Oral Cancer: All You Need To Know

According to Statistic of India has one of the highest oral cancer burdens in the world. It contributes a large share of global cases thanks largely to tobacco (smoked and smokeless) and areca nut use. According to one recent national source, there are approximately 77,000 new oral cancer cases in India annually, with men affected more than women.

Oral cancer constitutes a major proportion of all cancers in India — around 11–12% of all male cancers and significant among females too.

A government report noted oral cancer incidence in Karnataka is around 12 per 100,000 people, higher than the national average for oral and related cancers.

Hospital registry data (from the Kidwai Memorial Institute) historically showed that in Karnataka, about 24% of all cancer cases are related to tobacco, and oral cancer is a prominent component.

Karnataka’s broader cancer data (not limited to oral cancer) suggests 26,516 cancer deaths overall in recent estimates, a portion of which are due to oral cancers — especially those linked to tobacco use.

Statistic

India (Approx.) Karnataka (Approx.)
Oral cancer new cases per year ~77,000 Not separately reported statewide, but incidence ~12/100,000
Oral cancer deaths per year ~52,000 Part of ~26,516 total cancer deaths (oral cancer is a significant contributor)
Major cause Tobacco (smoked & smokeless) Tobacco (especially smokeless)

Deaths (Mortality)

There are about 52,000 deaths annually in India due to oral cancer.

Oral cancer accounts for a large share of tobacco-related cancer deaths nationwide since it is often detected late.

Mouth Cancer: Causes, Symptoms, Diagnosis, and Treatment

Mouth cancer, also known as oral cancer, is a serious health condition that affects thousands of people every year. It can develop in any part of the mouth, including the lips, tongue, cheeks, gums, floor of the mouth, and roof of the mouth. Early detection and timely treatment can significantly improve survival rates and quality of life.

What is Mouth Cancer

Mouth cancer is a type of cancer that occurs when abnormal cells grow uncontrollably in the tissues of the oral cavity. It is one of the most common cancers in India, especially among people who use tobacco or consume alcohol regularly.

Types of Mouth Cancer

1. Squamous Cell Carcinoma (SCC)

Starts from the flat cells lining the mouth

Affects tongue, cheeks, gums, floor of mouth, lips

Strongly linked to tobacco, gutkha, pan, smoking, alcohol

2. Verrucous Carcinoma

A slow-growing variant of squamous cell carcinoma

Looks like a warty or cauliflower-like growth

Rarely spreads to lymph nodes

Common in chronic tobacco chewers

3. Adenocarcinoma

Arises from minor salivary glands

Usually seen in palate or inner cheeks

Less common than SCC

4. Mucoepidermoid Carcinoma

Cancer of salivary gland tissue

Can occur inside the mouth or jaw

Seen in both adults and children

5. Lymphoma

Cancer of the immune system

May appear as a soft swelling in tonsils or floor of mouth

6. Melanoma (Oral Melanoma)

Rare but very aggressive

Appears as black or brown patch

Often on palate or gums

7. Sarcoma

Develops from muscle, bone, or connective tissue

Includes osteosarcoma, fibrosarcoma

Rare in the oral cavity

Causes and Risk Factors of Mouth Cancer

Several factors increase the risk of developing mouth cancer, including:

Tobacco use (smoking cigarettes, bidis, chewing tobacco, gutkha, pan masala)

Excessive alcohol consumption

Betel nut (areca nut) chewing

Poor oral hygiene

Human Papillomavirus (HPV) infection

Prolonged sun exposure (risk for lip cancer)

Family history of cancer

Avoiding tobacco and alcohol can significantly reduce the risk of mouth cancer.

Common Symptoms of Mouth Cancer

Early symptoms of mouth cancer are often ignored, which leads to late diagnosis. Common signs include:

A non-healing mouth ulcer

Red or white patches inside the mouth

Persistent mouth pain or soreness

Difficulty in chewing, swallowing, or speaking

Lump or thickening in the cheek

Loose teeth without dental cause

Numbness in the mouth or tongue

Unexplained bleeding in the mouth

If these symptoms last for more than two weeks, it is important to consult a doctor immediately.

