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Mouth Cancer Screening

The number of cases of mouth cancer is rising. Since the 1990s, the number of cases of oral cancer in the UK has increased by nearly 30% for men in their Forties.

It has also risen by nearly 25% for women.

The majority of health experts put this increase down to changes in lifestyle and advocate strongly the need to educate people about the dangers of oral cancer.

Mouth cancer is actually a generic, umbrella term that covers a large number of different types of cancer. Oral cancer can affect the underside of your tongue, the floor of the mouth, the roof of the mouth, the gums and inside of the cheeks. There are also types of cancer that can affect the salivary glands, the tonsils and the lips.

The most commonly occurring type of mouth cancer is known as squamous cell carcinoma. It attacks the squamous cells on the lining of the mouth and most commonly occurs on the floor of the mouth.

So why is mouth cancer on the increase?

Smoking is certainly one reason. However, it is not the only reason. Health experts also believe that an increase in the levels of alcohol drinking is another important factor. There are an increasing number of men and women (especially in their twenties and thirties) who drink more than their recommended units.

However, smoking and drinking, while important, are not the only causes of mouth cancer. It could be that diet can also be a contributory factor and some foods are shown to help fight cancer, shown as broccoli and other leafy vegetables. Some oral cancers are also similar to skin cancer, so if you spend a lot of time in the sun, make sure you protect your lips with sunscreen.

In many cases, the greatest protection against mouth cancer is early detection.

While in the initial stages of mouth cancer, you may not feel any pain. However, you may notice mild symptoms such as stubborn mouth ulcers that refuse to go away. You may also notice that it is sore to talk, eat or move your tongue. Alternatively, you may notice numbness in your mouth or a discoloured area on your tongue or cheek. In all of these cases, the symptoms may be mild, but the noticeable element may be the fact that you can't get rid of them. If you think you have any of the symptoms of oral cancer, you should speak to your GP immediately. Early detection of cancer greatly increases the possibility of successful treatment. Treatment at this stage is much more straightforward, much less debilitating for the patient and offer more chance of success.

There are two important elements in the detection of cancer:

First of all, your doctor needs to identify whether cancer is definitely present. This requires a biopsy, during with a tissue sample is taken from the affected area and analysed in a laboratory. If the biopsy is positive, the next step is to discover how much the cancer has spread. This will usually require x-rays or an endoscopy – an internal examination of your throat and tongue using a flexible tube. Usually, if the cancer has been detected early enough, it can be removed through surgery. If the cancer is very small, this may be a very simple procedure that does not even require an overnight stay in hospital. In some cases, the procedure can even be done under local anaesthetic. If the cancer has spread too far for surgery to be effective, then other treatment options will include radiotherapy or chemotherapy. Radiotherapy destroys cancer cells through concentrated bursts of radiation onto the affected areas. Chemotherapy attacks the cancer cells through the use of medication. Both radiotherapy and chemotherapy can be difficult treatments to go through. While watching out for symptoms is one way to detect mouth cancer early, your dentist will also have a vital role to play. You should view your dentist as the expert who takes care of your oral health, rather than simply someone who looks after your teeth. If you are visiting your dentist regularly for check-ups – this means at least once every six months – then they will be best placed to spot possible mouth cancer and refer you to a GP or oncologist.

What is Mouth Cancer?

Most people have heard of cancer affecting parts of the body such as the lungs or breasts. However, cancer can occur in the mouth, where the disease can affect the lips, tongue, cheeks and throat.

Who can be affected by mouth cancer?

Anyone can be affected by mouth cancer, whether they have their own teeth or not. Mouth cancers are more common in people over 40, particularly men. However, research has shown that mouth cancer is becoming more common in younger patients and in women. There are, on average, almost 6000 new cases of mouth cancer diagnosed in the UK each year. The number of new cases of mouth cancer is on the increase.

Do people die from mouth cancer?

Yes. Over 1,800 people in the UK die from oral cancer every year. Many of these deaths could be prevented if mouth cancer was caught early enough. As it is, people with mouth cancer are more likely to die than those having cervical cancer or melanoma skin cancer.

What are the signs of mouth cancer?

Mouth cancer can appear in different forms and can affect all parts of the mouth, tongue and lips. It can also appear as a painless mouth ulcer that does not heal normally. A white or red patch in the mouth can also develop into a cancer. It is important to visit your dentist if these areas do not heal within three weeks.

How can mouth cancer be detected early?

Mouth cancer can often be spotted in its early stages by your dentist during a thorough mouth examination. If mouth cancer is recognised early, then the chances of a cure are good. Many people with mouth cancer go to their dentist or doctor too late.

What is involved in a full check-up of the mouth?

The dentist examines the inside of your mouth and your tongue with the help of a small mirror. Remember, your dentist is able to see parts of your mouth that you cannot see easily yourself.

What happens if my dentist finds a problem?

If your dentist finds something unusual or abnormal they will refer you to a consultant at the local hospital, who will carry out a thorough examination of your mouth and throat. A small sample of the cells may be gathered from the area (a biopsy), and these cells will be examined under the microscope to see what is wrong.

What happens next?

If the cells are cancerous, more tests will be carried out. These may include overall health checks, blood tests, x-rays or scans. These tests will decide what course of treatment is needed.

Can mouth cancer be cured?

If mouth cancer is spotted early, the chances of a complete cure are good, and the smaller the area or ulcer the better the chance of a cure. However, too many people come forward too late, because they do not visit their dentist for regular examinations.

How can I make sure that my mouth stays healthy?

Most cases of mouth cancer are linked to tobacco and alcohol. Cigarette, cigar and pipe smoking are the main forms of tobacco use in the UK.

Alcohol increases the risk of mouth cancer, and if tobacco and alcohol are consumed together the risk is even greater. Over-exposure to sunlight can also increase the risk of cancer of the lips.

Many recent reports have linked mouth cancer to the Human papillomavirus (HPV). HPV is the major cause of cervical cancer and affects the skin that lines the moist areas of the body.

HPV can be spread through oral sex, and research now suggests that it could soon rival smoking and drinking as one of the main causes of mouth cancer.

Practicing safe sex and limiting the number of partners you have may help reduce your chances of contracting HPV

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