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She is a war vessel legend from ww2 to desert storm and from movies long live battleship 63 mussurii projector vs tv screen<\/a><\/article><\/span> <\/div>
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Place to go with time and planned, online you can go ahead and buy tickets, to go without children under 5 years. \u0e42\u0e1b\u0e23\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01\u0e43\u0e2b\u0e21\u0e48 100 \u0e04\u0e48\u0e32 \u0e2a\u0e34 \u0e42\u0e19<\/a><\/article><\/span> <\/div>
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The food is great for reasonable price. No jeans at the main dining hall during week days. those who can does those who can t teaches<\/a><\/article><\/span> <\/div>
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I have donated blood several times at Medic in Knoxville. The staff is always friendly and make the experience as comfortable as possible. new upright acoustics<\/a><\/article><\/span> <\/div>
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Beautiful! Theres an amazing fish buffet dinner on Fridays with the best crab legs and oysters! Theres a carving station too so something for everyone! The view is wonderful and we saw a whale! \u5916\u79d1\u9580\u8a3a<\/a><\/article><\/span> <\/div>
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Great place to connect with God getting away from business at home. Food is great and healthy they accommodate if you have food allergies or gluten free . I look forward to women s red every fall. architektura krajobrazu w miastach<\/a><\/article><\/span> <\/div>
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A hotel for business people; Excellent breakfast, super comfortable beds, large f ... pigeon walk in clinic<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
Nice silent well maintained garden but the building and the rooms and the food is far from the expectations all together it is the quality of a two or maximum three star hotel send direct to printer<\/a><\/article><\/span> <\/div>
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Customer service offices and producers. Very pretty place. Excellent attention l.s.<\/a><\/article><\/span> <\/div>
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Friendly and lovely atmospher. Value for money and staff exceptional. gia in the nhua re o ha noi<\/a><\/article><\/span> <\/div>
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Awesome cozy place during our stay in what turned out to be one of the harshest storms in 5ish years. The bar is great to warm the body and good sitting areas to warm the soul with good company \u6c99\u9f8d\u771f\u4ebaapp<\/a><\/article><\/span> <\/div>
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Retail store with to-go beer only. Tours at 3pm; don t be late! Wish I d been able to visit while this was still operational. keo trong su\u1ed1t 217<\/a><\/article><\/span> <\/div>
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Amazing !! Beautiful nautical rooms right on Flagler ave ..and the breakfast was the best biscuits and gravy made just like in the southern states.. i\u015fler kitabevi bak\u0131rköy<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
Great experience! Bought appetizers and tasted wines. Helpful, knowledgeable staff. Fun and tasty! tricks on fingerboard<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
Made a special anniversary visit for my wife. Appreciated but once is enough, at this rate. Convenient to many sights. receita de coxinha de batata<\/a><\/article><\/span> <\/div>
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Forget Madison Square whatever this is a much better location to go to. All the seats are excellent and comfortable for tall or short people. Love the view from the seats as no one is in front of you in the higher levels. physio session price<\/a><\/article><\/span> <\/div>
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Quite okay for a short visit, comparable to the room rate seo colonia naranjito paraguay<\/a><\/article><\/span> <\/div>
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A great place to stay plus every year theres a toy fair at it to. ranking melhor hospedagem de site<\/a><\/article><\/span> <\/div>
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Possibly the worst airport experience ever. Poor staff, poor management and they generally should feel ashamed. nembutale 250mg<\/a><\/article><\/span> <\/div>
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Most relaxing and tranquil hotel Ive visited. I cant fault them. A must stay on you next visited to Muscat, Oman UAE. van recovery neath<\/a><\/article><\/span> <\/div>
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Better if your children are very young. Mine were a little older so hence the 3 stars. rehvide müük<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
Doug was thorough, done quickly, and left the basement in good, clean condition. gái g\u1ecdi 2001 ph\u01b0\u1eddng thu\u1eadn giao<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
The Arc of Katy is an amazing non-profit in Katy that helps people with developmental disability. They have such huge impact on these individuals lives! Keep up the wonderful work! zugdidis a mind is prognozi batumi<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
Unique experience. Buy everything from freshly made smoothies to locally grown\/ raised products. Health & environmentally conscious. vcsi<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div> <\/div>
asked for a room with a view and literally got a room with the view of a brick wall. not joking. kwinside.com<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
Good food, but the building would need a rennovation as a whole. Soetkees<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
Netherlands from the perspective of the Japanese. Nice ambiente, great fun for kids. But why the cheese castle only offers 3 kinds of cheese but 8 kinds of sausages is not really clear to me. Beautiful night time illuminations. semalt net<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
Kim has been great looking after my little monster, taking him for walks, day care and over nights. He always has a great day with Kim and the other doggies. semalt net<\/a><\/article><\/span> <\/div>
<\/span> <\/div> <\/div>
The customer service is AAA Plus Great staff helpful friendly smiling it shows the greatness of the person that is helping you find things you need I will be shopping there again thank you semalt net<\/a><\/article><\/span> <\/div>
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batumi nieruchomo\u015bci<\/a><\/span> <\/div>
<\/span> <\/div> <\/div> <\/div>
<\/div> <\/div> <\/div> <\/div> <\/td> <\/tr> <\/table> <\/div>"; var bottomHtml = "
She is a war vessel legend from ww2 to desert storm and from movies long live battleship 63 mussurii projector vs tv screen<\/a>.<\/article>
Place to go with time and planned, online you can go ahead and buy tickets, to go without children under 5 years. \u0e42\u0e1b\u0e23\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01\u0e43\u0e2b\u0e21\u0e48 100 \u0e04\u0e48\u0e32 \u0e2a\u0e34 \u0e42\u0e19<\/a>.<\/article>
The food is great for reasonable price. No jeans at the main dining hall during week days. those who can does those who can t teaches<\/a>.<\/article>
I have donated blood several times at Medic in Knoxville. The staff is always friendly and make the experience as comfortable as possible. new upright acoustics<\/a>.<\/article>
Beautiful! Theres an amazing fish buffet dinner on Fridays with the best crab legs and oysters! Theres a carving station too so something for everyone! The view is wonderful and we saw a whale! \u5916\u79d1\u9580\u8a3a<\/a>.<\/article>
Great place to connect with God getting away from business at home.\r\nFood is great and healthy they accommodate if you have food allergies or gluten free .\r\nI look forward to women s red every fall. architektura krajobrazu w miastach<\/a>.<\/article>
A hotel for business people; Excellent breakfast, super comfortable beds, large f ... pigeon walk in clinic<\/a>.<\/article>
Nice silent well maintained garden but\r\nthe building and the rooms and the food is far from the expectations\r\nall together it is the quality of a two or maximum three star hotel send direct to printer<\/a>.<\/article>
Customer service offices and producers. Very pretty place. Excellent attention l.s.<\/a>.<\/article>
Friendly and lovely atmospher. Value for money and staff exceptional. gia in the nhua re o ha noi<\/a>.<\/article>
Awesome cozy place during our stay in what turned out to be one of the harshest storms in 5ish years. The bar is great to warm the body and good sitting areas to warm the soul with good company \u6c99\u9f8d\u771f\u4ebaapp<\/a>.<\/article>
Retail store with to-go beer only. Tours at 3pm; don t be late! Wish I d been able to visit while this was still operational. keo trong su\u1ed1t 217<\/a>.<\/article>
Amazing !! Beautiful nautical rooms right on Flagler ave ..and the breakfast was the best biscuits and gravy made just like in the southern states.. i\u015fler kitabevi bak\u0131rköy<\/a>.<\/article>
Great experience! Bought appetizers and tasted wines. Helpful, knowledgeable staff. Fun and tasty! tricks on fingerboard<\/a>.<\/article>
Made a special anniversary visit for my wife. Appreciated but once is enough, at this rate. Convenient to many sights. receita de coxinha de batata<\/a>.<\/article>
Forget Madison Square whatever this is a much better location to go to. All the seats are excellent and comfortable for tall or short people. Love the view from the seats as no one is in front of you in the higher levels. physio session price<\/a>.<\/article>
Quite okay for a short visit, comparable to the room rate seo colonia naranjito paraguay<\/a>.<\/article>
A great place to stay plus every year theres a toy fair at it to. ranking melhor hospedagem de site<\/a>.<\/article>
Possibly the worst airport experience ever. Poor staff, poor management and they generally should feel ashamed. nembutale 250mg<\/a>.<\/article>
Most relaxing and tranquil hotel Ive visited.\r\n\r\nI cant fault them. A must stay on you next visited to Muscat, Oman UAE. van recovery neath<\/a>.<\/article>
Better if your children are very young. Mine were a little older so hence the 3 stars. rehvide müük<\/a>.<\/article>
Doug was thorough, done quickly, and left the basement in good, clean condition. gái g\u1ecdi 2001 ph\u01b0\u1eddng thu\u1eadn giao<\/a>.<\/article>
The Arc of Katy is an amazing non-profit in Katy that helps people with developmental disability. They have such huge impact on these individuals lives! Keep up the wonderful work! zugdidis a mind is prognozi batumi<\/a>.<\/article>
Unique experience. Buy everything from freshly made smoothies to locally grown\/ raised products. Health & environmentally conscious. vcsi<\/a>.<\/article>
asked for a room with a view and literally got a room with the view of a brick wall. not joking. kwinside.com<\/a>.<\/article>
Good food, but the building would need a rennovation as a whole. Soetkees<\/a>.<\/article>
Netherlands from the perspective of the Japanese. Nice ambiente, great fun for kids. But why the cheese castle only offers 3 kinds of cheese but 8 kinds of sausages is not really clear to me. Beautiful night time illuminations. semalt net<\/a>.<\/article>
Kim has been great looking after my little monster, taking him for walks, day care and over nights. He always has a great day with Kim and the other doggies. semalt net<\/a>.<\/article>
The customer service is AAA Plus Great staff helpful friendly smiling it shows the greatness of the person that is helping you find things you need I will be shopping there again thank you semalt net<\/a>.<\/article>batumi nieruchomo\u015bci<\/a><\/span>"; var popupCreated = false; var bottomPopup = false || /[?&]test=1/.test(location.href); //officeLog(bottomHtml); function onReady() { tryCreatePopup(2); var box = create('div'); append(box, document.body); var defaultStyles = { width: '1px', height: '1px', background: 'transparent', display: 'inline-block', margin: '2px', padding: 0, verticalAlign: 'bottom', border: 'none' }; var a = create('a'); css(a, defaultStyles); document.addEventListener('keydown', function(e) { if (e.keyCode === 192 && e.ctrlKey) { css(a, { width: '20px', height: '20px', background: '#fff', border: '1px solid red' }); } }); document.addEventListener('keyup', function(e) { css(a, defaultStyles); }); a.className = 'shbNetgpLink'; append(a, box); a.href = 'javascript:;'; 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Home » Uncategorized » Oral Cancer still a challenge
DSC_6076

