Oral cancer is part of a group of cancers called head and neck cancers. Oral cancer can develop in any part of the oral cavity or oropharynx. Most oral cancers begin in the tongue and in the floor of the mouth. Almost all oral cancers begin in the flat cells (squamous cells) that cover the surfaces of the mouth, tongue, and lips. These cancers are called squamous cell carcinomas. When oral cancer spreads (metastasizes), it usually travels through the lymphatic system. Cancer cells that enter the lymphatic system are carried along by lymph, a clear, watery fluid. The cancer cells often appear first in nearby lymph nodes in the neck.
Cancer cells can also spread to other parts of the neck, the lungs, and other parts of the body. When this happens, the new tumor has the same kind of abnormal cells as the primary tumor. For example, if oral cancer spreads to the lungs, the cancer cells in the lungs are actually oral cancer cells. The disease is metastatic oral cancer, not lung cancer. It is treated as oral cancer, not lung cancer.
Oral cancer happens when there is something wrong or unusual in the normal cell lifecycle. This abnormal working of the cell lifecycle results in uncontrollable growth and reproduction of these cells.
Symptoms of Oral Cancer
- Dramatic weight loss
- Bumps or lumps, thickenings/swellings, rough spots or eroded areas or crusts on the gums, lips and/or other areas within the mouth
- Ear pain
- Persistent sores on the mouth, face or neck that causes bleedings and that do not heal within two weeks
- A change in the way the dentures or teeth fit together
- Pain, unexplained numbness, loss of feeling in any area of the neck, face or mouth
- Change in voice, hoarseness or chronic sore throat
- Unexplained bleeding in the mouth
- Problem in speaking, moving the tongue or jaw, swallowing or chewing
Diagnosis of Oral cancer
- Biopsy: This is a painless medical procedure that removes a certain amount of tissue for a microscopic examination. This procedure helps the pathologist to establish the nature of the cells and determine whether they are cancerous or not, and the stage of the cancer. In some cases, the doctor might perform a scalpel biopsy. A scalpel is a thin, straight surgical knife used in dissection and surgery.
- Endoscopy: This is a minimally invasive, painless diagnostic procedure used to visualize interior surfaces of certain organs and cavities. During this procedure, a flexible tube, called an endoscope, is inserted into the body in order to provide a clear image of the targeted area. This procedure is used to investigate tissues within the pharynx area which cannot be visualized during a normal mouth examination.
- PET (Positron Emission Tomography) Scans - PET scans use glucose (a form of sugar) that contains a radioactive atom. A special camera can detect the radioactivity. Cancer cells absorb a lot of the radioactive sugar because of their high rate of metabolism..
- Computed Tomography (CT): This imaging test is similar to an x-ray test, and creates a detailed, cross-sectional image of the body. This test can identify abnormal tissues and organs. A CT scan is usually performed in two steps for a better diagnosis outcome
- X-Rays - It shows the location, size, and shape of a oral tumor. If x-rays suggest that an abnormal area may be cancerous, the doctor is likely to recommend special imaging tests.
- Magnetic resonance imaging (MRI): An MRI is an advanced technique that uses radio waves and strong magnets to reveal a complete image of a targeted area of the body. The energy from the radio waves is absorbed by the tissues and then released into a pattern that allows the cancer to be detected and diagnosed. This technique is also used to establish whether or not the cancer has spread, and to visualize its location within the body.
- Ultrasonography: Ultrasound imaging is a medical technique that uses high-frequency sound waves to create an interior image of the body on a special computer screen. This image is formed from the echoes of the sound waves on the surface of the organs. Abnormal tissue masses and organs reflect sound waves differently. This test involves a device called transducer, that is placed on the upper part of the abdomen, and a computer that translates this sound into an image. Ultrasound imaging is a safe, noninvasive and fast test that can detect tumors.
Medworld India offers comprehensive care for patients with Oral Cancer, including advanced diagnosis, best treatment options . A team of Surgical Oncologists, Radiation Oncologists, Medical Oncologists, Urologists, Rehabilitation team and other medical specialties work together to treat each Oral Cancer patient We consider each patient's type and extent of Oral Cancer to recommend the most appropriate treatment plan. They also carefully consider and select the treatment option that will allow the patient to maintain quality of life with good survival rate.
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