is the condition called that is similar to leukoplakia, but pink and more often assoc with malignancy? | show 🗑
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