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THE AMERICAN Cancer Society brochure on Cancer Detection in the Physicians Office lists seven danger signals, with the admonition to "see your doctor" if any of them persists beyond two weeks:
Unusual bleeding or discharge
A lump or thickening in the breast or elsewhere
Change in bowel or bladder habits
Change in a wart or mole
A sore that does not heal
Indigestion or difficulty in swallowing
Hoarseness or cough.
The systematic examination in the physician's office begins with the head and neck; a good light, throat sticks, rubber finger cots, and laryngeal mirror are used. The skin of the face, lips, head, and neck is inspected. The salivary and thyroid glands are palpated. The neck is palpated for submental and superficial and deep cervical lymph nodes. The tongue, roof and floor of the mouth are inspected for leukoplakia, ulceration, and tumor after any dentures are removed. The
lips, floor of the mouth, and entire
SHAMBAUGH GE. Early Cancer Detection. Arch Otolaryngol. 1966;84(1):1. doi:10.1001/archotol.1966.00760030003002
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