line so we do see some admin carcinomas there these are uh... basically provoked by a number of strains of the human papillomavirus it's it's uh... transmissible virus and uh... this is one of the bad outcomes now i say that i hope you'll never senior probably never see one quite disadvantage of practice in this country because of the widespread use of pap smears we discussed that last time you can even apprehend this sort of thing one is still in the insight tuesday jury even earlier with displeasure you don't have to wait for this when this woman already had a follow bloody discharge because of this neoplasm well let's go back to him and gi tract uni upper aerodynamicists tracked into the tongue the line-item all of the back of the throat banks and so forth we commonly see squeamish cell carcinomas and this is a ton that's been amputated cuts actually and you can see this very deeply invasive mass this was a squamous cell carcinoma rising out here these or older uh... for racial cancers are mostly related to smoking and drinking and histologically this might look identical to living in the cervix but it's got a different etiology and different different behavior but this was a very deeply invasive square missile carcinoma here's another one mister heavy smoker this is a larynx opened in the back so the adam's apple store the front my spread open there's a deeply ulcerative tumor there uh... this may have been around for months and months and months and months head-first classes don't necessarily cause pain you know i must say infiltrate nerves are not going to cause much pain this guy had inherited of cough in his voice changed as you can imagine the vocal cord gradually being destroyed you know a heavy smokers are used to being a horse and coughing and so forth and again the denial kicks in this was a along the collected square was still carcinoma 