Oral Cavity Cancer Clinical Presentation

Rodrigo Arrangoiz MS, MD, FACS, FSSO

The clinical features of the primary tumors arising in the mucosal surface of the oral cavity are variable.

  • The tumor may be ulcerative, exophytic, or endophytic.

    • The gross characteristics of the lesion are usually sufficient to raise the index of suspicion regarding the need for a biopsy to establish tissue diagnosis.

Ulcerative lesions usually are accompanied by an irregular edge and induration of the underlying soft tissues.

Philadelphia Illustration Dept./Elsevier

On the other hand, exophytic lesions may present either as a cauliflower-like, irregular growth or as flat, pink to pinkish-white proliferative lesions.

Philadelphia Illustration Dept./Elsevier
Philadelphia Illustration Dept./Elsevier

Occasionally, a red to pink velvety flat lesion is the only manifestation of superficially invasive or in situ carcinoma.

Philadelphia Illustration Dept./Elsevier

Squamous cell carcinomas with excessive keratin production and verrucous carcinomas present as white heaped-up keratotic lesions with varying degrees of keratin debris on the surface.

Philadelphia Illustration Dept./Elsevier
Philadelphia Illustration Dept./Elsevier
Philadelphia Illustration Dept./Elsevier

Papillary projections often are seen in lesions that are accompanied or preceded by a squamous papilloma.

Philadelphia Illustration Dept./Elsevier

Bleeding from the surface of the lesion is a characteristic of malignancy and immediately raises suspicion for a neoplastic process.

Endophytic lesions have a very small surface component but a substantial amount of soft tissue involvement beneath the surface.

Philadelphia Illustration Dept./Elsevier

Rodrigo Arrangoiz MS, MD, FACS a head and neck surgeon and is a member of Sociedad Quirúrgica S.C at the America British Cowdray Medical Center.

Training:

• General surgery:

• Michigan State University:

• 2004 al 2010

• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

• Fox Chase Cancer Center (Filadelfia):

• 2010 al 2012

• Masters in Science (Clinical research for health professionals):

• Drexel University (Filadelfia):

• 2010 al 2012

• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

• IFHNOS / Memorial Sloan Kettering Cancer Center:

• 2014 al 2016

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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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