Understanding Mouth Cancer

A Comprehensive Guide to Oral Cancer: Symptoms, Diagnosis, and Treatment

Oral Surgery

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Last updated: Mar 24, 2025

What is Mouth Cancer?

Mouth cancer, also known as oral cancer, develops when cells in any part of the mouth grow uncontrollably. It can affect the:

  • Lips
  • Tongue
  • Gums
  • Inner cheeks
  • Roof or floor of the mouth

Risk Factors

Major Risk Factors

  • Tobacco use (smoking or chewing)
  • Heavy alcohol consumption
  • Combined tobacco and alcohol use
  • HPV (Human Papillomavirus) infection

Other Risk Factors

  • Age (typically over 40)
  • Poor oral hygiene
  • Chronic sun exposure (for lip cancer)
  • Previous history of cancer

Warning Signs and Symptoms

Common symptoms include:

  • Persistent mouth sores that don't heal
  • Unexplained bleeding in the mouth
  • White or red patches on oral surfaces
  • Lumps or thickening of oral tissue
  • Difficulty swallowing or chewing
  • Persistent sore throat
  • Change in voice
  • Loose teeth without apparent cause

Diagnosis

Initial Assessment

  1. Physical examination
  2. Medical history review
  3. Visual inspection of the mouth

Diagnostic Tests

  • Biopsy
  • Imaging tests (CT, MRI, PET scan)
  • Endoscopy

Treatment Options

Primary Treatments

  1. Surgery

    • Tumor removal
    • Lymph node removal if necessary
    • Reconstructive surgery
  2. Radiation Therapy

    • External beam radiation
    • Brachytherapy
  3. Chemotherapy

    • Often combined with radiation
    • May be used before or after surgery

Prevention

  • Quit tobacco use
  • Limit alcohol consumption
  • Maintain good oral hygiene
  • Regular dental check-ups
  • Protect lips from sun exposure
  • HPV vaccination

Recovery and Follow-up

Post-treatment Care

  • Regular follow-up appointments
  • Rehabilitation if needed
  • Speech therapy when required
  • Nutritional support
  • Emotional support and counseling

Living with Mouth Cancer

  • Join support groups
  • Follow medical advice closely
  • Maintain good nutrition
  • Practice proper oral care
  • Regular screening for recurrence

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