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 Release 22.0, Sept. 2008
 
Chapter : ch27. Oncology: Non-Hematologic Section : Patient Screening for Malignancy
  Clinical Criteria of Sanderson and Ironside for Referral of a Patient for Exclusion of a Cancer of the Head or Neck

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Overview :

Sanderson and Ironside listed clinical findings which should result in a patient being carefully evaluated in order to exclude a cancer of the head and neck. The authors are from Western General Hospital in Edinburgh, Scotland.

 

Clinical Finding

Duration

hoarseness

> 6 weeks

ulceration of the oral mucosa

> 3 weeks

oral swelling or mass

> 3 weeks

dysphagia

> 3 weeks

unresolved neck masses, especially those that are hard

> 3 weeks

 

Any of the following:

(1) orbital mass

(2) neuropathy involving a cranial nerve

(3) unexplained tooth motility (not due to periodontal disease or trauma)

(4) unilateral nasal obstruction, especially if a purulent discharge is present

(5) a persistent red or reddish-white patch of the oral mucosa

 

  References:

Sanderson RJ, Ironside JAD. Squamous cell carcinomas of the head and neck. BMJ. 2002; 325: 822-827 (Box 1, page 823)..

 

 

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