Oral Cancer

Oral cancer, also known as mouth cancer, is a type of cancer that occurs in the oral cavity, which includes the lips, tongue, cheeks, gums, and throat.

Types of Oral Cancer

  • Squamous cell carcinoma: This is the most common type of oral cancer, accounting for about 90% of all cases. It originates in the squamous cells, which are the flat, thin cells that make up the lining of the mouth.
  • Veruccous carcinoma: This is a rare type of oral cancer that typically occurs on the buccal mucosa (the lining of the cheeks) or the gingiva (gums).
  • Minor salivary gland tumors: These are rare tumors that occur in the minor salivary glands, which are located throughout the mouth.
  • Lymphoma: This is a type of cancer that occurs in the immune system and can affect the oral cavity.

Causes and Risk Factors

The exact cause of oral cancer is not known, but there are several risk factors that increase a person's likelihood of developing the disease. These include:

  • Tobacco use: Smoking or using smokeless tobacco products increases the risk of oral cancer.
  • Alcohol consumption: Drinking excessive amounts of alcohol increases the risk of oral cancer.
  • Human papillomavirus (HPV): Certain strains of HPV, such as HPV-16 and HPV-18, have been linked to an increased risk of oral cancer.
  • Poor diet: A diet that is low in fruits and vegetables may increase the risk of oral cancer.
  • Exposure to ultraviolet (UV) radiation: People who work outdoors or spend a lot of time in the sun are at increased risk of developing lip cancer, which is a type of oral cancer.

Symptoms

The symptoms of oral cancer can vary depending on the location and severity of the disease. Common symptoms include:

  • A sore or lump in the mouth that does not heal
  • White or red patches in the mouth
  • Bleeding or pain in the mouth
  • Difficulty swallowing or speaking
  • Numbness or tingling in the lips or tongue
  • Loose teeth or dentures that no longer fit properly

Diagnosis

Oral cancer is typically diagnosed through a combination of physical examination, imaging tests, and biopsy. The following tests may be used to diagnose oral cancer:

  • Visual examination: A doctor or dentist will examine the mouth for any visible signs of cancer.
  • Blood tests: Blood tests may be used to check for anemia or other conditions that can increase the risk of oral cancer.
  • Imaging tests: Imaging tests such as X-rays, CT scans, or MRI scans may be used to determine the extent of the disease.
  • Bopsy: A biopsy involves removing a sample of tissue from the mouth and examining it under a microscope for cancer cells.

Treatment

The treatment for oral cancer depends on the location, size, and stage of the disease. The following treatments may be used:

  • Surgery: Surgery is often used to remove the tumor and any affected tissue.
  • Radiation therapy: Radiation therapy uses high-energy rays to kill cancer cells.
  • Chemotherapy: Chemotherapy uses medications to kill cancer cells.
  • Targeted therapy: Targeted therapy uses medications that specifically target cancer cells.

Stages of Oral Cancer

The stages of oral cancer are:

  • Stage I: The tumor is small and has not spread to other parts of the mouth or body.
  • Stage II: The tumor is larger, but has not spread to other parts of the mouth or body.
  • Stage III: The tumor has spread to other parts of the mouth or body, such as the lymph nodes.
  • Stage IV: The tumor has spread to distant parts of the body, such as the lungs or liver.

Prognosis

The prognosis for oral cancer depends on the stage and location of the disease. Generally, the earlier the disease is diagnosed and treated, the better the prognosis.

Prevention

There are several ways to reduce the risk of developing oral cancer, including:

  • Quitting tobacco use
  • Limiting alcohol consumption
  • Eating a healthy diet that includes plenty of fruits and vegetables
  • Avoiding exposure to UV radiation
  • Getting regular dental check-ups

Article last updated on: 28th April 2025.
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