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2019 年牙科大会：普通牙医在口腔癌早期发现中的作用 - Anwar Hijazi - Private Dental Practice

安瓦尔·希贾兹

背景：癌症是最常见的癌症之一，也是全球十大死因之一。大多数口腔癌在晚期才被诊断出来。由于牙医通常是治疗每位患者疾病的主要专业人员，因此我们在检测和转诊患者进行口腔粘膜病变的治疗和随访方面发挥着至关重要的作用。牙医应该认识到，看牙医不再只是填充口腔内的蛀牙，因此，除了切开活检之外，唾液诊断在癌的早期发现中发挥着关键作用，目前还没有任何一种方法具有等效性或得到证实。优于临床检查。因此，他们应该具备在常规临床实践中检测可疑病变的能力。

目的: The aim of this study is to research dentist should perform an carcinoma screening examination on every new patient initially visit and an outsized chunk of patients remains diagnosed in late stage of cancer when prognosis is poor. For provisional diagnosis and referral, visual examination by an expert dentist is sufficient on every returning patient the role of general dentists in early detection and referral of suspicious oral lesions, suggest that head and neck cancer and tongue cancer especially is increasing in young adults. Dental surgeons are the people that examine the mouth most often. Unfortunately, thanks to lack of data and training, structures aside from teeth both nationally and internationally most vital step in reducing the death rate from carcinoma is early diagnosis. oral by a health care one among our goals is to initiate an attempt within the dental community to aggressively screen all of the patients who visit their practices professional is that the best thanks to identify suspicious it's providing second opinions, and when requested, performing biopsy of any suspect area identification of oral cancers at the earliest stages, end in the simplest prognosis for cure and long-term survivability. The inspiration isn't against this multi-step system of determining patient risk on once confirmation of disease by the pathologist is obtained lesions in their early stage therefore improving survival rates, additionally to investigating methods to enhance the overall dentists' confidence and skills to perform the first screening。

方法： 对临床医生的在线文献进行回顾，如果发现前兆病变，则患者有责任记住其口腔环境的变化，从而提高生存率。当这些变化发生时，必须送到专业牙科专业人员眼中进行检查，并在恶性进展之前进行治疗了解癌前病变的临床体征和口腔表现医疗保健提供者治疗癌症可能是一个世界性问题。大多数牙医声称对癌症进行彻底的检查对于普通牙科来说是至关重要的。虽然临时鉴定的基本癌检查只需要90年代的视觉和触觉癌没有什么不同。事实上，让公众遵守癌症筛查可能更容易，因为与许多其他癌症筛查程序不同，不需要侵入性技术来进行检查，没有不适或疼痛涉及检查，不幸的是，牙医太少，接受筛查的患者比例很低，一旦您考虑到这一点，如果您感觉有能力仅通过视觉检查告知具有持续性病变的患者，他们不需要转诊，。

结果： 与癌症相关的早期体征和风险习惯的数据范围很大，因此大多数人报告进行了机会性筛查并建议患者停止风险习惯。还有证据表明，早期诊断和转诊可显着提高生存率。

结论：全科医生在癌症患者的识别和转诊中发挥着至关重要的作用。基于理论的干预措施可以包括进一步培训以增强信心、专业知识、知识和简单检查，在手术中提供足够的设备，并通过引入机会性筛查指南来提高适合重要他人的动力。