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What does your Cancer Screening consist of?

How often are you doing them & what do you include? Also how are you documenting that you have preformed the screening?



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2 Answers

I use the Identify 3000 and I have a form from my pathology book if I find any suspicious areas. Document size, location etc…..and take a photo. In the chart notes: OCS(-) or (+) with description and see form and photos. Note any referral to specialist for biopsy if necessary.

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I believe cancer screenings should be done at every appointment. Even if you don’t have a Velscope or other cancer screening device, your eyes are priceless! Anything that hasn’t healed in 14 days should be biopsied in my opinion. Anything that looks “abnormal” should indicate a referral as well. All we have to do is notice it, which with oral cancer, could save someone’s life. Most patients don’t check in their mouth for suspicious areas, nor would they think to, so we are at the front lines of detection. I do an EO/IO exam like I learned in hygiene school which includes:
EO:
Palpate nodes: pre/post auricular, occipital, submental, submandibular, anterior/posterior cervical chain, supraclavicular
Palpate TMJ
Palpate thyroid gland
IO:
Palpate: lips, buccal tissues, soft palate, hard palate, floor of mouth
Palpate and exam tongue using gauze, not forgetting the ventral surface
My doctor checks as well. I document the anatomical location of a lesion, the extent (localized/generalized, single/multiple, seperate/coalescing), physical description (size, color, shape), and relation to normal surface tissue (flat, elevated, tumor, depressed).
A great resource is the Oral Cancer Foundation: http://www.oralcancerfoundation.org/

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