Who We Are
E-CAN Clinics of Sirohi, Rajasthan
- E- Early Detection Oral cancers
- E- Empowerment of Dental Professionals
- E- E-Health services
Approach: Oral Cancer screening and Mucosal Lesion Assessment
Visual screening Examination
1. Patient History
The first step in screening for oral cancer is the completion of a patient history, which should include review of:
- General health history including a list of current medications and medication allergies
- Oral habits and lifestyle, with particular reference to quantity, frequency and duration of tobacco use and alcohol consumption
Symptoms of oral pain or discomfort.
2. Visual screening Examination
- Inspect the head and neck region for asymmetry, tenderness or swelling.
- Palpate the submandibular, neck and supraclavicular regions for lymph nodes, paying particular attention to size, number, tenderness and mobility.
- Inspect and palpate the lips and perioral tissues for abnormalities.
- Systematically inspect and palpate all oral soft tissues, paying particular attention to the high-risk sites for the development of oral cancer including the lateral and ventral aspects of the tongue, floor of mouth and the soft palate complex.
- Evaluate the specific characteristics of each lesion with particular attention to size, colour, texture and outline. Particular attention to predominantly white, re
- At the time of initial assessment and at each re-evaluation appointment, it is recommended that an image of any clinically visible lesion be obtained and a lesion tracking sheet be completed.
3. Diagnostic Biopsy
If a suspicious mucosal lesion persists for more than three weeks following removal of identified local irritants such as trauma, infection or inflammation, diagnostic biopsy is required. Alternatively, referral Asian Head Neck Cancer Foundation expert Team of Surgeons.
Tissue biopsy remains the gold standard for diagnosing an oral premalignant lesion or oral cancer. A carefully selected, performed and interpreted biopsy is critical in rendering an accurate diagnosis.
If biopsy-proven dysplasia is identified, an oral risk assessment is recommended to determine appropriate management. This may range from long-term monitoring to medical or surgical therapy.
List of E-CAN clinics are as follows: