Special Techniques in the Diagnosis of Oral Cancer*

Size: px
Start display at page:

Download "Special Techniques in the Diagnosis of Oral Cancer*"

Transcription

1 Special Techniques in the Diagnosis of Oral Cancer* Biopsy: Definitive Diagnosis of Oral Cancer HarveyW. Baker, M.D. Oral Exfoliative Cytology: An Adjunct to Biopsy N. H. Rickles, D.D.S., M.S. Staining Techniques: Screening Tests for Oral Cancer Jamesl. Helsper. M.D.

2 Biopsy: Definitive Diagnosis of Oral Cancer HarveyW. Baker, M.D. Does the patient have oral cancer? While the appearance and location of a lesion offer many clues, biopsy is essen tial for a definitive diagnosis. Thus, the removal of a representative portion of tissue and histologic examination is in dicated to rule out cancer in any mucosal ulceration which has persisted for three weeks or longer, to confirm the diag nosis of a submucosal soft tissue mass which may be neoplastic, or to positively identify a lesion which appears malignant. Some authorities maintain that biopsy is best performed by the specialist who will ultimately be responsible for ther apy. While this may be advantageous in certain specific situations, most feel that biopsy can generally be safely per formed by any physician who has ade quate facilities and is familiar with the proper technique. Certainly, the dentist who is particularly accustomed to work ing with delicate instruments in the mouth is capable of obtaining a repre sentative portion of an accessible lesion. Biopsy of a surface lesion is generally a simple and safe procedure; a deeper submucosal mass, vascular lesion or lesion of bone may present more prob lems. A more dangerous lesion, in an in accessible location, may require biopsy by a surgeon, in an operating room, with the patient under general anesthesia. Biopsy Technique Biopsy may be either excisional or incisional. If a lesion is small, super ficial, accessible and probably benign, an excisional biopsyâ removing the en tire lesion as well as a small surrounding rim of normal tissueâ may be per formed. In most circumstances, how ever, an incisional biopsyâ removing only a small portion of the tissue for microscopic identificationâ is preferred since it allows for a more rational deci sion regarding management of the entire lesion. Although a representative portion of a lesion must be obtained for pathologic interpretation, the specimen need not be large. Therefore, perform the biopsy gently, causing as little disturbance of normal tissue planes and relationships as possible. Nothing is more disconcert ing or hampering to the therapist than finding the extent of a tumor obscured by edema, ecchymosis and deep sutures as the result of an extensive and trau matic biopsy procedure. Dr. Baker isclinical Professorof Surgery. Univer sity of Oregon MedicalSchool, Portland, Oregon. 159

3 Biopsy of a Surface Lesion Fig. 2. Incision should extend from the ulceration out onto clinically normal tissue. Fig. 3. Grasp area to be removed with forceps and make an elliptical incision from the center out onto clini. cally normal tissue: wound after removal of incised tissue: suturing completed. 160

4 Fig. 4. Use of biopsy punch. This instrument may be helpful in obtaining a core of tissue from a mass covered by normal mucosa. Fig. 5. Use of biopsy forceps. Many ulcerated lesions are insensitive and biopsy may be per formed without anesthesia. 161

5 Ulcerated neoplasms, particularly exophytic ones, are often insensitive and biopsy may be performed without anes thesia. If anesthesia is required, how ever, infiltrate one or two percent pro caine or xylocaine into the normal ap pearing tissues at the periphery of a lesion; do not inject the anesthetic into the lesion itself. Since diagnosis may be difficult if the superficial portions of an ulcerating lesion are infected and ne crotic, obtain tissue from the periphery, using a sharp cup-type biopsy forceps. At times, a scalpel and fine tissue forceps can be used to obtain a small elliptical wedge-shaped specimen. Bleeding is usually slight, and can generally be quickly controlled with gentle pressure. Occasionally, a few sutures of fine cat gut on a small curved needle are re quired for hemostasis. Handle the removed tissue as little as possible and place it immediately in a solution of 10 percent fonmalin. Identify the tissue submitted to the pathologist by the patient's name and the site of re moval. A report of the patient's history and a clinical description of the lesion are often invaluable to the pathologist in making a prompt diagnosis. Biopsy of a mass lying beneath intact mucous membrane requires infiltration anesthesia and incision of the mucosa. Excise a representative wedge of the lesion with a scalpel; a biopsy punch may be used to free a small plug of tissue. Close the mucosa with one or two fine sutures. Biopsy of bone is best carried out by a surgeon who is familiar with the techniques of exposure and re moval of portions of the jaw. A mass in the neck requires the most careful consideration. If a cervical mass is malignant, open biopsy may spread tumor cells throughout the incision. This â œ seedingâ of the surgical wound and the scarring resulting from biopsy may make definitive treatment most difficult and jeopardize the patient's chance for cure. Therefore, if an oral cancer is present, a cervical mass is assumed to be a metastasis and biopsy is generally not indicated. When biopsy of a cervical mass is required, it is recommended that this be done with an aspirating needle. This is a very simple procedure and may be done in the office in only a few minutes. Although there is a theoretical possibility of spreading cancer cells by aspiration biopsy, certainly this possi bility is much less than with an open biopsy. Many clinicians experienced in the use of aspiration biopsy have never seen â œ seedingâ as a result of this procedure. If the aspiration biopsy is nondiagnostic, then a formal biopsy is indicated. On those occasions, the pro cedure is best carried out by a trained surgeon. Correction: In the article, â œ Benign Oral Tumors and Tumor-Like Conditions, â œ (Caâ A Cancer Journal for Clinicians, March/April, 1972), Figure) and Figure 3 are reversed: Figure lisa fibroma of the buccal mucosa and Figure 3 is a mucocele of the lower lip. Figure 8and Figure 9are also reversed: Figure 8 isa giant cell reparative granuloma and Figure 9 is a hemangioma of the tongue. The illustration for Figure 15, a panorex film of the mandible, was cropped incorrectly. 162

Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE

Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE Surgical Care at the District Hospital 1 5 Basic Surgical Procedures Key Points 2 5.1 Wound Management Many important procedures can be performed under local anesthesia and do not require a surgical specialist

More information

1 BIOPSY AND CYTOLOGY

1 BIOPSY AND CYTOLOGY BIOPSY AND CYTOLOGY Biopsy Definition Biopsy is the removal of a sample of living tissue for laboratory examination. Rationale It is a dentist s obligation to make a diagnosis, or see that a diagnosis

More information

STAGING, BIOPSY AND NATURAL HISTORY OF TUMORS SCOTT D WEINER MD

STAGING, BIOPSY AND NATURAL HISTORY OF TUMORS SCOTT D WEINER MD STAGING, BIOPSY AND NATURAL HISTORY OF TUMORS SCOTT D WEINER MD WHAT DO YOU DO WHEN THIS SHOWS UP IN YOUR OFFICE? besides panicking KEY PRINCIPLE!!! Reactive zone is the edema, neovascularity and inflammation

More information

Benign vs. Cancer. Oculofacial Biopsy. Evolution of skin cancer. Richard E. Castillo, OD, DO

Benign vs. Cancer. Oculofacial Biopsy. Evolution of skin cancer. Richard E. Castillo, OD, DO Oculofacial Biopsy Richard E. Castillo, OD, DO Benign vs. Cancer Evolution of skin cancer Metaplasia Dysplasia Carcinoma-in-situ Invasive carcinoma Intravasation Overview Preoperative Planning Choosing

More information

Oral Tumors in Dogs Gingival Enlargement

Oral Tumors in Dogs Gingival Enlargement Oral Tumors in Dogs Is that lump you re seeing in your dog s mouth normal? Or is it something to be concerned about? The easiest way to know for sure is to have it evaluated by a veterinarian. When you

More information

Focus on basic principles of biopsy: A review

Focus on basic principles of biopsy: A review Merit Research Journal of Medicine and Medical Sciences (ISSN: 2354-3238) Vol. 2(1) pp. 001-006, January, 2014 Available online http://www.meritresearchjournals.org/mms/index.htm Copyright 2013 Merit Research

More information

Decision making in surgical oncology- when to cut big, when to cut small

Decision making in surgical oncology- when to cut big, when to cut small Decision making in surgical oncology- when to cut big, when to cut small Simon T. Kudnig, BVSc, MVS, MS, FANZCVSc, Dipl. ACVS ACVS Founding Fellow in Surgical Oncology Animal Referral Hospital, Melbourne,

More information

Early Stage Oral Cavity Cancer

Early Stage Oral Cavity Cancer PATIENT & CAREGIVER EDUCATION Early Stage Oral Cavity Cancer This information will help you understand early stag e cancer of the oral cavity (mouth), including symptoms, diag nosis, and treatment. About

More information

Principles of Surgical Oncology. Winnie Achilles Tierklinik Hollabrunn Lastenstrasse Hollabrunn

Principles of Surgical Oncology. Winnie Achilles Tierklinik Hollabrunn Lastenstrasse Hollabrunn Principles of Surgical Oncology Winnie Achilles Tierklinik Hollabrunn Lastenstrasse 2 2020 Hollabrunn boexi@gmx.de The first surgery provides the best chance for a cure in an animal with a tumor Clinical

More information

Global Journal of Medicine and Public Health

Global Journal of Medicine and Public Health Global Journal of Medicine and Public Health www.gjmedph.org Diagnostician s confirmatory tool - oral biopsy 1 Mahendra R.Patait, 2 Reeta Patait, 3 Kedar Saraf, 4 Fareedi Mukram Ali, 5 Basavraj k. 1 Professor,MDS,Dept

More information

STEP-BY-STEP Excision of Sublingual Granuloma

STEP-BY-STEP Excision of Sublingual Granuloma STEP-BY-STEP Excision of Sublingual Granuloma Corinne Durand, DVM; Mark M. Smith, VMD Sublingual granulomas, also known as traumatic granulomas, have been included in a descriptive term known as Gum-Chewer

More information

Electron Microscopy Sciences

Electron Microscopy Sciences Electron Microscopy Sciences INSTRUCTIONAL MANUAL CAT. #26750 Series EMS Rapid Pro Processing System Protocol: Cytology P.O. Box 550 s1560 Industry Road s Hatfield PA 19440 1 Cytology Protocol Cytologic

More information

Diagnostic aids of oral cancer

Diagnostic aids of oral cancer Diagnostic aids of oral cancer The World Health Organization has clearly indentified prevention and early detection as major objectives in the control of the oral cancer. At the present time, screening

More information

P R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal

More information

Head and neck cancer - patient information guide

Head and neck cancer - patient information guide Head and neck cancer - patient information guide The development of reconstructive surgical techniques in the last 20 years has led to major advances in the treatment of patients with head and neck cancer.

