Download School Talk - Head and Neck Cancer Alliance

ORAL, HEAD & NECK CANCER
AWARENESS WEEK®
April 20th – 26th, 2014
What is Head and Neck Cancer?
Any tumor that grows in the mouth,
throat, voice box, thyroid, ear,
nose, or neck
These tumors can cause problems with
breathing, eating, talking, and can even
change the way you look FOREVER
*CAUTION: some photos may be frightening*
(you do not have to look)
What does Head and Neck
Cancer Look Like?
How Common is Head and Neck
Cancer?
Approximately 50,000 new cases in U.S. every year!
(100,000 when you include thyroid)
13,000 people will DIE THIS year. That means at least
1 person will die every hour, 24 hours a day!
The top 5 leading
states in head and
neck cancer cases
and deaths in the US,
in order are:
CA, FL, TX, NY & PA
What Causes Head and Neck
Cancer?
Tobacco Products
Responsible for 85% of all Head & Neck Cancer
TOBACCO PRODUCTS
• Cigarette smoking
increases your risk by 15
times compared to a
non-smoker
• Chew/dip/smoke-less
tobacco increases your
risk of head & neck
cancer 4 times
• DIP/CHEW is VERY
ADDICTIVE…3x’s as
much nicotine as
cigarettes
• One can of snuff has as
much nicotine as 60
cigarettes!!!!!!
REALITY CHECK
Tobacco companies would like you to believe that
using tobacco is cool and attractive, BUT the
reality is far from cool or sexy….
VS.
REALITY of Joe Camel
MYTH of Joe Camel
It is DEADLY & DISFIGURING!
DON’T BE TRIPPIN’--- STOP YOUR DIPPIN’
You Could Be Next….
13 years old – Tried dip for the first time on a camping trip
17 years old - Got diagnosed with oral cancer
35 – Number of surgeries he has had since then
Classroom Activities
Cost of Tobacco Use
Causes of Head and Neck Cancer
Excessive Alcohol Use
***When used with Tobacco you
have an even GREATER risk!
HPV associated H&N Cancers
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•
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Increasing incidence
Young, Non-Smokers
Tonsil/Base of Tongue
High risk strains often
sexually transmitted
(>95% due to HPV 16
same virus responsible
for cervical cancer)
• Very aggressive,
prevention is key!!
Other Causes of Head and
Neck Cancer
•
•
•
•
•
•
•
•
•
•
Gender – Men 2-3x’s > than women
Race – African Americans at greatest risk
Age - > 40 years
Sun Exposure
Poor Oral Hygiene
Poorly Fitting Dentures
Poor Nutrition (low in vitamins A & B)
Environmental/Occupational Hazards
Epstein-Barr Virus
Exposure to Secondhand Smoke!!!!!
Where Can You Find
Head and Neck Cancers?
Head and Neck Cancers tend to grow in areas
where tobacco/alcohol have the most
contact…..
Where cigarettes sit on the lip….
Where the dip sits in your mouth
Where the smoke blows….in your throat or voice box
As the cancer grows, it can travel to your lymph nodes.
It might look like you have a “lump” in your neck.
How Does Head and Neck
Cancer Grow????
Normal Tissue  Pre-Cancerous Lesion  Cancer
What are Pre-Cancerous
Lesions?
White Patches that will not rub off
4-18% turn into cancer!
RED PATCHES that do not go away (> 2 weeks)
***Recommend Removal
20-30% will develop into cancer!
Pre-Cancerous  Cancer
These white or red patches can turn into cancer,
which can GROW and GROW and GROW!
What are the Signs of Head
and Neck Cancer ?
Signs of Oral Cancer
• Non-Healing Ulcer
•Bleeding
•Loose Tooth
•Loose Fitting Dentures
•Difficulty Speaking
•Difficulty Swallowing
•Unexplained Pain
•Weight Loss
Signs of Throat Cancer
• Ear Pain
• Painful /Difficulty
Swallowing
• Muffled Voice
• Difficultly
Opening Mouth
• Weight Loss
• Lump in Neck
Large tonsil
tumor
Uvula Normal tonsil
Signs of Voice Box Cancer
• Hoarseness
•Voice Change
• Painful/Difficulty
Swallowing
• Ear Pain
• Weight Loss
• Neck Mass/Lump
• Breathing Difficulty
TUMOR
Classroom Activities
Breathing Exercises
What Happens If You Have
Difficulty Breathing?
Sometimes a head & neck tumor will grow big enough to
block off the airway, and people need a TRACHEOTOMY (hole
surgically made in the windpipe, past the tumor) to breathe.
What Happens If You Can’t
Swallow?
Sometimes the cancer can grow big enough to impair swallowing,
and people need a tube in their nose of stomach so they can get
nutrition.
What Happens If Someone
I Know Has Signs of
Head and Neck Cancer?
See a Doctor IMMEDIATELY!
The doctor will examine
the mouth, throat, voice
box, and neck.
Other tests/procedures
may be needed to decide
if you have cancer.
What If Cancer is
Discovered?
Head and Neck Cancer
Treatment Team
Your doctor should refer you to an ENT doctor who
specializes in Head and Neck Cancer.
A team of healthcare professionals will determine the
best plan of care for you.
Head and Neck Surgeons, Radiation and
Chemotherapy Doctors, Speech/Swallowing Experts,
Cancer Dentist, Nurse, Nutritionist, Physical
Therapy………….
Head and Neck Cancer
Treatments Options
• Chemotherapy poisons the cancer
– Hair loss
– Nausea
– Fatigue (tired)
• Radiation burns the cancer
– Peeling painful mouth tissue (“mucositis”)
– VERY dry mouth
– Scarring
Side Effects from Chemo and
Radiation
Head and Neck Cancer
Surgery
A Head and Neck Surgeon will remove the
cancer and the surrounding tissue where
the cancer may have spread.
A Head and Neck Reconstructive Surgeon
will reconstruct the area removed.
Head and Neck Cancer
Surgery
Large tumor of tongue/jaw/chin has been removed
Head and Neck Cancer
Reconstructive Surgery
Cancerous tongue, jaw bone and chin/neck skin
removed … and then all is REBUILT
Composite Resection
Hairy Tongue After Surgery
Lip Cancer
Lip/chin rebuilt
Skin Cancer on the
Nose
Tongue Surgery
Remove ½ of cancerous tongue and rebuild it
Arm tissue to
make ‘new’
tongue
Tongue cancer removed
Total Glossectomy
QuickTime™ and a
Photo - JPEG decompressor
are needed to see this picture.
Throat Surgery
Removal of cancerous throat and voice box
chest
chest
Throat Surgery Continued
Patient After Throat Surgery
(after voice box has been removed)
What has changed for this patient?
Changes After Throat Surgery
New Way of Talking
Can NEVER Swim Again
Singing Cowboy
So, What Did We Learn?
Most Head and Neck Cancers
CAN BE PREVENTED JUST
BY
AVOIDING TOBACCO AND
ALCOHOL!
Oral, Head and Neck Cancer
®
Awareness Week
April 20 - 26, 2014
FREE
Oral, Head and Neck
Cancer Screenings
(Plug in date and time here)