Tobacco-related oral cancer | The bmj



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  1. Pankaj Chaturvediteacher1,
  2. Arjun Singh, companion of oncology of the head and neck1,
  3. Chih-Yen Dogteacher2,
  4. Saman Warnakulasuriyateacher3
  1. 1Tata Memorial Hospital, Mumbai, India
  2. 2Kaohsiung Chang Gung Memorial Hospital, Taiwan
  3. 3King's College, London
  1. Correspondence to: P Chaturvedi chaturvedi.pankaj {at} gmail.com

What do you want to know

  • Smoking and the use of chewed tobacco are the most common causes of mouth cancer

  • Patients have a persistent ulcer that does not heal in the mouth or growth, which can lead to impaired speech and chewing.

  • Encourage tobacco users to undergo an annual annual visual examination to detect early lesions such as white or red patches in the mouth or fibrosis that limits mouth opening.

  • Immediately refer patients with suspicious lesions and smoking history to an imaging and biopsy specialist to confirm the diagnosis

  • Surgical excision of the tumor is warranted in most patients, and reconstructive surgery can minimize the disruption of facial functions and facial function.

Oral cancer accounts for more than 140,000 deaths each year worldwide. Every year, more than 300,000 people are diagnosed with oral cancer.1 The incidence of oral cancer in the UK has increased by 68% over the past 20 years.2 Most cancers of the mouth result from smoking or the use of tobacco in other forms.34 In developed countries, oral cancers badociated with human papillomavirus (HPV) infection are on the rise.56 Tobacco-related oral cancer is an important factor in the loss of productivity in developing countries due to premature death.7

General practitioners can play an important role in the prevention and early detection of signs and in the rapid orientation of patients. In this clinical update, we review the presentation of tobacco-related oral cancers and provide advice to general practitioners, dentists and nurses on how to screen for and treat oral cancer. .

How is it caused?

Smoking, alcohol consumption and poor nutrition may account for approximately 90% of head and neck cancers.3 Smoking accounts for 75% of oral cancers in the United States,4 with a higher risk of laryngeal cancer than for …

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