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112

Chapter 16

Primary Care Otolaryngology

Questions

1. The most common histopathologic diagnosis for cancer of the upper

aerodigestive tract is _______________.

2. Cigarette smoke and alcohol work in a ______________manner to

promote cancer.

3. People who have one cancer of the upper aerodigestive tract may have

another primary malignancy in the upper aerodigestive tract. This is

called synchronous primary, which is one of the reasons why

______________ is performed.

4. Taking a biopsy and evaluation of the actual size of a tumor are two

other reasons why _________ is performed before final treatment of a

head and neck cancer.

5. Small head and neck cancers can often be treated with either

_____________ or ____________.

6. Large head and neck cancers are often treated with __________,

_____________, and ___________________.

7. Squamous cell carcinoma of the head and neck usually metastasizes

to the lymph nodes in the ______________before going to other

sites.

8. A radical neck dissection (RND) involves removing the sternocleido-

mastoid muscle, the spinal accessory nerve, and the _____________,

which are intimately related to the lymphatic structures of the neck.

9. Radiation therapy dries up the ______________________ glands.

10. A mass in the neck may be a _________from a cancer somewhere in

the upper aerodigestive tract.

11. A patient who is hoarse for more than two weeks may have

_______________ of the larynx.

12. A patient with a lump below or in front of the ear may have a tumor

of the _________ gland and needs to see an otolaryngologist.

13. A persistent oral ____ may be the first sign of a cancer.