Oral Cancer Screening

Oral cancer screening is a procedure used to detect oral cancer or precancerous lesions in the mouth. The goal of the screening is to identify any abnormal cell growth or tumors in the early stages, when they are more treatable.

Purpose

The purpose of oral cancer screening is to:

  • Detect oral cancer at an early stage, when it is more curable
  • Identify precancerous lesions that can be treated before they become malignant
  • Reduce the risk of death from oral cancer by detecting and treating it early

Who Should Get Screened

The following individuals should get screened for oral cancer:

  • Adults over the age of 40
  • Tobacco users (smokers, chewers, or snuff users)
  • Heavy drinkers (those who consume more than 2 drinks per day)
  • Individuals with a family history of oral cancer
  • Those who have been exposed to the human papillomavirus (HPV), which is a risk factor for oropharyngeal cancer

Screening Methods

There are several methods used to screen for oral cancer, including:

  • Visual examination: A healthcare professional will examine the mouth, lips, and throat for any visible signs of cancer or precancerous lesions.
  • Palpation: The healthcare professional will feel the tissues in the mouth, lips, and throat to check for any lumps or abnormalities.
  • Oral brush biopsy: A small brush is used to collect cells from the suspicious area, which are then sent to a laboratory for examination.
  • Toluidine blue staining: A special dye is applied to the mouth to highlight any abnormal areas.
  • Fluorescence visualization: A special light is used to illuminate the mouth and highlight any abnormal areas.

What to Expect During the Screening

During an oral cancer screening, you can expect:

  • A healthcare professional will ask you about your medical history, including any risk factors for oral cancer.
  • The healthcare professional will perform a visual examination of your mouth, lips, and throat.
  • The healthcare professional may use one or more of the screening methods listed above to examine your mouth.
  • If any suspicious areas are found, a biopsy may be performed to collect cells for further examination.

Follow-Up Care

If the results of the oral cancer screening are abnormal, you may need to:

  • Undergo a biopsy to confirm the diagnosis
  • Receive treatment for any precancerous lesions or oral cancer
  • Follow up with your healthcare professional regularly to monitor for any changes or recurrence of the disease.

Article last updated on: 6th June 2025.
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