Dr. Karen Adiel Rances, MD. May 6, 2021.

Diseases of the Oral Cavity

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Soft palate is not part
of the oral cavity

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
2nd upper molar –
where parotid duct
drains

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Transverse ridges/rugae –
helps to retain the food bolus
Soft palate – wide, mobile
and in conjunction with the
pharyngeal musculature,
seals off the nasopharynx to
prevent nasal regurgutation
during deglutition and nasal
air emission during speech

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Mostly affects the
children

Children – usually
febrile, have difficulty
in sleeping

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Virus lies dormant in
the trigeminal
ganglion and when
reactivated, travels
along the peripheral
sensory nerves to
involve the
oropharyngeal
mucosa

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Similar ulcer and
necrotic lesions may
also form over the
tonsils

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Aspirin burn – a
tablet of aspirin is
applied to a painful
tooth

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
Reticular- white striae; lace pattern in
buccal mucosa; asymptomatic; does
not require treatment
Erosive type- painful; TX: Topical
steroids
Chronic discoid lupus erythematous-
oral lesions are almost always
associated with skin lesions; oral
lesions are almost similar to erosive
type

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
Blood dyscrasia is due to lack of
defense mechanism like
granulocytes
Cyclical neutropenia- condition
with periodic falls on neutrophil
count when the person become
prone to infections and oral lesions
Pancytopenia- decrease in WBC,
RBC and platelet count

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
Recent studies suggest that
this condition can be due
to chronic candida
infection

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
Advice the patient. Assure
them that it is not something
serious.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
One of the common causes
seen in OPD

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
• Treatment is very easy; release by
cutting; sometimes suturing is not
needed
• Very important because the
mobility and shape of the tongue is
needed for speaking

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
In the Philippines: “NGANGA”

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
• Palatine torus: more
common; present as narrow
range solitary nodule or
lobulated mass in the
midline of the hard palate
• Mandibular torus: project
from the lingual aspect of
gingiva near the bicuspid
area; bilateral

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
Usually located in the lip area
Surgery: can be done under
local anesthesia

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
• Very easy procedure but make
sure that you sutured it properly
after because the lip area is a
highly vascularized area, it can
bleed easily

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

NOTES:
• Ranula: a cystic translucent
lesion usually located in the
floor of the mouth, 1 side of
the frenulum, pushing the
tongue up; arises from the
sublingual due to the
obstruction of its ducts

• Marsupialisation- make an
incision, make a flap then
suture the sides at the corners

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Can also involve the floor of

the mouth, tongue, gingiva
and mucosal surface of the
mouth

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Nodular and Erosive types
have higher incidence of
malignant transformation

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Red color is due to increased
vascularization resulting to
the red vascular connective
tissue to shine through.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Malignant Lesions

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
• Risk is 6 times more in smokers than
in non-smokers
• Powdered tobacco mixed with
lemon juice is placed on the
vestibule of the mouth. Carcinoma
may develop on those sites.
• Riboflavin deficiency is a risk factor
in cancer development, especially in
alcoholics.
• Sharp teeth and ill-fitting dentures
can cause chronic irritation that can
develop to cancer.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Most common type of cancer

*midline and upper

commissure of the lip

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Submandibular aka sentinel
nodes.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Treatment:
Stage 1: surgical incision
Stage 2: incision + radiotherapy(
If bone is involved, segmental
mandibulectomy or marginal
mandibulectomy can be done)
Stage 3 to 4: Wide surgical
resection with reconstruction
then post-op radiotherapy.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Patient may present with
referred othalgia.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Surgical resection is the
preferred method of
treatment for T2N0

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
ComMando Operation
(Composite Mandibulectomy)
– removal of the lining of the
mouth and jaw

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Starts with no symptoms
except for an irregular lump
in the mouth

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Lesions of the floor of the mouth
can be asymptomatic for a long
period of time.
Swelling of the submandibular
lesion may be either due to
obstructive enlargement of the
salivary glands or lymph node
metastasis. Distinction is
necessary.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Non-squamous Malignant Lesions

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes
Surgery alone is not
recommended. It should be in
combination with chemotherapy.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

Notes

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones
 Dr. Karen Adiel Rances, MD. May 6, 2021.

END

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones