Epidemiology & Etiology
Buccal mucosa is seen 2x more in this gender due to a higher prevalence of carcinogenic activities
What is males
TD5/5 of both the mandible and oral cavity
What is 6,000 cGy
Typical sites of distant metastasis for buccal mucosa cancer
What is the lung, bone, and liver
Most common histologic type of oral cancer, representing over 90% of oral cancers
What is squamous cell carcinomas
Dietary changes that patients undergoing txs for oral cancer may need to make
What is eating soft, bland foods, while limiting acidic and spicy foods
Viral infection associated with the development of oral cancer
What is HPV
Immobilization device that would be used for oral cancer patients
The typical route of spread for buccal mucosa cancer
Direct extension
The word used to describe when a tumor breaks down the mucosal surface, creating an open sore/ulcer
What is ulcerating
This medical device may need to be placed if an oral cancer patient has difficulty eating and experiences substantial weight loss
What is a feeding tube
Buccal mucosa cancer is most common in people over this age
What is 40 years old
TD5/5 of the parotid gland
What is 3,200 cGy
Lymph nodes that could be of concern for regional spread of buccal mucosa cancer
What is the submental, submandibular, lingual, and upper deep cervical lymph nodes
This component of TNM staging is affected in a patient who's buccal mucosa tumor is presenting with positive regional LNs
What is the N stage
The main complications of RT treatments for buccal mucosa cancer
What is reduced salivary function, xerostomia, and dental carries
The two primary lifestyle factors that can impact a persons risk for buccal mucosa cancer
What is tobacco use and heavy alcohol consumption
Additional devices or setup instructions that may be included in a radiation treatment of the buccal mucosa
What is a bolus, bite block, or gauze to pack the cheek
The most commonly invaded subsite for buccal mucosa cancer
What is the opening of the Stensen duct (connects to the parotid gland)
The word used to describe when an oral cancer grows outward from the mucosal surface, forming a raised mass
What is exophytic
Advice that RTs would give to patients to aid in management of xerostomia during their tx. course
What is the use of saline/oral rinses, hydration, and oral lubrication
Countries in this region experience a higher incidence of buccal mucosa cancer
What is South Asia
Typical dose and fractionation for a buccal mucosa RT treatment
What is 60-63 Gy/30-33 fx
Though it is rare for this cancer to spread to the skin, when it does happen, it usually appears in these areas
What is the neck, scalp, and near the primary site of disease
The word used to describe when an oral cancer grows as a rough, wart-like mass
What is verrucous
The two primary complications associated with surgery for buccal mucosa cancer