Diagnosis of Mouth Cancer

Mouth cancer is diagnosed through a combination of:

Physical examination of the mouth

Biopsy of suspicious lesions

Imaging tests such as CT scan, MRI, or PET scan

FAQs :

1. What is cancer?

Cancer is a disease in which abnormal cells grow uncontrollably and can spread to other parts of the body if not treated early.

2. What are the common types of cancer?

Common cancers include: Oral (mouth) cancer Breast cancer Lung cancer Cervical cancer Colorectal cancer Prostate cancer Blood cancers (leukemia, lymphoma)

3. What are the main treatment options for cancer?

Cancer treatment depends on the type and stage of cancer. Common treatments include: Surgery Chemotherapy Radiation therapy Immunotherapy Targeted therapy Hormone therapy

4. How is the best treatment decided?

Doctors decide treatment based on: Type of cancer Stage of cancer Patient’s age and overall health Test reports and scans A multidisciplinary cancer team usually plans the treatment.

5. Is cancer curable?

Yes, many cancers are curable if detected early. Even advanced cancers can often be controlled and quality of life improved with proper treatment.

6. Does chemotherapy always cause hair loss?

Not always. Hair loss depends on: Type of chemotherapy drug Dose and duration Some patients may have mild hair thinning, while others may not lose hair at all.

7. Is radiation therapy painful?

Radiation treatment itself is painless. However, some patients may experience side effects like skin irritation or fatigue during the course.

8. What are common side effects of cancer treatment?

Side effects vary by treatment and patient but may include: Fatigue Nausea or vomiting Loss of appetite Hair loss Low immunity Doctors provide medicines and support to manage these effects.

9. How long does cancer treatment last?

Treatment duration varies: Surgery: few days to weeks Chemotherapy: several weeks or months Radiation: usually 3–6 weeks Your doctor will explain the exact schedule.

10. Can patients continue normal activities during treatment?

Many patients can continue daily activities with rest and adjustments. Heavy work may need to be avoided during treatment.

11. Is cancer treatment expensive?

Cost depends on: Type of cancer Treatment method Duration of therapy Government schemes, insurance, and hospital financial assistance may help.

12. What lifestyle changes are needed during treatment?

Healthy balanced diet Avoid tobacco and alcohol Adequate rest Regular follow-up visits Emotional and family support

13. Is follow-up required after cancer treatment?

Yes. Regular follow-up is important to: Monitor recovery Detect recurrence early Manage long-term side effects

14. Can cancer be prevented?

Some cancers can be prevented by: Avoiding tobacco Limiting alcohol Healthy diet and exercise Regular screening tests Vaccinations (HPV, Hepatitis B)

15. When should I consult a doctor?

Consult a doctor if you notice: Non-healing ulcers Unusual lumps Persistent pain Unexplained weight loss Difficulty swallowing or breathing

16. Can cancer treatment affect my fertility?

Yes, Cancer treatment can affect fertility Especially chemotherapy and radiation therapy. Discuss fertility preservation options with doctors before starting cancer treatment.

17. Does surgery have a role in cancer treatment?

Surgery removes cancerous tumours and relieves symptoms caused by tumours. It can be used alone or in combination with other cancer treatments.

18. What role does chemotherapy play in cancer treatment?

Chemotherapy uses drugs to kill cancer cells. It is also used to shrink tumours before surgery Kill any remaining cancer cells after surgery.

19. What is the role of radiation therapy in cancer treatment?

Radiation therapy makes use of radiation to destroy cancerous cells. It may be used as a stand-alone treatment or in other cancer treatments.

20. What is targeted therapy?

Targeted therapy uses drugs to target proteins or genes contributing to the growth and spread of cancer cells.

21. What is immunotherapy?

Immunotherapy helps the body’s immune system fight cancer. It can be used alone or in combination with other cancer treatments.

22. What is hormone therapy?

Hormone therapy blocks and lowers the levels of hormones contributing to the growth of certain cancers

23. Can cancer treatment affect my mental health?

Yes, cancer treatment can affect your mental health and lead to symptoms such as anxiety and depression. It’s crucial to seek support from mental health professionals if you experience these symptoms.