Oral Cancer Risk Assessment
 Prepared By:
 Prepared For:
Dr. John Martin
20849 Cascade Ridge Drive, Mount Vernon,, Washington, 98274,  
Phone: 360.941.4715,
Email: carlf@previser.com
Exam Date:  8/21/2007
Sally Adams
Age: 53
Risk Assessment ID:
8f1c41a7-69fc-436d-a3f1-ef41b43793c8
PreViser Patient ID:
8c2fb32a-b376-4b40-bdc4-a105fda2d0ab
Risk of Oral Cancer:4
Less RiskMore Risk

Oral cancer includes mouth cancer, tongue cancer, and throat cancer. Oral cancer can result in disfigurement and other negative effects on quality of life. 56% of all patients treated for oral cancer survive 5 years. However the percentage of patients that survive 5 years is 82% when cancer is localized, 46% when regional, and only 21% when it has spread to a distant site. Hence preventing disease is most desirable followed by diagnosis and treatment at the earliest possible stage. Risk of oral cancer predicts the likelihood of developing the disease and indicates the need to lower risk by selecting interventions targeted to the risk factors. Your risk score is reflected against the chart to the left and interventions appropriate for your risk level and factors are listed below.

Early diagnosis is very important. Common symptoms that require an evaluation include a red or white patch or ulcer, especially when present for more than 14 days. Other symptoms include numbness, a lump in your mouth or neck, or difficulty swallowing, speaking, or chewing.

Oral cancer, like many other diseases, can progress without pain or readily apparent symptoms. A diagnosis of oral cancer can only be determined by a biopsy. The conventional examination is visual and palpation, which can be assisted with diagnostic tools designed specifically to make identifying lesions easier. A positive finding warrants a biopsy, especially if the lesion has been present for more than 14 days.

Treatment Options You Should Consider
   Visit The Dentist

Regular visits, which include a conventional oral cancer examination, to detect disease in the early stages can prevent more complex and expensive treatment. You can help your dentist to diagnose disease by reporting any discoloration, sores, soreness, or swelling in your mouth.
   Oral Cancer Screening Examination

Screening for oral cancer is recommended for each patient at age 40, preferably utilizing diagnostic technology specifically developed for the purpose. This examination should be repeated at 5-year intervals when risk is 1, 2, or 3. A 2-year frequency is recommended when risk is 4. Patients at the highest risk level, which is 5, should have a thorough annual examination. Should these examinations indicate suspicious lesions, further tests including biopsy may be indicated.
   Alcohol Use

3 or more alcoholic drinks per week increases the risk for oral cancer. Consuming 2 or more alcoholic drinks daily greatly increases the risk for oral cancer. An alcoholic drink is defined as 1.5 ounces of 80 proof distilled spirits, 5 ounces of wine, or 12 ounces of beer or wine cooler. The combined use of tobacco with alcohol greatly increases your risk for oral cancer. You can reduce your risk by limiting your consumption of alcoholic beverages.
   Family Cancer History

Some inherited genes have been shown to be factors in cancer. Many factors other than inherited genes appear to more important in the development of cancer. It would be wise for you to be especially concerned about cancer that has occurred in your family.
For more information
 Talk with your clinician
 Go Online
 http://www.oralcancerfoundation.org
 http://www.cancer.org
 http://www.cancer.gov