Case Report on Carcinoma on Hard Palate
Sonali Wavare
Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University) Sawangi (M) Wardha, India.
Dharti Meshram *
Department of Mental Health Nursing, Florence Nightingale Training College of Nursing, Datta Meghe Institute of Medical Sciences (Deemed to be University) Sawangi (M) Wardha, India.
Kanchan Bokade
Department of Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University) Sawangi (M) Wardha, India.
Pranali Wagh
Department of Medical Surgical, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University) Sawangi (M) wardha, India.
*Author to whom correspondence should be addressed.
Abstract
Background: The hard palate is a thin horizontal bony plate made up of two bones of the facial skeleton, located on the roof of the mouth. The bones are the palatine process of the maxilla and the horizontal plate of the palatine bone. The hard palate spans the alveolar arch formed by the alveolar process that holds the upper teeth (when these are developed). If cancer is detected early, the overall 5-year survival rate for all persons is 85 percent. If cancer has progressed to other tissues or organs, as well as regional lymph nodes, the overall 5-year survival rate is 67%.
Objective: Want to highlight the importance of primary prevention; education on risks of alcohol/tobacco use and oral hygiene. Secondary prevention; Early biopsy of any ulceration of the hard palate that does not regress with medical treatment. This would allow early diagnosis and minimal treatment with less morbidity and better survival chances.
Case Presentation: A male of 58 yrs. old came with Pain in the mouth, difficulty in breathing, difficulty in mastication, difficulty in deglutition, balm application, change in voice tooth exfoliation, lack of appetite. Aggravates on mastication, difficulty in deglutition for 2 months, burning sensation on the consumption of spicy food for 2 months change in voice, nasal discharge, loss of appetite, weight loss, tooth exfoliation in the upper front region of jaw, and balm application (2-3episodes, 15 days back). All necessary investigations were carried out such as X-ray, MRI, CT scan, a biopsy of the tissue sample, and diagnosed Carcinoma on the Hard Palate. Treatment of this patient received antiemetic, analgesic, antibiotic, vitamin supplementary.
Prognosis: After treatment, the patient shows great improvement.
Conclusion: The therapeutic management for malignant tumors of the hard palate is essentially surgical, with or without postoperative radiotherapy, discussed on a case-by-case basis. The survival rate depends on several factors, including early diagnosis, histological characteristics and appropriate management. When ca of the palate is detected primary, the management is very effective.
Keywords: Carcinoma, bony plate, neoplasm staging, Alcohol drinking, smoking