Smokeless Tobacco Lesions Follow-up

  • Author: Carol E Cheng; Chief Editor: Dirk M Elston, MD   more...
 
Updated: Aug 5, 2010
 

Further Outpatient Care

Persons who use smokeless tobacco should have regular follow-up visits to their physician and dentist for oral examinations.

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Inpatient & Outpatient Medications

See Medication.

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Deterrence/Prevention

The National Spit Tobacco Education Program (NSTEP), with funding from the Robert Wood Johnson Foundation and other national organizations, advocates the prevention of smokeless tobacco use through education. Additionally, clinicians should use the "4 A s" proposed by the National Cancer Institute as outlined in Medical Care.

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Prognosis

The prognosis for oral cancer varies greatly with the location and the size of the tumor at the time of diagnosis. The survival rates are 90-100% for small carcinomas in the hard palate, on the upper part of the gingiva, on the floor of the mouth, and on the buccal mucosa. Moderately advanced lesions without spread to the lymph nodes are associated with a local control rate of as much as 80%, whereas posterior cancers that appear late are associated with a survival rate as low as 30%.

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Patient Education

Patient handouts regarding smoking cessation techniques and resources (eg, setting a quitting date, group therapy) are available from the National Cancer Institute. Additionally, the National Spit Tobacco Education Program provides patient resources and a list of activities by region.

For excellent patient education resources, visit eMedicine's Cancer and Tumors Center. Also, see eMedicine's patient education article Cancer of the Mouth and Throat.

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Contributor Information and Disclosures
Author

Carol E Cheng  Boston University School of Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Maryanne Makredes, MD  Resident Physician, Division of Dermatology, University of Massachusetts Medical Center

Maryanne Makredes, MD, is a member of the following medical societies: Phi Beta Kappa

Disclosure: Nothing to disclose.

Alexa F Boer Kimball, MD, MPH  Associate Professor of Dermatology, Harvard University School of Medicine; Vice Chair, Department of Dermatology, Massachusetts General Hospital; Director of Clinical Unit for Research Trials in Skin (CURTIS), Department of Dermatology, Massachusetts General Hospital

Alexa F Boer Kimball, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, and Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Specialty Editor Board

Jacek C Szepietowski, MD, PhD  Professor, Vice-Head, Department of Dermatology, Venereology and Allergology, Wroclaw Medical University; Director of the Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Poland

Disclosure: Stiefel GSK Company Salary Employment; Orfagen Consulting fee Consulting; Maruho Consulting fee Consulting; Astellas Consulting fee Consulting; Abbott Consulting fee Consulting

David F Butler, MD  Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic, Northside Clinic

David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Drore Eisen, MD, DDS  Consulting Staff, Department of Dermatology, Dermatology Research Associates of Cincinnati

Drore Eisen, MD, DDS is a member of the following medical societies: American Academy of Dermatology, American Academy of Oral Medicine, and American Dental Association

Disclosure: Nothing to disclose.

Catherine M Quirk, MD  Clinical Assistant Professor, Department of Dermatology, University of Pennsylvania

Catherine M Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD  Director, Department of Dermatology, Geisinger Medical Center

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

References

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Verrucous carcinoma.
Oral leukoplakia.
 
 
 
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