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    Cavum Oris's Tumor

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    donimarthenbani90
    This document discusses tumors of the oral cavity, including: - Types of benign and malignant tumors that can occur, such as leukoplakia and mucoceles. - Epidemiology of oral cavity cancers, which mostly originate from the mucosa and comprise 90% squamous cell carcinomas. - Risk factors like tobacco, alcohol, HPV infection. - Staging of oral cavity cancers using the TNM system to determine prognosis and guide treatment. - Multidisciplinary treatment typically involving surgery, with the goals of eradicating the primary tumor and regional metastases while preserving function and cosmesis.

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    Cavum Oris's Tumor

    Uploaded by

    donimarthenbani90
    86 views14 pages
    This document discusses tumors of the oral cavity, including: - Types of benign and malignant tumors that can occur, such as leukoplakia and mucoceles. - Epidemiology of oral cavity cancers, which mostly originate from the mucosa and comprise 90% squamous cell carcinomas. - Risk factors like tobacco, alcohol, HPV infection. - Staging of oral cavity cancers using the TNM system to determine prognosis and guide treatment. - Multidisciplinary treatment typically involving surgery, with the goals of eradicating the primary tumor and regional metastases while preserving function and cosmesis.

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    Cavum Oris’s Tumor

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    This document discusses tumors of the oral cavity, including: - Types of benign and malignant tumors that can occur, such as leukoplakia and mucoceles. - Epidemiology of oral cavity cancers, which mostly originate from the mucosa and comprise 90% squamous cell carcinomas. - Risk factors like tobacco, alcohol, HPV infection. - Staging of oral cavity cancers using the TNM system to determine prognosis and guide treatment. - Multidisciplinary treatment typically involving surgery, with the goals of eradicating the primary tumor and regional metastases while preserving function and cosmesis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    86 views14 pages

    Cavum Oris's Tumor

    Uploaded by

    donimarthenbani90
    This document discusses tumors of the oral cavity, including: - Types of benign and malignant tumors that can occur, such as leukoplakia and mucoceles. - Epidemiology of oral cavity cancers, which mostly originate from the mucosa and comprise 90% squamous cell carcinomas. - Risk factors like tobacco, alcohol, HPV infection. - Staging of oral cavity cancers using the TNM system to determine prognosis and guide treatment. - Multidisciplinary treatment typically involving surgery, with the goals of eradicating the primary tumor and regional metastases while preserving function and cosmesis.

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    You are on page 1of 14

    TUMOR OF ORAL CAVITY

    ONCOLOGY SURGERY LECTURE


    CAVUM ORIS’S TUMOR
    B E N I G N T U M O R

    LEUCOPLAKIA : - Hyperkeratosis
    - Premaligna
    MUCOCELE / KISTA RETENSI
    RANULA : - Marsupialisation

    2
    Cavum oris cancer:
    Origin from epitel/come from mucosa or salivary gland in cavum
    oris’s wall and organ in mouth, SCC 90%
    Lip (13%)
    Tongue 2/3 anterior (37%)
    Mucosa bukal (10%)
    Base mouth
    Gingiva upper and lower
    Palatum durum, Molle's Palatum
    Base mouth (15%)
    Retromolar's Trigonum (Cancer-UICC's Against's Union's
    International's 2002
    Cavum Oris border:
    Anterior : Side vermilion upper lip and lower lip
    Superior : Palatum durum and molle
    Lateral : Right Bukal and left
    Inferior : Base mouth and tongue
    Posterior : Arkus faringeus anterior left right and
    uvula, Arkus glossoplatinus right left, Side
    lateral tongue base, Papilla sirkumvalata
    tongue.
    not include to oris cavity cancer:
    Sarkoma and savage tumor odontogen in maksila or
    mandibula
    Soft network Sarkoma and nerve perifer in lip or
    cheek
    Lip skin Karsinoma or cheek skin
    Epidemiology
    Insidens and relative frequency
    In indonesia 1, 5 - 5% from entire cancers.
    Most often involve tongue (37%)
    Man: Woman = 3/2 – 2/1
    Age on 40 thn (70%)
    Widespre at world, Insidens at french and indians,
    Low at japanese
    Etiology
    Tobacco (cigarette smoke)
    Alcohol
    Tooth Karies
    Mouth Higiene
    Virus infection (HPV's, EBV, HIV)
    Siflis, Syndrome's Vinson's Plummer
    Imunodefisiency
    Susur (tobacco)
    Leukplakia/eritroplakia
    HISTOPATOLOGI CLASSIFICATION

    a. Histopatology types
    NO TYPE of HISTOLOGY ICD.M
    1 Squamous cell carc. 5070 / 3
    2 Adenocarcinoma 8140 / 3
    3 Adenoid cyst. carc 8200 / 3
    4 Ameloblastic carc 9270 / 2
    5 Adenolymphoma 8561 / 3
    6 Mal. Mixed tumor 8940 / 3
    7 Pleomorphic carc 8941 / 3
    8 Melanoma maligna 8720 / 3
    9 Lymphoma maligna 9590 / 3 - 9711/3
    8
    b. Differensiation Degrees

    DIFFERENSIA
    TION
    DEGREES
    GRADE KETERANGAN
    G1 Well Differensiation
    G2 Moderate Differensiation
    G3 Bad Differensiation
    G4 Undifferensiated =
    anaplastik

    9
    Supporting investigation

    C. Standards pathology report


    Necessary reported in investigation result patologis
    from spesimen operation has been coverred:
    Type of hystology tumor
    Diffrensiation Degree (grade)
    TNM's investigation determine to stage of a disease
    patologis (pTNM)
    DIAGNOSIS

    History taking:
    Long Ulcus
    Pain time
    Haemorrage
    Smoke/alcohol story
    Social-ekonomy
    Physical  Inspection / palpasi bimanual
     Initially : White/red pockmarked
     Leukoplakia/eritroplakia, Without ulcerasi
     Advanced : Ulcus, Indurasi, Infiltratif, Fungating, Eksofitik
    SUPPORTING INVESTIGATION

    1. Radiography investigation
    a. Artless X-foto
     X-foto mandibula AP/lateral, Eisler, Panoramik, Oklusal
    (Gingiva mandibula cling in mandibula Tumor)
     Head X-foto lateral, Waters, Oklusal (Cling in maksila Tumor)
     Hap's X-foto: Palatum durum
    X-foto thorax: Metastase pulmonum
    b. Imaging
     USG hepar
     CT scan / MRI: Lokoregional
     Bone Scan
    2. Laboratory investigation
    DL, Etc for operation preparation
    3. Pathology investigation
    FNA (primary and metastase KGB)
    Eksisi's biopsy: When does tumor <1cm (limit safety
    margin 1cm from tumor side) general anesthesy
    Incisional biopsy
    Histopatology:
    - type
    - differentiation
    - vast invasion of tumor
    STAGING
    T: Tx – Tis – T4 (0 – 2 – 4 cm)
    N: Nx – N0 – N3 (0 – 2 – 4 – 6 cm)
    M: Mx – M0 – M1
    Staging of a disease 0 – IVc (every T, Every N, M1)
    Therapy
    Multidisiplin: Onkologi's operation, Neck head, Plastic,
    Prostodonsi, Etc.
    The aim of :
    Primary tumor Eradikasi and metastase regional KGB
    Returning function
    Kosmetic

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