Skin, Lip and Oral Cancer

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Skin, Lip and Oral Cancer

• Awareness
• and Screening Campaign

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• What do we tell
• our patients?

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• Skin Cancer is the
• MOST COMMON
• form of cancer.

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• There are over
• 800,000
• new cases of
• skin cancer annually

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• Early detection is the key to winning the fight
  against cancer.

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• The MAIN cause of skin cancer is overexposure to
  the sun.

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• People with blue eyes
• and fair skin
• are at a higher risk
• of cancer, but . . .

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• EVERYONE is susceptible
• to
• skin cancer.

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• BEWARE . . .
• There is NO such thing as a safe tan.

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Fake Bake

• People who use tanning parlors as few as 1 to 3
  times per year can double their risk of malignant
  melanoma
  
• (Westerdahl, J. 1993, Sun and Skin News, 10(4),
  1-2)

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• Encourage Sun Smart behavior.

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• ALWAYS wear a sunscreen with at least SPF 15,
  even on overcast days.

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• Its BEST to apply sunscreen at least 30 minutes
  before going outside.

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What does it all mean ?

• SPF 15, 25, 30, 45 . . . .
• Water-resistant
• Waterproof
• Sweat-resistant
• Sweatproof

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As defined by the FDA

• Water-resistant - A sunscreen that retains its
  protective properties for 40 minutes in water.
  
• Waterproof - 80 min. of water exposure

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As defined by the FDA

• Sweat-resistant - Retains its sun protection for
  at least 30 min of heavy sweating
  
• Sweatproof - resistant to sweat, but not
  waterproof

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• Reapply SPF 15
• FREQUENTLY,
• especially after physical activities.

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Reapplication . . .

• Will it extend length of time
• skin is protected ?
• Yes . . . and NO ! ! ! ! !

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• Protect your lips. . .
• Apply lip balm with a sunscreen.

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• When possible,
• avoid the direct exposure to the sun
• between 10 am to 3 pm.

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UV Rays are the most intense when the sun is high
in the sky

• Take the shadow test
• If your shadow is shorter than you,
• the suns rays are
• the strongest

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• SLIP on a Shirt
• SLAP on a Hat
• SLOP on some
• Sunscreen

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• Avoid wrinkles and
• dry skin. . .
• Stay out of the sun!

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• Damaging UV Rays can bounce off water, tile,
  cement, snow and sand.

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PPIP Self Exam

• Be aware of
• ANY CHANGES
• in moles.

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Head and Neck Cancer
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Risk Factors for Head Neck Cancer

• Chemicals
• Asbestos
• Chromium
• Nickel
• Arsenic
• Formaldehyde
• Other Factors
• Radiation
• Epstein-Barr Virus
• Human Papilloma Virus

• ALL Tobacco Products
• Alcohol

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Warning Signs of Head Neck Cancer

• Hoarseness
• Persistent Sore Throat
• Non-healing ulcer

• Neck Mass
• Submucosal Mass

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Neck Mass as a Warning Sign

• Often first sign
• 80 in adults are malignant
• 20 in children are malignant

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PPIP

• ID patients who use tobacco alcohol products
• Counsel pts to quit using products
• Maintain high index of suspicion

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Common sites of Oral Cancer

• Floor of mouth
• Ventrolateral tongue
• Soft palate complex
• Soft palate
• anterior tonsilar
• lingual side of the retromolar trigone
• Lip

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ADA Codes

• 00120 Oral Cancer Screening (OCS) during
  annual exam (Periodic Oral Eval)
  
• 00140 OCS (without annual exam)

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Skin Lip Cancer Summary

• Basal cell - most common
• Melanoma and squamous cell - present the greatest
  risk to life
  
• Risk factors - changing moles, sun exposure, fair
  skin that burns easily
  
• Counsel patients to use sunscreens daily to
  report any changes in moles
  
• High risk persons - annual complete skin exams

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• Beware of the primary risk factors for skin, lip
  and oral cancer. . .
  
• Excessive sun, alcohol and tobacco

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• ? ? Questions ? ?