Clinical Case Discussion - Buccal carcinoma notes

My notes are helpful for anyone studying this subject, whether in the US, Australia, Europe, India, or anywhere else.

This note covers the following topics on Clinical Case Presentation of Buccal carcinoma :

- How each point of history and clinical examination is important in reaching your provisional diagnosis.

- What is the importance of Past history, Family history, Personal history and Negative History?

- Questions asked in viva voce during examination.

- Differential Diagnosis of Ulcer in Buccal mucosa

- Rapidly Progressive Ulcer 

- Causes of Pain in Malignant Ulcer

- What is Trismus?

- Muscles of Mastication - Mnemonic

- 6S History related to oral cavity - Mnemonic

- Most common site of Distant metastasis in oral cavity cancer

- Carcinogens in Tobacco

- Mechanism of carcinogenesis by Tobacco

- Role of smokeless tobacco in oral cancer

- Edge VS Margin of Ulcer

- Types of Edges of Ulcer

- Floor of Ulcer

- What is induration? Clinical significance of Induration

- Base of Ulcer

- Difference between Benign VS Malignant Oral Ulcer

- Features of Malignant Ulcer

- What is Field Cancerization? Clinical significance of Field Cancerization

- Difference between Synchronous VS Metachronous tumors

- Warren and Gates Criteria of Synchronous & Metachronous tumors

- Differential Diagnosis of Buccal carcinoma

- Boundaries of Buccal mucosa

- Most common site of oral cancer in India and worldwide

- TNM Staging of Oral cavity cancer

- Premalignant Lesion VS Premalignant Disorder

- Leukoplakia

- Erythroplakia

- What is Oral Submucous fibrosis? Pathophysiology of Oral Submucous fibrosis

- Investigations of Buccal carcinoma

- Lymph nodes involved in Buccal carcinoma

- Features of Nodal malignancy on ultrasound

- Broder’s Grading

- Treatment of Buccal carcinoma

- Reconstruction of defect

- Elective Neck Dissection

- Types of Neck Dissection

- Radical Neck Dissection

- Modified Radical Neck Dissection

- Selective Neck Dissection

- Extended Neck Dissection

- Contraindications of Neck Dissection

- Indications of Postoperative Adjuvant Radiotherapy

- Residual tumor classification

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