More information

practitioner usually includes several surgical procedures. The extraction of erupted teeth and the removal of xni

practitioner usually includes several surgical procedures. The extraction of erupted teeth and the removal of xni Oral and maxillofacial surgery is the specialty of dentistry that includes the diagnosis and surgical and adjunctive treatment of diseases, injuries, and defects, including both the functional and esthetic

More information

CONCURRENT EXTRAVASATION MUCOCELE AND EPIDERMOID CYST OF THE LOWER LIP: A CASE REPORT

CONCURRENT EXTRAVASATION MUCOCELE AND EPIDERMOID CYST OF THE LOWER LIP: A CASE REPORT Mucocele and epidermoid cyst CONCURRENT EXTRAVASATION MUCOCELE AND EPIDERMOID CYST OF THE LOWER LIP: A CASE REPORT Wen-Chen Wang, Li-Min Lin, Yee-Hsiung Shen, 1 Yu-Ju Lin, and Yuk-Kwan Chen Departments

More information

Stereotactic Breast Biopsy

Stereotactic Breast Biopsy Scan for mobile link. Stereotactic Breast Biopsy Stereotactic breast biopsy uses mammography a specific type of breast imaging that uses low-dose x-rays to help locate a breast abnormality and remove a

More information

Dr. James B. Lowe Plastic Surgery ORAL SOFT TISSUE SURGERY INFORMATION SHEET AND INFORMED CONSENT

Dr. James B. Lowe Plastic Surgery ORAL SOFT TISSUE SURGERY INFORMATION SHEET AND INFORMED CONSENT Dr. James B. Lowe Plastic Surgery ORAL SOFT TISSUE SURGERY INFORMATION SHEET AND INFORMED CONSENT Instructions This is an informed consent document that has been prepared to assist your plastic surgeon

More information

performed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management.

performed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management. Hello, I am Maura Polansky at the University of Texas MD Anderson Cancer Center. I am a Physician Assistant in the Department of Gastrointestinal Medical Oncology and the Program Director for Physician

More information

Finding Dangerous Mucosa

Finding Dangerous Mucosa Finding Dangerous Mucosa 2 Oral Cancer Squamous Cell Carcinoma Salivary Gland Adenocarcinoma Malignant Lymphoma Metastatic Carcinoma Sarcoma 4 Incidence of Cancer in the United States For Oral and Oropharyngeal

More information

PREVENTION OF ORAL CANCER

PREVENTION OF ORAL CANCER PREVENTION OF ORAL CANCER Oral cancer is increasing in incidence worldwide. Throughout the world, malignant neoplasms of the mouth and pharynx rate as the fifth most common cancer in men and the seventh

More information

David B. Troxel, MD. Common Medicolegal Situations: Misdiagnosis of Melanoma

David B. Troxel, MD. Common Medicolegal Situations: Misdiagnosis of Melanoma Common Medicolegal Situations: Misdiagnosis of Melanoma David B. Troxel, MD Medical Director, The Doctors Company, Napa, California Clinical Professor Emeritus, University of California at Berkeley Past

More information

MOHS MICROGRAPHIC SURGERY: AN OVERVIEW

MOHS MICROGRAPHIC SURGERY: AN OVERVIEW MOHS MICROGRAPHIC SURGERY: AN OVERVIEW SKIN CANCER: Skin cancer is far and away the most common malignant tumor found in humans. The most frequent types of skin cancer are basal cell carcinoma, squamous

More information

Office-Based Surgery! for the Optometric Physician! ADVANCED PRACTICE OPTOMETRY! DISCLOSURE

Office-Based Surgery! for the Optometric Physician! ADVANCED PRACTICE OPTOMETRY! DISCLOSURE Office-Based Surgery! for the Optometric Physician! ADVANCED PRACTICE OPTOMETRY! Richard E. Castillo, OD, DO! Medical & Surgical Ophthalmology! Tahlequah, OK! DISCLOSURE I have no financial interest in

More information

Comprehensive Management of Head and Neck Tumors. Stanley E Thawley, William R Panje, John G Batsakis, Robert D Lindberg

Comprehensive Management of Head and Neck Tumors. Stanley E Thawley, William R Panje, John G Batsakis, Robert D Lindberg Comprehensive Management of Head and Neck Tumors Stanley E Thawley, William R Panje, John G Batsakis, Robert D Lindberg Chapter 46: Controversies Regarding Therapy of Tumors of the Salivary Glands John

More information

Lung Cancer Resection

Lung Cancer Resection Lung Cancer Resection Introduction The occurrence of lung cancer has increased dramatically over the last 50 years. Your health care provider may have recommended an operation to remove your lung cancer.

More information

Histopathological study of neoplastic lesions of oral cavity and oropharynx

Histopathological study of neoplastic lesions of oral cavity and oropharynx International Journal of Research in Medical Sciences Gupta M et al. Int J Res Med Sci. 2016 May;4(5):1506-1510 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Research Article DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161219

More information

Almost any suspected tumor can be aspirated easily and safely. Some masses are more risky to aspirate including:

Almost any suspected tumor can be aspirated easily and safely. Some masses are more risky to aspirate including: DOES THIS PATIENT HAVE CANCER? USING IN-HOUSE CYTOLOGY TO HELP YOU MAKE THIS DIAGNOSIS. Joyce Obradovich, DVM, Diplomate, ACVIM (Oncology) Animal Cancer & Imaging Center, Canton, Michigan Almost every

More information

Tumors or Masses in the Mouth (Oral Masses) Basics

Tumors or Masses in the Mouth (Oral Masses) Basics Tumors or Masses in the Mouth (Oral Masses) Basics OVERVIEW Oral refers to the mouth; oral masses are tumors or growths located in the mouth Oral masses may be benign or malignant (that is, cancer); 4

More information

Fundamentals of Surgical Oncology in Small Animals Michael J. Orencole and Ryan Butler, DVM, MS, Diplomate ACVS (Small Animal)

Fundamentals of Surgical Oncology in Small Animals Michael J. Orencole and Ryan Butler, DVM, MS, Diplomate ACVS (Small Animal) Peer reviewed Fundamentals of Surgical Oncology in Small Animals Michael J. Orencole and Ryan Butler, DVM, MS, Diplomate ACVS (Small Animal) Cancer is one of the major causes of morbidity in veterinary

More information

Wedge Biopsy for Diffuse Lung Diseases

Wedge Biopsy for Diffuse Lung Diseases Chapter VI Wedge Biopsy for Diffuse Lung Diseases Wedge biopsy via thoracoscopic biopsy or open lung biopsy is occasionally performed to obtain tissue for the diagnosis of a diffuse lung disease. A wedge

More information

Thoracoscopy for Lung Cancer

Thoracoscopy for Lung Cancer Thoracoscopy for Lung Cancer Introduction The occurrence of lung cancer has increased dramatically over the last 50 years. Your doctor may have recommended an operation to remove your lung cancer. The

More information

Case Report: Chondroid Syringoma of the Cheek

Case Report: Chondroid Syringoma of the Cheek Cronicon OPEN ACCESS Dina Amin 1 *, Abdullah Al-Gorashi 2 and Rahaf Y Al-Habbab 2 1 Assistant Consultant Al-Noor Specialist Hospital, Saudi Arabia, Clinical fellow University of Alabama, USA 2 Department

More information

Sentinel lymph node biopsy for early oral cancer

Sentinel lymph node biopsy for early oral cancer Sentinel lymph node biopsy for early oral cancer Information for patients from the Oral and Maxillofacial Department When cancer cells start to spread from the main cancer this represents an important

More information

The Optical Biopsy. Douglas S. Scherr

The Optical Biopsy. Douglas S. Scherr Patricia Kuharic 66 The Optical Biopsy Douglas S. Scherr UROLOGY, WEILL CORNELL MEDICAL COLLEGE We want to create a better way to look inside the walls of a bladder for cancerous cells, eliminating the

More information

Mast Cell Tumors in Dogs

Mast Cell Tumors in Dogs Mast Cell Tumors in Dogs 803-808-7387 www.gracepets.com These notes are provided to help you understand the diagnosis or possible diagnosis of cancer in your pet. For general information on cancer in pets

More information

Original Article. IJMDS January 2018; 7(1) 1632

Original Article. IJMDS   January 2018; 7(1) 1632 A study on concordance of pre and post-surgical biopsy in oral carcinoma Sebastian J 1, Satheesan B 2, Emmnuel SP 3, Sandeepa NC 4, Asif SM 5, Kaleem SM 6, Barthunia B 7 Original Article 1 Dr Jeena Sebastian

More information

Case Report Excision of Mucocele Using Diode Laser in Lower Lip

Case Report Excision of Mucocele Using Diode Laser in Lower Lip Volume 2016, Article ID 1746316, 4 pages http://dx.doi.org/10.1155/2016/1746316 Case Report Excision of Mucocele Using Diode Laser in Lower Lip Subramaniam Ramkumar, 1 Lakshmi Ramkumar, 2 Narasimhan Malathi,

More information

TANYA A. WRIGHT, DDS OBJECTIVES

TANYA A. WRIGHT, DDS OBJECTIVES TANYA A. WRIGHT, DDS OBJECTIVES One will be able to recognize pathological entities One will be able to establish a reasonable differential diagnosis One will be able to identify various types of lesions

More information

Types of Wisdom Teeth Positions

Types of Wisdom Teeth Positions The Wise Guide to Wisdom Teeth Extraction H. Ryan Kazemi, DMD 11 Types of Wisdom Teeth Positions Erupted: The tooth has completely emerged through the gum tissue and is visible. This occurs when there

More information

Colorectal procedure guide

Colorectal procedure guide Colorectal procedure guide Illustrations by Lisa Clark Biodesign ADVANCED TISSUE REPAIR cookmedical.com 2 INDEX Anal fistula repair Using the Biodesign plug with no button.... 4 Anal fistula repair Using

More information

Cervical Conization. 1

Cervical Conization.   1 Cervical Conization www.zohrehyousefi.com 1 Cone Biopsy is a surgical procedure with removal of a cone shaped portion of the cervix The extent of involvement of epithelium on the ectocervix has been clearly

More information

Protocol applies to specimens from patients with Wilms tumor (nephroblastoma) or other renal tumors of childhood.

Protocol applies to specimens from patients with Wilms tumor (nephroblastoma) or other renal tumors of childhood. Wilms Tumor Protocol applies to specimens from patients with Wilms tumor (nephroblastoma) or other renal tumors of childhood. Procedures Cytology (No Accompanying Checklist) Incisional Biopsy (Needle or

More information

Potential Complications

Potential Complications Potential Complications The risk of complications associated with wisdom teeth removal is less than 0.5 percent when performed by an experienced oral surgeons who uses contemporary techniques and surgical

More information

****CANCER**** What is it? Why my dog? Andre Hess MRCVS. years of experience in small animal practice, which means that there is little I have not

****CANCER**** What is it? Why my dog? Andre Hess MRCVS. years of experience in small animal practice, which means that there is little I have not ****CANCER**** What is it? Why my dog? Andre Hess MRCVS Introduction Cancer is a very big topic, so my intention is to write about the subject in general, and in terms of you, your dog, and your veterinary

More information

Frequently Asked Questions

Frequently Asked Questions Ida Orengo, M.D. Mohsin Mir, M.D. Department of Dermatology 1977 Butler Boulevard, Suite E6.200 Houston, TX 77030 (713) 798-6925 / (713) 798-6624 telephone (713) 798-5535 fax Frequently Asked Questions

More information

Oral biopsy: Techniques and their importance

Oral biopsy: Techniques and their importance American Journal of Advances in Medical Science www.arnaca.com eissn: 2347-2766 Oral biopsy: Techniques and their importance Review Article Sanjay Kar 1*, Prasant MC 2, Kedar Saraf 3, Kishor Patil 4 1

More information

Biopsy. DR. K.B.PRABHUDEV Consultant Orthopedic surgeon Bone And Soft Tissue Tumor Services Sparsh Hospital. Bone Bangalore

Biopsy. DR. K.B.PRABHUDEV Consultant Orthopedic surgeon Bone And Soft Tissue Tumor Services Sparsh Hospital. Bone Bangalore Biopsy DR. K.B.PRABHUDEV Consultant Orthopedic surgeon Bone And Soft Tissue Tumor Services Sparsh Hospital Biopsy Biopsy is a critical procedure in the treatment of muskuloskeletal tumors. Biopsy is a

More information

General information about skin cancer

General information about skin cancer Skin Cancer General information about skin cancer Key points Skin cancer is a disease in which malignant (cancer) cells form in the tissues of the skin. There are different types of cancer that start in

More information

Dr. Issraa Ali Hussein

Dr. Issraa Ali Hussein CLINICAL 09888888;rCYTOLOGY Dr. Issraa Ali Hussein objectives Define diagnostic cytology (clinical cytology). Explain the differences between histopathology and cytopathology. Recognize the methods for

More information

Specialist Referral Service Willows Information Sheets. Corneal sequestrum

Specialist Referral Service Willows Information Sheets. Corneal sequestrum Specialist Referral Service Willows Information Sheets Corneal sequestrum A large sequestrum in a Persian cat s left eye. There are blood vessels invading the cornea around it Corneal sequestrum What is

More information

TRAUMA TO THE FACE AND MOUTH

TRAUMA TO THE FACE AND MOUTH Dr.Yahya A. Ali 3/10/2012 F.I.C.M.S TRAUMA TO THE FACE AND MOUTH Bailey & Love s 25 th edition Injuries to the orofacial region are common, but the majority are relatively minor in nature. A few are major

More information

Basics of Skin Biopsy Techniques

Basics of Skin Biopsy Techniques Basics of Skin Biopsy Techniques Kelly Quinn, D.O. Lehigh Valley Health Network/PCOM Department of Dermatology Osteopathic Medical Conference and Exposition October 7, 2017 None to disclose Conflicts of

More information

Salivary Glands. The glands are found in and around your mouth and throat. We call the major

Salivary Glands. The glands are found in and around your mouth and throat. We call the major Salivary Glands Where Are Your Salivary Glands? The glands are found in and around your mouth and throat. We call the major salivary glands the parotid, submandibular, and sublingual glands. They all secrete

More information

Q. Who can be affected by mouth cancer? A. Anyone can be affected by mouth cancer, whether they

Q. Who can be affected by mouth cancer? A. Anyone can be affected by mouth cancer, whether they MOUTH CANCER Q. What is mouth cancer? A. Most people have heard of cancer affecting parts of the body such as the lungs or breasts. However, cancer can appear in the mouth, where the disease can affect

More information

DENTAL EXTRACTIONS MADE EASIER. Brook A. Niemiec, DVM

DENTAL EXTRACTIONS MADE EASIER. Brook A. Niemiec, DVM DENTAL EXTRACTIONS MADE EASIER Brook A. Niemiec, DVM Diplomate, American Veterinary Dental College Diplomate, European Veterinary Dental College Fellow, Academy of Veterinary Dentistry San Diego Vet Dental

