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UGI cancer

QuestionAnswer
oral cancer found in lip, tongue, floor of mouth, buccal mucosa, hard/soft palate, tonsils
risk factors for oral cancer tobacco use, excessive alcohol, chronic irritations, HPV
early symptoms of oral cancer leukoplakia, ulcerations, sore that does not heal, rough area on tongue
late symptoms of oral cancer pain, dysphagia, difficulty moving jaw
surgical treatment of oral cancer Partial mandibulectomy, hemiglossecgtomy, glossectomy (removal tongue, radical neck dissection
non-surgical treatment of oral cancer 5FU, methotrexate, cisplatin, Taxol, Taxotere, radiation
symptoms of cancer of oropharynx, hypopharynx, supraglottic larynx Persistent unilateral sore throat or ear pain, hoarseness lasts longer than 2 wks, lump in neck, lump in throat, change in voice quality
late stages of cancer of the oropharynx, hypopharynx, supraglottic larynx pain, dysphagia, decreased mobility tongue,airway obstruction, cranial nerve neuropathies
surgical treatment of cancer of the oropharynx, hypopharynx, supraglottic larynx Cordectomy, hemilaryngectomy or supraglotti laryngectomy
Reducing side effects of radiation for cancer of the head and neck Dry mouth (Xerostomia: salagen (pilocarpine HCL) stimulate saliva, artificial saliva, sugarless candy/gum, nonalcoholic mouthwashesLots fluids
Treatment of stomatitis Baking soda/water, avoid commercial mouth washes, antacid + Benadryl + Lidocaine,
Risk factors for esophageal cancer Cigarette smoking, excessive alcohol ingestion, chronic trauma, exposure to asbestos and metals, spicy foods, Barrett’s esophagus
Symptoms of esophageal cancer Progressive dysphagia, pain increased with swallowing, radiate to neck, jaw, ears, shoulders, sore throat, choking, hoarseness, weight loss common
Complications of esophageal cancer esophageal perforation with fistula into lung or trachea; hemorrhage
Diagnostic studies for esophageal cancer Barium swallow with fluoroscopy, esophagoscopy with biopsy, CT, MRI
Post-op esophageal surgical care NG tube: bloody drainage 8-12 hrs, DO NOT be repositioned or replaced without consulting with MD, Fowler’s or semi-fowler’s position, Meticulous mouth care, Chest tube if thoracic approached used, May have permanent g-tube
Risk factors for stomach cancer atrophic gastritis, pernicious anemia, benign polyps, achlorhydria, Hx ulcers
Symptoms of stomach cancer Anemia, peptic ulcer disease, indigestion
Diagnostic studies for stomach cancer Lab analysis blood, stool; Gastric analysis, CEA, CA 19-9, Cytology, Upper GI bariumFiberoptic endoscopy with bx
Chemotherapy agent of choice for stomach cancer 5FU
Created by: leigh_86us
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