FAQ’s Oral,Head & Neck Cancer

drkmh FAQ’s Oral,Head & Neck Cancer

 

The most significant risk factor is tobacco use, including smoking cigarettes, cigars, or pipes, as well as using smokeless tobacco products.

What is Pulmonary Rehab?

 

Oral, head, and neck cancers encompass a range of malignancies that affect various parts of the oral cavity, neck, and head region. Here are some specific types of cancers that fall under this category:

 

  • Oral Cavity Cancer:

    This includes cancers of the lips, tongue, gums, inside of the cheeks, floor of the mouth, and hard palate (roof of the mouth).

  • Pharyngeal Cancer:

    Pharyngeal cancer develops in the pharynx, which is the hollow tube behind the nose and mouth that leads to the oesophagus. It includes cancers of the nasopharynx, oropharynx, and hypopharynx.

  • Laryngeal Cancer:

    Laryngeal cancer affects the larynx, commonly known as the voice box. This type of cancer can involve the vocal cords or other parts of the larynx.

  • Salivary Gland Cancer:

    Salivary gland cancer originates in the salivary glands, which produce saliva. These glands are in various areas of the oral cavity and neck.

  • Thyroid Cancer:

    While the thyroid gland is in the neck rather than the head or oral cavity, it is often included in discussions of head and neck cancers. Thyroid cancer affects the thyroid gland, which plays a crucial role in regulating metabolism.

  • Sinus and Nasal Cavity Cancer:

    Cancers that develop in the nasal cavity and the sinuses are also considered as head and neck cancers.

These are some of the primary types of cancers that fall under the category of oral, head, and neck cancers. Each type can have different subtypes and variations based on the specific cells and tissues involved. Early detection and treatment are crucial for better outcomes in these cancers.

 

Here are some Frequently Asked Questions on Oral, Head, and Neck Cancers

 

Q: What are common symptoms of Oral, Head, and Neck Cancers?

 

Dr: Common symptoms of oral, head, and neck cancers can vary depending on the specific location and stage of the cancer. However, there are some general signs to be aware of. These include –

 

  • Persistent mouth ulcers or sores that do not heal
  • Changes in the voice or hoarseness
  • Difficulty swallowing or chewing
  • A lump or swelling in the mouth, throat, or neck
  • Persistent sore throat, ear pain
  • Unexplained weight loss
  • Persistent nasal congestion or nosebleeds.

Additionally, some people may experience numbness or tingling in the mouth or face or notice changes in their sense of taste. It is important to note that these symptoms can also be caused by other conditions, but if they persist for more than a few weeks, it is essential to see a doctor for evaluation and diagnosis.

 

Q: Is a severe Herpes infection an indication of Oral Cancers?

 

Dr: A severe herpes infection, such as herpes simplex virus (HSV) infection, is not typically an indication of oral cancers. HSV infections commonly cause cold sores or fever blisters around the mouth, but they are not directly linked to oral cancers. However, it is essential to be aware that persistent oral lesions, especially those that do not heal or change over time, should be evaluated by a doctor to rule out any potential underlying conditions, including oral cancers.

 

Q: What factors increase the risk of Oral, Head, and Neck Cancers?

 

Dr: Several factors can increase the risk of developing oral, head, and neck cancers such as:

 

  • Tobacco use, including smoking cigarettes, cigars, or pipes, as well as using smokeless tobacco products.
  • Heavy alcohol consumption, especially when combined with tobacco use.
  • Infection with human papillomavirus
  • Prolonged exposure to ultraviolet (UV) radiation
  • Poor oral hygiene
  • Lack of regular dental care
  • Genetic factors
  • Occupational exposures (such as asbestos or wood dust)
  • A weakened immune system

Regular screenings and lifestyle modifications can help mitigate these risks.>

 

Q: How does poor oral hygiene lead to Oral, Head, and Neck Cancers?

 

Dr: Poor oral hygiene can contribute to the development of oral, head, and neck cancers through several mechanisms. Firstly, inadequate oral hygiene increases the accumulation of bacteria, viruses, and other harmful microorganisms in the mouth, leading to chronic inflammation and irritation of the oral tissues. Prolonged inflammation can damage the cells lining the mouth and throat, making them more susceptible to cancerous changes over time. Additionally, poor oral hygiene is associated with an increased risk of periodontal (gum) disease, which has been linked to oral cancer development.

 

Neglecting regular dental check-ups may result in delayed detection of precancerous lesions or early-stage cancers. Furthermore, chronic irritation from rough teeth or ill-fitting dentures can damage the lining of the mouth, potentially increasing the risk of cancer development. Maintaining good oral hygiene practices, including regular brushing, flossing, and dental check-ups, is essential for reducing the risk of oral, head, and neck cancers.

 

Q: Is there a safe limit of tobacco smoking and alcohol consumption?

 

Dr: There is no safe limit of tobacco smoking or alcohol consumption that does not increase the risk of cancer. Even lesser amounts of tobacco or alcohol can contribute to cancer development. Both substances contain carcinogens that damage cells and increase the likelihood of cancer formation. Research consistently shows that any level of tobacco uses, or alcohol consumption raises cancer risk. Therefore, to minimize risk, it is advisable to avoid tobacco entirely and limit alcohol consumption as much as possible. Choosing not to smoke and moderating alcohol intake are crucial steps in reducing the risk of developing various cancers, including those of the oral, head, and neck regions.

 

Q: What type of Oral, Head, and Neck Cancer is caused by an HPV infection?

 

Dr: Oropharyngeal cancer is primarily caused by human papillomavirus (HPV) infection. HPV-related oropharyngeal cancers often originate in the tonsils, base of the tongue, or soft palate. Certain strains of HPV can lead to cellular changes that may eventually progress to cancer. Vaccination against HPV can help prevent infection and reduce the risk of HPV-related cancers.

 

Q: What screening tests are available for Oral, Head, and Neck Cancers and when should they be done?

 

Dr: Screening tests for Oral, Head, and Neck Cancers include physical examinations by a doctor, oral cavity exams, and imaging tests such as CT scans, MRIs, and PET scans. Additionally, certain procedures like endoscopies and biopsies may be used for diagnosis. Routine dental check-ups often include oral cancer screenings. High-risk individuals, such as heavy smokers, heavy drinkers, and those with a family history of these cancers, may benefit from more frequent screenings. Early detection is crucial for better treatment outcomes, so individuals experiencing symptoms like persistent mouth sores, difficulty swallowing, or changes in voice should seek medical evaluation promptly.

 

Q: Is Radiotherapy the only treatment option for Oral, Head, and Neck Cancers?

 

Dr: Radiotherapy is not the only treatment option for Oral, Head, and Neck Cancers. Treatment plans typically depend on factors such as the type, stage, and location of the cancer, as well as the individual’s overall health. Surgery is often used to remove tumours and affected tissues, while chemotherapy may be used alone or in combination with other treatments to kill cancer cells. Immunotherapy and targeted therapy are also emerging as effective options for some types of these cancers. Multidisciplinary approaches, including a combination of treatments, are often employed to maximize effectiveness and minimize side effects.

 

Q: Do Oral, Head, and Neck Cancers come back after they have been successfully treated?

 

Dr: Not always but they can recur after successful treatment. Recurrence may happen locally (in the same area), regionally (near the original site), or distantly (in other parts of the body). Regular follow-up appointments are essential to monitor for recurrence and manage any potential complications. Early detection of recurrence improves the chances of successful treatment and better outcomes.

 

Dr Major G Vasanth Kumar (Retd) Consultant-Ent at Dr.Kamakshi Memorial Hospital
Reviewed By:

DR.MAJOR G VASANTH KUMAR (RETD)

CONSULTANT – ENT

MS ENT, DNB ENT, Fellow Head & Neck Surg Onco