More information

4Ps LUMPS AND BUMPS B.L.&T. BUMPS, LUMPS, AND TATTOOS. Most Common BUMP in the oral cavity Fibroma INTERDENTAL PAPILLAE LESIONS

4Ps LUMPS AND BUMPS B.L.&T. BUMPS, LUMPS, AND TATTOOS. Most Common BUMP in the oral cavity Fibroma INTERDENTAL PAPILLAE LESIONS B.L.&T. BUMPS, LUMPS, AND TATTOOS LUMPS AND BUMPS DIFFERENTIAL DIAGNOSIS FOR LUMPS AND BUMPS Traumatic Fibroma Papilloma Epulis Fissuratum Inflammatory Papillary Hyperplasia Lesions of Attached Gingiva

More information

Patient information. Intraocular Tumour Biopsy St. Paul s Eye Unit PIF1201 V1

Patient information. Intraocular Tumour Biopsy St. Paul s Eye Unit PIF1201 V1 Patient information Intraocular Tumour Biopsy St. Paul s Eye Unit PIF1201 V1 Your Consultant has advised you to have a biopsy of the tumour inside your eye. What is a tumour biopsy? Biopsy consists of

More information

Cytopathology. Robert M Genta Pathologie Clinique Université de Genève

Cytopathology. Robert M Genta Pathologie Clinique Université de Genève Cytopathology Robert M Genta Pathologie Clinique Université de Genève Learning objectives At the end of this hour you will know: 1. What cytopathology is 2. How specimens are collected, processed, and

More information

Management of Neck Metastasis from Unknown Primary

Management of Neck Metastasis from Unknown Primary Management of Neck Metastasis from Unknown Primary.. Definition Histologic evidence of malignancy in the cervical lymph node (s) with no apparent primary site of original tumour Diagnosis after a thorough

More information

So, we already talked about that recognition is the key to optimal treatment and outcome.

So, we already talked about that recognition is the key to optimal treatment and outcome. Hi, I m Dr. Anthony Lucci from the University of Texas MD Anderson Cancer Center in Houston. And today, I d like to talk to you about the role of surgery in inflammatory breast cancer patients. So, there

More information

World Articles of Ear, Nose and Throat Page 1

World Articles of Ear, Nose and Throat Page 1 World Articles of Ear, Nose and Throat ---------------------Page 1 Primary Malignant Melanoma of the Tongue: A Case Report Authors: Nanayakkara PR*, Arudchelvam JD** Ariyaratne JC*, Mendis K*, Jayasekera

More information

Obtaining the diagnosis:

Obtaining the diagnosis: CANCER SURGERY Obtaining the diagnosis: Most cancers are first biopsied in order to determine tumor type. Incisional biopsies extract small portions of tumor for microscopic examination. Excisional biopsies

More information

Mohs. Micrographic Surgery. For Treating Skin Cancer

Mohs. Micrographic Surgery. For Treating Skin Cancer Mohs Micrographic Surgery For Treating Skin Cancer Skin Cancer Basics Skin cancer is common. Over the past three decades, more people have had skin cancer than all other cancers combined. Each year in

More information

M A H O M E W O R K # 2 P a g e Outpatient surgery is generally limited to procedures requiring less than 60

M A H O M E W O R K # 2 P a g e Outpatient surgery is generally limited to procedures requiring less than 60 M A 2 0 5 H O M E W O R K # 2 P a g e 1 NAME: DATE: CHAPTER 42 Assisting with Minor Surgery True/False: 1. Outpatient surgery is generally limited to procedures requiring less than 60 minutes to perform.

More information

Image guided core biopsies:

Image guided core biopsies: Recommendations on the Surgical, Radiologic and Pathologic Approaches to Breast Disease: Using best practices based on multidisciplinary methodologies developed through the Allina Breast Committee. Image

More information

SKIN SERVICES REVIEW Changes to Medicare Benefits Schedule for 1 November 2016

SKIN SERVICES REVIEW Changes to Medicare Benefits Schedule for 1 November 2016 Attachment A SKIN SERVICES REVIEW Changes to Medicare Benefits Schedule for 1 November 2016 Deleted items 31200-31215, 31230-31240 31255-31335 Colour Coding for new / updated items: MUCOSAL BIOPSY AND

More information

Pharmacologyonline 2: (2008) Young Researchers Gavasova and Budev EPULIS FISSURATUM CLINICAL APPEARANCE AND TREATMENT. Dr G.Gavasova, Dr I.

Pharmacologyonline 2: (2008) Young Researchers Gavasova and Budev EPULIS FISSURATUM CLINICAL APPEARANCE AND TREATMENT. Dr G.Gavasova, Dr I. EPULIS FISSURATUM CLINICAL APPEARANCE AND TREATMENT Dr G.Gavasova, Dr I.Budev Medical University, Faculty of Dental Medicine Oral Surgery Department Head: Prof. Dr D. Atanasov, Ph.D, MD. Summary Continuous

More information

Patient information leaflet about Lower Wisdom Teeth (3 rd Molars)

Patient information leaflet about Lower Wisdom Teeth (3 rd Molars) Patient information leaflet about Lower Wisdom Teeth (3 rd Molars) This leaflet is designed to give you more information about what the issues are with wisdom teeth, what treatment options may be given,

More information

Coding Companion for Podiatry. A comprehensive illustrated guide to coding and reimbursement

Coding Companion for Podiatry. A comprehensive illustrated guide to coding and reimbursement Coding Companion for Podiatry comprehensive illustrated guide to coding and reimbursement 2016 Contents Contents Foot and Toes 28043-28045 [28039, 28041] 28043 28039 28045 28041 Excision, tumor, soft tissue

More information

Breast Cancer Diagnosis, Treatment and Follow-up

Breast Cancer Diagnosis, Treatment and Follow-up Breast Cancer Diagnosis, Treatment and Follow-up What is breast cancer? Each of the body s organs, including the breast, is made up of many types of cells. Normally, healthy cells grow and divide to produce

More information

Contents. Chapter 3: Principles of Surgery

Contents. Chapter 3: Principles of Surgery Contents Chapter 1: Medical History 1.1 Congestive Heart Failure.............. 1 1.2 Angina Pectoris..................... 1 1.3 Myocardial Infarction............................... 2 1.4 Rheumatic Heart

More information

Ultrasound-Guided Transcutaneous Needle Biopsy of the Base of the Tongue and Floor of the Mouth From a Submental Approach

Ultrasound-Guided Transcutaneous Needle Biopsy of the Base of the Tongue and Floor of the Mouth From a Submental Approach TECHNICAL INNOVATION Ultrasound-Guided Transcutaneous Needle Biopsy of the Base of the Tongue and Floor of the Mouth From a Submental Approach Jason M. Wagner, MD, Rachel D. Conrad, MD, Trinitia Y. Cannon,

More information

MOHS MICROGRAPHIC SURGERY

MOHS MICROGRAPHIC SURGERY MOHS MICROGRAPHIC SURGERY The Treatment of Skin Cancer What is Mohs Micrographic Surgery? Mohs Micrographic surgery is a specialized, highly effective technique used to treat skin cancer. The goal of Mohs

More information

MAST CELL TUMORS WHAT IS A MAST CELL?

MAST CELL TUMORS WHAT IS A MAST CELL? MAST CELL TUMORS WHAT IS A MAST CELL? Mast cells are found in all tissues of the body. This cell is part of our immunologic defense systems against invading organisms but they are in especially high numbers

More information

Jadelle Contraceptive Implants up to 5 years Insertion and Removal

Jadelle Contraceptive Implants up to 5 years Insertion and Removal Contraceptive Implants up to 5 years Bayer AG Global HealthCare Programs Family Planning 13342 Berlin, Germany www.bayer.com September 2017 Global HealthCare Programs Family Planning Contraceptive Independence»»

More information

Cleveland Clinic Laboratories. Anatomic Pathology

Cleveland Clinic Laboratories. Anatomic Pathology Cleveland Clinic Laboratories Anatomic Pathology OUR MISSION Cleveland Clinic Laboratories contributes to excellent patient care by providing high-quality, comprehensive laboratory testing and patient-focused

More information

Surgical Instructions. Wisdom Tooth TREASURE VALLEY ORAL & FACIAL SURGERY

Surgical Instructions. Wisdom Tooth TREASURE VALLEY ORAL & FACIAL SURGERY TREASURE VALLEY ORAL & FACIAL SURGERY Surgical Instructions Wisdom Tooth 1000 North Curtis Road, Suite 103 Boise, ID 83706 Phone: 208-343-0909 Fax: 208-343-6282 TREASURE VALLEY ORAL & FACIAL SURGERY AFTER

More information

Disclosures. Parathyroid Pathology. Objectives. The normal parathyroid 11/10/2012

Disclosures. Parathyroid Pathology. Objectives. The normal parathyroid 11/10/2012 Disclosures Parathyroid Pathology I have nothing to disclose Annemieke van Zante MD/PhD Assistant Professor of Clinical Pathology Associate Chief of Cytopathology Objectives 1. Review the pathologic features

More information

Carcinoma of Unknown Primary site (CUP) in HEAD & NECK SURGERY

Carcinoma of Unknown Primary site (CUP) in HEAD & NECK SURGERY Carcinoma of Unknown Primary site (CUP) in HEAD & NECK SURGERY SEARCHING FOR THE PRIMARY? P r o f J P P r e t o r i u s H e a d : C l i n i c a l U n i t C r i t i c a l C a r e U n i v e r s i t y O f

More information

Providence Medford Medical Center Pathology Department

Providence Medford Medical Center Pathology Department Providence Medford Medical Center Pathology Department Anatomic pathology services including histology, cytology and autopsies are offered through Providence Medford Medical Center Pathology Department.

More information

Skin biopsy. Sophia Otto SA Pathology

Skin biopsy. Sophia Otto SA Pathology Skin biopsy Sophia Otto SA Pathology RCPA (Royal College of Pathologists of Australasia) The RCPA is the leading organisation representing pathologists in Australasia. Its mission is to train and support

More information

Expert panel observations

Expert panel observations Expert panel observations Professor Neil A Shepherd Gloucester and Cheltenham, UK Gloucestershire Cellular Pathology Laboratory Three big issues in BCSP pathology serrated pathology & what do we do about

More information

Nonmelanoma skin cancers

Nonmelanoma skin cancers Skin cancer Philip Clarke Nonmelanoma skin cancers Treatment options Background Australia has one of the highest skin cancer rates in the world. Early detection and treatment of skin cancer is vital to

More information

Oral Cancer FAQs. What is oral cancer? How many people are diagnosed with oral cancer each year?

