This April, we all observe the 23rd annual oral cancer awareness month. Read more about it from The Oral Cancer Foundation. (PRNewsFoto/Oral Cancer Foundation) (PRNewsFoto/Oral Cancer Foundation)
Every hour, 24-hours-a-day, 365-days-a-year, someone dies of oral or oropharyngeal cancer (cancer of the back of the oral cavity and upper throat). Yet if oral cancer is detected and treated early, treatment-related health problems are reduced, and survival rates may increase.
This year an estimated 54,000 new cases of oral cancer will be diagnosed in the U.S. Of those individuals, 43 percent will not survive longer than five years, and many who do survive suffer long-term problems, such as severe facial disfigurement or difficulties with eating and speaking. The death rate associated with oral and oropharyngeal cancers remains particularly high because the cancers routinely are discovered late in their development.
This April, as the nation observes the 23rd Annual Oral Cancer Awareness Month, the Academy of General Dentistry Foundation, the American Academy of Oral and Maxillofacial Pathology, American Academy of Oral and Maxillofacial Radiology, the American Association of Oral and Maxillofacial Surgeons, the American Academy of Oral Medicine, the American Academy of Periodontology, the American College of Prosthodontics, the American Dental Hygienists’ Association, the Canadian Dental Hygiene Association, and the California Dental Hygienists’ Association are again joining the non-profit Oral Cancer Foundation in its campaign to raise awareness of the opportunity of oral cancer screenings, and the importance of early detection.
Regular oral cancer examinations performed by your oral health professional remain the best method for detecting oral cancer in its early stages.
Be Mindful of Symptoms: Public Urged to “Check Your Mouth”
For the fourth straight year, the efforts of the Foundation and the dental associations cited above will be bolstered by the Oral Cancer Foundation’s Check Your Mouth initiative.
Check Your Mouth encourages the public to regularly check for signs and symptoms of oral cancer between dental visits at home, and to see a dental professional if they do not improve or disappear after two or three weeks.
Signs and symptoms of oral cancer which is predominantly caused by tobacco usage and/or excessive alcohol usage may include one or more of the following:
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- Any sore or ulceration that does not heal within 14 days.
- A red, white, or black discoloration of the soft tissues of the mouth.
- Any abnormality that bleeds easily when touched (friable).
- A lump or hard spot in the tissue, usually border of the tongue (induration).
- Tissue raised above that which surrounds it; a growth (exophytic).
- A sore under a denture, which even after adjustment of the denture, does not heal.
- A lump or thickening that develops in the mouth.
- A painless, firm, fixated lump felt on the outside of the neck, which has been there for at least two weeks.
- All the above symptoms have the commonality of being persistent and not resolving.
Signs and symptoms of HPV-caused oropharyngeal cancer may include one or more of the following (which may persist longer than two-three weeks):
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- Hoarseness or sore throat that does not resolve within a few weeks.
- A swollen tonsil on just one side. This is usually painless.
- A painless, firm, fixated lump felt on the outside of the neck, which has been there for at least two weeks.
- A persistent cough that does not resolve after many days.
- Difficulty swallowing; a sensation that food is getting caught in your throat.
- An earache on one side (unilateral) which persists for more than a few days.
- All the above symptoms have the commonality of being persistent and not resolving.
Always call your dentist right away if there are any immediate concerns.
Risk Factors
Research has identified a number of factors that may contribute to the development of oral and oropharyngeal cancers.
Historically, those at an especially high risk of developing oral cancer have been heavy drinkers and smokers older than age 50, but today the cancer also is occurring more frequently in nonsmoking people due to HPV16, the virus most commonly associated with cervical cancer. About ten percent of oral cancers occur in individuals with no known risk factors. They share no discernable commonalities, and they may be due to an unidentified genetic frailty yet to be discovered.
The sexually transmitted human papillomavirus 16 (HPV) is related to the increasing incidence of oropharyngeal cancer (most commonly involving lymphoid tissue occurring in the tonsils or the base of the tongue). Approximately 99 percent of people who develop an HPV oral infection will clear the virus on their own.
In approximately one percent of individuals, the immune system will not clear the virus and it can lay dormant for decades before potentially causing a cancer. This occurs mostly in a non-smoking population composed of males four to one over females.
If you have never had an oral cancer examination, there is no better time to schedule one than during Oral Cancer Awareness Month in April. When you do, be sure to ask that this examination be made a routine part of all your future dental check-ups.
For a list of local dental professionals who are participating in this year’s event by offering free oral cancer screenings, visit the Oral Cancer Foundation’s website.
For more information about oral cancer and its diagnosis and treatment, visit the websites of the partner organizations listed, or visit the oral cancer foundations main web site at www.oralcancer.org
About Oral Cancer Awareness Month
Each April, most of the nation’s top dental associations join together with the Oral Cancer Foundation to raise awareness for oral and oropharyngeal cancers. Many dental professionals around the country open their offices to do free screenings to the public during this month each year as well.
This is an important reminder to the public that when these cancers are detected and treated early, mortality and treatment related health problems are reduced.
For more information visit the Oral Cancer Foundation website at www.oralcancer.org.