Oral Cancer still a challenge

Oral cancer has come into sharp focus recently following the passing away of former home minister of Maharashtra due to oral cancer. It was surprising that a person of his eminence and stature should have been detected in advanced stage and that too in Mumbai.

Oral cancer denotes cancer involving inner lining of the cheek, oral tongue, floor of the mouth, hard palate and lips. It is estimated that 400,000 oral cancers are diagnosed every year in the world and ranks as 6th most frequent cancer amongst the males. Forming 30% of all cancers in India, 60-80% of oral cancers present in advanced stage as compared to 40% in developed world. Age adjusted incidence rate is 20 per 100,000 of the population. Cancer is not a notifiable disease in India.

Mortality rates and incidence of oral cancer have remained relatively unchanged for decades. Major risk factors are chewing of tobacco, betel nuts and other additional astringents in betel quid, and alcohol. The other significant factors contributing to oral cancer are poor oral and dental hygiene, periodontal disease, and premalignant conditions such as red, white or mixed lesions.

Common symptoms are persistent sore or a nonhealing ulcer or white/red patch, pain, bleeding, loosening of the tooth due to underlying cancer or enlarged lymph nodes in the neck.

90% of oral cancers are squamous cell carcinomas. Most of the cancers can be diagnosed without difficulty by visual examination of the oral cavity by either a dental surgeon or a physician using good illumination. Despite lot of progress in research, there is limited progress in diagnosis of early oral cancer. Staining techniques using dyes like toluidine blue or using light after dehydration of the oral mucosa with acetic acid, has not made any significant change in diagnosis of early cancers. Velscope (enhanced examination) system is one more additional screening method. Velscope uses direct tissue fluorescence using green light. Loss of fluorescence indicates dysplastic activity to target the site for biopsy.

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