Oral Cancer FAQs. What is oral cancer? How many people are diagnosed with oral cancer each year? Oral Cancer FAQs What is oral cancer? Oral cancer or oral cavity cancer, is cancer that starts in the mouth. Areas affected by this type of cancer are the lips, the inside lining of the lips and cheeks

More information

is time consuming and expensive. An intra-operative assessment is not going to be helpful if there is no more tissue that can be taken to improve the

is time consuming and expensive. An intra-operative assessment is not going to be helpful if there is no more tissue that can be taken to improve the My name is Barry Feig. I am a Professor of Surgical Oncology at The University of Texas MD Anderson Cancer Center in Houston, Texas. I am going to talk to you today about the role for surgery in the treatment

More information

Breast debridement and closure cpt

Breast debridement and closure cpt Breast debridement and closure cpt Close Breast debridement cpt code Medicare Billing Guidelines, Medicare payment and reimbursment, Medicare codes. Here is a list of CPT codes and Diagnoses that are.

More information

FINE NEEDLE ASPIRATION OF ENLARGED LYMPH NODE: Metastatic squamous cell carcinoma

FINE NEEDLE ASPIRATION OF ENLARGED LYMPH NODE: Metastatic squamous cell carcinoma Case Scenario 1 HNP: A 70 year old white male presents with dysphagia. The patient is a current smoker, current user of alcohol and is HPV positive. A CT of the Neck showed mass in the left pyriform sinus.

More information

Institution : College of dentistry Academic Department: Department of Maxillofacial Surgery & Diagnostic. Course:

Institution : College of dentistry Academic Department: Department of Maxillofacial Surgery & Diagnostic. Course: Institution : College of dentistry Academic Department: Department of Maxillofacial Surgery & Diagnostic Sciences Program BDS Course: Clinical Oral Surgery I (313 MDS) Course Coordinator : Maher Aboelgheit

More information

Breast Health and Imaging Glossary

Breast Health and Imaging Glossary Contact: Lorna Vaughan HerSpace Breast Imaging & Biopsy Associates 300 State Route 35 South W. Long Branch, NJ 07764 732-571-9100, ext. 104 lorna@breast-imaging.com Breast Health and Imaging Glossary Women

More information

Coding Companion for Plastics/OMS/Dermatology. A comprehensive illustrated guide to coding and reimbursement

Coding Companion for Plastics/OMS/Dermatology. A comprehensive illustrated guide to coding and reimbursement Coding Companion for Plastics/OMS/Dermatology A comprehensive illustrated guide to coding and reimbursement Contents Getting Started with Coding Companion... i Skin...1 Nails...28 Pilonidal Cyst...32 Repair...33

More information

Post Operative Instructions: Wisdom Teeth

Post Operative Instructions: Wisdom Teeth The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions

More information

Chapter 11 Worksheet Code It

Chapter 11 Worksheet Code It Class: Date: Chapter 11 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. Surgical destruction is considered part of the surgical procedure description. 2. Prepping

More information

How-To Booklet: Pediatric Spay-Neuter. Surgical Techniques Pictorial

How-To Booklet: Pediatric Spay-Neuter. Surgical Techniques Pictorial How-To Booklet: Pediatric Spay-Neuter Surgical Techniques Pictorial Brenda Griffin, DVM, MS, DACVIM 1. Approach to Scrotal Neuter for Puppies 2. Cord Tie 3. Figure 8 Knot 4. Ovarian Pedicle Tie 5. Modified

More information

Understanding surgery

Understanding surgery What does surgery for lung cancer involve? Surgery for lung cancer involves an operation, which aims to remove all the cancer from the lung. Who will carry out my operation? In the UK, we have cardio-thoracic

More information

Small Cell Lung Cancer

Small Cell Lung Cancer Small Cell Lung Cancer Small cell lung cancer (SCLC) affects 15% of all lung cancer patients. SCLC is the most aggressive type of lung cancer. It may be treated with chemotherapy and radiation. SCLC has

More information

Endoscopic Mucosal Resection (EMR) & Endoscopic Submucosal Dissection (ESD)

Endoscopic Mucosal Resection (EMR) & Endoscopic Submucosal Dissection (ESD) Endoscopic Mucosal Resection (EMR) & Endoscopic Submucosal Dissection (ESD) Minimally Invasive Polyp Removal IE-02700-Understanding EMR and ESD Brochure_R3.indd 1 Occasionally, a polyp that infiltrates

More information

DENIS P. LYNCH, DDS, PHD

DENIS P. LYNCH, DDS, PHD 140 TH ANNUAL MEETING MAY 6 MAY 7, 2010 JEWEL OF THE GREAT LAKES DENIS P. LYNCH, DDS, PHD FRIDAY, MAY 7, 2010 9:00 A.M. TO 12:00 NOON ORAL CANCER AND RELATED PREMALIGNANCY Oral Cancer and Premalignancy

More information